湿性年龄相关性黄斑变性患者白内障术后视力评估

doi:10.3980/j.issn.1672-5123.2017.7.20

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湿性年龄相关性黄斑变性患者白内障术后视力评估
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                        10.3980/j.issn.1672-5123.2017.7.20
                    
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基金项目:国家自然科学基金项目(No.81460163、81400427、81300786); 教育部博士学科点基金(No.20133601120012); 陕西省青年科技新星项目(No.2016KJXX-12); 陕西省自然科学基础研究计划项目(No.2016JM8029、2012JM4023); 西安交通大学基本科研业务费专项科研项目(No.1191320094); 江西省科技厅项目(No.20142BAB215029、20132BAB205024、20142BDH80005); 江西省教育厅科技项目(No.GJJ14094、GJJ13175)

Visual acuity outcome of cataract surgery in patients with wet age-related macular degeneration

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National Natural Science Foundation of China(No.81460163, 81400427, 81300786); Ministry of Education Doctor Program Foundation(No.20133601120012); Shaanxi Nova Star of Youth Science and Technology Project(No.2016KJXX-12); Natural Science Foundation for Basic Research of Shaanxi(No.2016JM8029, 2012JM4023); Basic Expenses for Specialized Science and Research Project in Xi'an Jiaotong University(No.1191320094); Department of Science and Technology Project of Jiangxi(No.20142BAB215029,20132BAB205024,20142BDH80005); Scientific Research Project of Department of Education Jiangxi(No.GJJ14094, GJJ13175)

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摘要:

目的：分析术前合并有年龄相关黄斑变性(wet age-related macular degeneration，wAMD)的白内障患者行超声乳化联合人工晶状体植入手术后视力的恢复情况。

方法：收集2013-06/2016-01于西安交通大学第一附属医院眼科就诊行白内障超声乳化联合人工晶状体植入术患者的资料，筛选出术前合并wAMD且处于稳定期的患者48例61眼进行回顾性分析，对其手术前后视力的差异进行统计分析。

结果：选取的61眼患者中49眼术后视力有提高，11眼术后视力无提高，1眼术后视力下降。手术前后视力进行秩合检验比较发现，术后视力明显优于术前视力，手术前后视力差异有统计学意义。未发现术后视力的改善情况与患者年龄的相关性。

结论：对于术前合并wAMD的白内障患者，进行白内障超声乳化联合人工晶状体植入手术可以较为有效地改善患者视力。

Abstract:

AIM: To evaluate visual acuity outcomes after phacoemulsification and intraocular lens implantation in patients with wet age-related macular degeneration(wAMD).

METHODS: We reviewed the medical documents of the patients who underwent phacoemulsification and intraocular lens implantation surgery during June 2013 and January 2016. Totally 61 eyes of 48 patients with wAMD in the stable stage were recruited. The pre- and post-operative vision of selected cases were recorded and compared.

RESULTS: After phacoemulsification and intralocular lens implantation, visual acuity changes were as follows: 49 eyes improved, 11 eyes retained, and 1 eye deteriorated. Visual acuity improvement after cataract surger were statistically significant(P<0.001). Visual acuity improvement was not related to age.

CONCLUSION: Visual acuity improved in patients with wet AMD after phacoemulcification and intraocular lens implantation.

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罗斌,李晶明,杨娟娟,等.湿性年龄相关性黄斑变性患者白内障术后视力评估.国际眼科杂志, 2017,17(7):1278-1280.

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收稿日期:2016-11-24
最后修改日期:2017-06-08
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在线发布日期: 2017-06-26
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