白内障术后短期随访OCT检查的价值研究被引量：1

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摘要目的:探讨在白内障超声乳化并人工晶体植入术后短期随访中,应用光学相干断层扫描(OCT)检查的临床价值。方法:选择白内障术前眼底窥视不入,黄斑区辅助检查受限的成熟期白内障78例(93眼),术后1周随访,行直接检眼镜、眼底彩色照相、OCT及电脑验光等检查。比较OCT检查和眼底彩色照相对术后黄斑病变的检出情况。结果:(1)术后1周,OCT检查检出黄斑病变36眼,占38.71%;眼底彩色照相检出20眼,占21.51%;OCT检查检出率非常显著高于眼底彩色照相(P<0.01)。(2)术后1周,电脑验光检查显示所有术眼最佳矫正视力为光感～1.2,最佳矫正视力0.3以上61眼,占65.59%。其中4眼术后OCT检查提示有黄斑病变,但最佳矫正视力均高于0.3。结论:白内障超声乳化并人工晶体植入术后短期随访中应用OCT检查,有助于提高黄斑病变检出率,对发现、追踪及治疗白内障术后黄斑病变具有重要指导价值。

作者伍腾飞彭秀军贾洪真

机构地区安徽医科大学海军总医院临床学院海军总医院眼科

出处《人民军医》 2013年第7期803-805,共3页 People's Military Surgeon

关键词白内障光学相干断层扫描黄斑病变随访

分类号 R770.41 [医药卫生—眼科]

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