ICL植入术治疗高度近视术后早期眼前节形态的变化
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Changes of anterior segment after early implantation of posterior chamber phakic intraocular lens for correction of high myopia
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    摘要:

    目的:我们应用眼前节全景分析仪(Pentacam)测量有晶状体眼后房型人工晶状体(ICL)植入术手术前后前节形态指标,评价有晶状体眼后房型人工晶状体植入术的安全性及稳定性。

    方法:选取行有晶状体眼后房型人工晶状体植入术治疗的高度近视患者48例90眼,术后随访6mo。Pentacam眼前节全景分析仪测量各时间点的中央前房深度(ACD)、3:00位前房角(ICA)、角膜像差(CA)、角膜曲率(K)和角膜厚度(CCT)等指标。使用SPSS 19.0统计软件,描述术前术后各指标的分布特征,采用配对t检验对各指标进行手术前后的差异性比较。

    结果:所有观察指标各时间点均呈正态分布。ACD、3:00位ICA较术前降低(P<0.05)。CA中,总像差(CTA)及低阶像差(CLOA)较术前无统计差异(P>0.05),高阶像差(CHOA)则较术前有所增加(P<0.05); K略有减小(P<0.05)。CCT较术前比较均无统计学差异(P>0.05)。对于术后有统计学意义变化的指标,均在术后1mo时即达到稳定状态。

    结论:应用眼前节全景分析仪(Pentacam)观察有晶状体眼后房型人工晶状体植入术眼前节形态的变化主要有ICA变窄,ACD变小,CHOA增加,K减小,尚在安全范围内,6mo随访中各值均保持稳定,未出现并发症,但远期效果需进一步随访观察。

    Abstract:

    AIM:To evaluate safety and stability of ICL implantation treatment of high myopia through the observation of anterior segment parameters such as ACD and ICA over time pre- and post-operation changes by Pentacam.

    METHODS:According to the proposed inclusion criteria, 90 eyes(48 patients)with high myopia who accepted ICL implantation treatment were selected. The mean follow-ups are 6 months. Anterior segment parameters such as ACD, ICA(3'clock), corneal aberration(CA), K-value and CCT were measured by Pentacam at pre- and postoperative different follow-up time points. Using SPSS 19.0 statistical software to describe the indexes distribution at different time points. We compared changes by matching t-test between preoperation and postoperation.

    RESULTS:The indexes presented normal distribution. During the follow-ups of all the patients, ACD and ICA(3'clock)were lower than before. Differences were all statistically significant(P<0.05). About CA, CTA and CLOA had no significant difference between preoperative and postoperative(P>0.05); but CHOA increases statistically significant(P<0.05). K-value slightly reduces, Differences are all statistically significant(P<0.05). CCT had no significant difference(P>0.05). For the indexes with statistically significant difference, they achieved stable state in postoperative 1-month.

    CONCLUSION:After ICL implantation treatment of high myopia,changes mainly include the ICA and ACD decrease, CHOA increases, K decreases by Pentacam observation,and it is within the scope of the security,all the values are stable during the follow-ups, no complications occur, but the long-term effect need further follow-ups.

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黎冬平,刘磊,李新宇,等. ICL植入术治疗高度近视术后早期眼前节形态的变化.国际眼科杂志, 2014,14(1):49-51.

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  • 收稿日期:2013-09-22
  • 最后修改日期:2013-11-26
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  • 在线发布日期: 2013-12-23
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