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有晶状体眼前房型人工晶状体植入矫治高度近视临床观察

Clinical study of the intraocular lens implantation in phakic eyes for high myopia
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摘要 目的:观察有晶状体眼Verisyse前房虹膜夹型人工晶状体植入矫治高度近视术后的视力、屈光状态以及相关并发症,评价其临床应用价值。方法:自2006-07/2008-07接受Verisyse人工晶状体植入术的32例48眼,术前平均球镜当量-15.65±3.41D。统计术后6mo;1a裸眼视力,最佳矫正视力、屈光度、内皮细胞计数,分析并发症的发生情况。结果:术后裸眼视力:0.4~1.0,平均0.75±0.34。术前最佳矫正视力:0.3~1.0,平均0.58±0.27,术后最佳矫正视力0.64±0.30。达到术前矫正42眼(87.5%),超过术前最佳矫正视力14眼(29.2%),随访6mo;1a,无明显变化。术前屈光平均球镜当量-15.65±3.41D;术后屈光度数平均球镜当量-1.58±2.47D。角膜内皮细胞计数术前(3108±265)个/mm2,术后6mo为(3054±317)个/mm2,差异无统计学意义。未见威胁视力的并发症。结论:有晶状体眼前房虹膜夹型人工晶状体植入矫治超高度近视安全有效,术后屈光效果令人满意。对眼内的长期影响需要进一步观察。 AIM:To study the efficacy and safety of the intraocular lens(IOL) implantation in phakic eyes for high myopia.·METHODS:Forty-eight eyes in 32 patients with-15.65±3.41 diopters(D) of myopia,-2.42±1.27D of astigmatism were performed implantation of phakic IOL.Uncorrected visual acuity(UCVA);Best corrected visual acuity(BCVA),refration,endothelial cells were recorded and studied.·RESULTS:UCVA 0.75±0.34 were achieved after operation.87.5% of eyes achieved BCVA,29.2% vision were better than BCVA.The mean refractive diopters were-15.65±3.41D pre-operatively and-1.58±2.47D post-operatively.There were no significant differences between the preoperative,6 months and one year postoperatively in mean counts of endothelial cells.·CONCLUSION:The implantation of phakic IOL for high myopia seems to be safe and effective,but still need a long-term observation in clinic.
出处 《国际眼科杂志》 CAS 2009年第11期2222-2223,共2页 International Eye Science
关键词 高度近视 人工晶状体 有晶状体眼 high myopia intraocular lens phakic
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参考文献8

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