摘要
目的:分析超声乳化人工晶状体植入术对高度近视白内障患者的治疗效果.方法:选取2020年10月至2023年2月106例高度近视白内障患者作为研究对象.随机将患者分成对照组和观察组,每组各53例.对照组采用白内障囊外摘除人工晶状体植入术;观察组采用超声乳化人工晶状体植入术.分析比较两组的最佳矫正视力(Best corrected visual acuity,BCVA)、黄斑中心凹厚度、眼前节参数、角膜内皮功能及并发症.结果:术后6 m,观察组BCVA高于对照组,黄斑中心凹厚度低于对照组(P<0.05);观察组眼压(Intraocular pressure,IOP)低于对照组,而前房深度(Anterior chamber depth,ACD)、前房容量(Anterior chamber volume,ACV)高于对照组(P<0.05).术后6 m观察组角膜厚度(Central corneal thickness,CCT)、角膜内皮细胞计数(Corneal endothelial cell,CEC)高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05).结论:超声乳化人工晶状体植入术治疗高度近视白内障患者,能改善BCVA、黄斑中心凹厚度以及眼前节参数,提升角膜内皮功能,减少并发症.
Objective:To analyze the therapeutic effect of phacoemulsification intraocular lens implantation in patients with high myopia cataract.Methods:106 patients with high myopia cataract from October 2020 to February 2023 were selected as the study objects.Patients were randomly divided into control group and observation group,with 53 cases in each group.The control group underwent extracapsular cataract extraction and intraocular lens implantation.The observation group underwent phacoemulsification intraocular lens implantation.The Best corrected visual acuity(BCVA),macular fovea thickness,anterior segment parameters,corneal endothelial function and complications were analyzed and compared between the two groups.Results:6 m after operation,BCVA of observation group was higher than that of control group,and the thickness of macular fovea was lower than that of control group(P<0.05).The Intraocular pressure(IOP)of the observation group was lower than that of the control group,but the Anterior chamber depth(ACD)and Anterior chamber volume(ACV)were higher than those of the control group(P<0.05).Central corneal thickness(CCT)and Corneal endothelial cell(CEC)count in the observation group were higher than those in the control group at 6 m after surgery(P<0.05).The complication rate of observation group was lower than that of control group(P<0.05).Conclusion:Phacoemulsification intraocular lens implantation can improve BCVA,macular fovea thickness and anterior segment parameters,enhance corneal endothelial function and reduce complications in patients with high myopia cataract.
作者
谢慧
李静文
李娟
Xie Hui;Li Jing-wen;Li Juan(Department of Ophthalmology,Jiaozuo People's Hospital,Jiaozuo 454000,Henan,China)
出处
《四川生理科学杂志》
2024年第3期654-656,共3页
Sichuan Journal of Physiological Sciences
关键词
超声乳化
人工晶状体植入术
高度近视
白内障
Phacoemulsification
Intraocular lens implantation
High myopia
Cataract
