摘要
目的探究患者年龄和眼轴长度对高度近视白内障患者术后黄斑中心凹视网膜厚度和脉络膜厚度影响。方法选取2018年1月至2019年12月于我院收治的高度近视白内障患者80例(94只眼),所有患者均行超声乳化术。应用相干光层析成像术(OCT)观察分析患者各个时间点黄斑中心凹视网膜厚度和脉络膜厚度,手术前后裸眼视力和最佳矫正视力(BCVA)情况,根据BCVA不同观察患者黄斑中心凹视网膜厚度和脉络厚度、年龄、眼轴长度。对年龄及眼轴长度对黄斑中心凹视网膜厚度和脉络厚度的影响进行单因素分析。结果术后各个时间点黄斑中心凹视网膜厚度明显低于手术前,脉络厚度明显高于手术前,术后3个月黄斑中心凹厚度明显高于术后1周和术后1个月,脉络厚度明显低于术后1周和1个月;术后3个月裸眼视力和BCVA≥0.3患者明显多于手术前,裸眼视力和BCVA<0.3患者明显少于手术前;A组患者黄斑中心凹视网膜厚度和眼轴长度明显低于B组,脉络厚度明显高于B组;眼轴长度与患者黄斑中心凹视网膜厚度和脉络厚度存在明显相关性,差异具有统计学意义(P<0.05)。结论高度近视白内障患者采用超声乳化术治疗可改善其视力,眼轴长度与黄斑中心凹视网膜厚度和脉络厚度存在相关性,是影响患者术后疗效的相关因素。
Objective To explore the effects of age and axial length(AL)detected by optical coherence tomography(OCT)on the retinal and choroidal thickness of macular fovea in highly myopic patients after cataract surgery.Methods A total of 80 highly myopic patients(94 eyes)with cataract who underwent phacoemulsification in our hospital from January 2018 to December 2019 were selected.The retinal thickness and choroidal thickness of macular foveal,uncorrected visual acuity and best corrected visual acuity(BCVA)before and after the surgery were observed and analyzed at each time point.According to the visual acuity recovery of patients at three months after the surgery,patients with BCVA≥0.3 were categorized into group A and patients with BCVA<0.3 into group B,and the retinal thickness and choroidal thickness of macular fovea,as well as age and AL were recorded.The effects of age and AL on retinal thickness and choroidal thickness of macular fovea were analyzed by univariate analysis.Results The retinal thickness of macular fovea at each postoperative time point was significantly lower than that before the surgery,while the choroidal thickness was significantly higher than that before the surgery.The thickness of macular fovea at three months after the surgery was significantly higher than that at one week and one month after the surgery,while the choroidal thickness was significantly lower than that at one week and one month after the surgery.At three months after the surgery,the numbers of patients with uncorrected visual acuity and BCVA≥0.3 were significantly larger than those before the surgery,and the numbers of patients with uncorrected visual acuity and BCVA<0.3 were significantly lower than those before the surgery.The retinal thickness of macular fovea and AL in group A were significantly lower than those in group B,while the choroidal thickness was significantly higher than that in group B.AL was significantly correlated with retinal thickness of macular fovea and choroidal thickness,and the difference was statistically significant(P<0.05).Conclusions Phacoemulsification can improve the visual acuity of highly myopic patients with cataract.There is a correlation between AL and macular fovea retinal thickness and choroidal thickness,thus AL is a risk factor affecting the postoperative outcome.
作者
袁敬改
陈月
顾朝晖
靳敏肖
高志海
魏建新
Yuan Jinggai;Chen Yue;Gu Chaohui;Jin Minxiao;Gao Zhihai;Wei Jianxin(Department of Ophthalmology,Shijiazhuang Aier Eye Hospital,Shijiazhuang 050000,China)
出处
《临床眼科杂志》
2021年第6期487-491,共5页
Journal of Clinical Ophthalmology
基金
河北省2020年度医学科学研究课题计划(20201335)。
