摘要
目的分析高度近视一眼合并白内障另一眼透明晶状体双眼手术的临床效果。方法回顾性分析我院2007年1月至2011年7月收治的68例(136眼)双眼高度近视且一眼合并白内障另一眼为透明或半透明晶状体患者的临床资料。68例患者晶状体透明或半透明的68眼作为观察组,另一合并白内障眼作为对照组,同期行白内障超声乳化联合人工晶状体植入术。术后随访6～18个月,对比分析两组患者手术后视力恢复情况、屈光状态及并发症情况。评价高度近视透明晶状体置换术的安全性。结果观察组术后3个月最佳矫正视力为4.67±0.20,好于术前最佳矫正视力4.47±0.21(P<0.05),安全性指数为1.04。观察组术后1周、3个月最佳矫正视力为4.64±0.22、4.67±0.20,对照组为4.58±0.25、4.66±0.20,两组同时间点比较差异均有统计学意义(均为P<0.05)。观察组有86.8%(59眼)、对照组有83.8%(57眼)术后等效球镜控制在预置屈光度±1.00D范围内,两组比较差异无统计学意义(χ2=0.234,P=0.628)。两组术后3个月等效球镜比较差异无统计学意义(P>0.05)。观察组有5眼、对照组有17眼发生了手术并发症,两组并发症发生率相比差异有统计学意义(χ2=7.810,P=0.005)。68例患者均未发生交感性眼炎等并发症。结论高度近视一眼白内障而另一眼为透明晶状体者,选择双眼同期手术能减少透明晶状体眼的并发症,消除屈光参差,早期恢复双眼单视功能,提高视觉质量。
Objective To analyze the clinical efficacy of the surgery on eyes with high myopia and unilateral cataracts. Methods The datas of 68 patients（ 136 eyes） with high myopia and unilateral cataract were retrospectively analyzed, among those who have received and been cured from January 2007 to July 2011 by in our hospital. Sixty-eight eyes with transparent lens were taken as test group while the other 68 eyes with transparent lens and cataract as control group, and they were all treated with the phacoemulsification and intraocular lens implantation contemporaneously. The patients were followed up for 6 to 18 months, the condition of their vision recovery, refraction state and postoperative complications were contrastively analyzed. Results In test group,the best correction visual acuity at 3 months after operation was 4.67 _± 0.20, which was better than preoperative 4.47 ± 0.21 （P 〈 0.05 ）. At 1 week, 3 months after operation,the safety index was 1.04. The best correction visual acuity of test group were 4.64 _±0.22 and 4.67 _±0.20 ,respectively,while the control group were 4.58 ±0.25and 4.66 ± 0.20, respectively, so the differences between the two groups were statistically significant at the same time point （both P 〈 0.05 ）. The spherical equivalent refraction within ± 1.00 D of preseted diopte was 86.8% （ 59 eyes） in test group eyes,and 83.8% （57 eyes） in control group at postoperative 3 months. The difference between the two groups was not sta- tistically significant （x2 =0.234,P =0.628） ,but there was not statistical difference of the spherical equivalent refraction at 3 months after operation between two groups（P 〉 0.05 ）. Complications appeared in 5 eyes in test group and 17 eyes in con- trol group, and the difference was statistically significant （X2 = 7.810,P = 0. 005 ）. Both of the two groups did not occur post- operative sympathetic ophthalmia. Conclusion As to high myopia patients with unilateral cataract and the other eye with clear lens,performing surgical operations on their two eyes contemporaneously can reduce the clear lens eyes complica- tions, eliminate the anisometropia, recover their binocular single vision sooner and improve their vision quality.
出处
《眼科新进展》
CAS
北大核心
2013年第8期767-770,共4页
Recent Advances in Ophthalmology
