摘要
目的探讨超声乳化白内障吸除联合人工晶体植入术与小切口白内障囊外摘除联合人工晶体植入术对黄斑中心凹视网膜厚度的影响。方法分别对进行超声乳化及小切口白内障手术的A、B两组病例各80眼,通过术前和术后1周、1月、2月、6月对黄斑区行SD-OCT测量,观察两组黄斑中心凹视网膜厚度的变化及其区别。结果术后1月、2月时A、B组黄斑中心凹1mm视网膜平均厚度比术前皆增厚,且差异存在统计学意义(P<0.05);出现厚度异常及黄斑水肿的病例6月内自愈。A、B组间比较均无统计学意义(P>0.05)。结论超声乳化白内障吸除联合人工晶体植入术与小切口白内障囊外摘除联合人工晶体植入术后黄斑中心凹视网膜厚度均显著增加,少数患者会出现黄斑水肿,于术后6月内基本恢复;两组间术后黄斑水肿程度未见明显区别,可以根据情况在临床上灵活选择手术方式。
Objective To explore the different effects of the combined use of phacoemulsification and in- traocular lens implantation and the combined use of small-incision cataract surgery and intraocular lens im- plantation on the retinal thickness of macular central fovea. Methods 80 cases in Group A underwent phac- oemulsification and 80 cases in Group B underwent small-incision cataract surgery. The retinal thickness of macular central fovea was measured with SD-OCT one week, one month and six months before and after operations. Results The retinal thickness of macular central fovea in both groups increased after operations （ P 〈0.05）. Abnormal thickness and macular edema got self-healing within 6 months in both groups（ P 〉0.05）. Conclusion After the combined use of phacoemulsification and intraocular lens implantation and the combined use of small-incision cataract surgery and intraocular lens implantation, the retinal thickness of macular central fovea in both groups increased, and maeular edema occurred in a few cases and recovered within 6 months in both groups, therefore, both operative modes can be chosen according to different clini- cal situations.
出处
《山东医学高等专科学校学报》
2016年第5期395-398,共4页
Journal of Shandong Medical College
