摘要
目的:短期观察超高度近视患者植入ICL V4c术后的视觉质量。方法:收集植入ICL V4c的超高度近视患者78例100眼的临床资料,术前近视屈光度数为-11.25^-20.00(-13.25±2.05)D,术前裸眼视力<0.10,术前和术后1mo对患者进行视力及屈光状态、对比敏感度及波前像差检查。结果:术后裸眼视力≥0.7者97眼(97%),≥1.0者37眼(37%)。裸眼视力≥术前矫正视力者90眼(90%)。术后1mo各空间频率的对比敏感度和眩光对比敏感度均明显提高,差异均有统计学意义(均为P<0.05)。术后1mo患者总的高阶像差、彗差、球差、二次彗差及二次球差与术前相比,差异有统计学意义(P<0.05)。术后出现2眼自身晶状体混浊;2眼眼压增高;3眼出现角膜反应;1眼出现夜间眩光和光晕,术后6mo上述症状基本稳定或消失。结论:短期内超高度近视患者植入ICL V4c术后视觉质量得到了明显提高。
AIM： To observe the visual quality of super-high myopia after implantation of the visian implantable collamer lens with centra-flow （ICL V4c） in the shortterm. METHODS. The clinical date of 78 patients （100 eyes） were collected, the preoperative uncorrected visual acuity （UCVA） was below 0.10, spherical refraction was -13.25±2.05（ -11.25 - -20.00） D. The preoperative and postoperative refrative condition, wavefront aberration, visual acuity and contrast sensitivity were examined. RESULTS; The postoperative UCVA in 97 eyes （97%） were equal to or more than 0. 7. Thirty-seven eyes （37%） were equal to or more than 1.0. Both the contrast sensitivity and glare contrast sensitivity under high spatial frequency were increased at postoperative 1mo, there were statistical differences （all P〈0.05）. Both the higher- order aberrations, coma, spherical, second coma and second spherical were increased at postoperative lmo, there were statistical differences （ P〈 0.05）. At postoperative 1mo, 2 eyes＇ original lens had cloudy, 2 eyes＇ intraocular pressure had increased, 3 eyes had corneal reaction, 1 eye had glare and halos. At postoperative 6too, all visual symptoms almost disappeared. CONCLUSION. The visual myopia after implantation of obviously in short-term. quality of super- high ICL V4c was improved
出处
《国际眼科杂志》
CAS
2015年第9期1615-1617,共3页
International Eye Science
关键词
超高度近视
ICL
视觉质量
super-high myopia
implantable collamerlens
visual quality
