目的:探讨3.2mm透明角膜切口白内障超声乳化吸除术(Phaco)联合人工晶状体(IOL)植入术治疗白内障的疗效。方法:回顾性分析2015-10/2016-10我院眼科接诊的白内障患者95例107眼,均行3.2mm透明角膜切口Phaco联合IOL植入术,观察术后视力、角...目的:探讨3.2mm透明角膜切口白内障超声乳化吸除术(Phaco)联合人工晶状体(IOL)植入术治疗白内障的疗效。方法:回顾性分析2015-10/2016-10我院眼科接诊的白内障患者95例107眼,均行3.2mm透明角膜切口Phaco联合IOL植入术,观察术后视力、角膜曲率、角膜散光、前房深度等情况。结果:术后3d,1wk,1mo本组患者裸眼视力(0.16±0.06、0.15±0.05、0.14±0.04)明显优于术前(0.48±0.15),前房深度(3.86±1.09、3.69±1.04、3.84±1.07mm)明显高于术前(2.71±0.88mm)(均 P <0.05),但角膜曲率和角膜散光度与术前无明显差异,且术后各时间点手术源性散光度无差异(均 P >0.05)。结论:3.2mm透明角膜切口Phaco联合IOL植入术可有效改善视力,减小角膜散光,是治疗白内障安全有效的手术方式。展开更多
AIM：To analyze the visual outcomes and the posterior capsule opacification（PCO）with the new Incise？MJ14intraocular lens（IOL）implanted through a 1.4 mm clear corneal incision（CCI）in patients who underwent biman...AIM：To analyze the visual outcomes and the posterior capsule opacification（PCO）with the new Incise？MJ14intraocular lens（IOL）implanted through a 1.4 mm clear corneal incision（CCI）in patients who underwent bimanual microincision cataract surgery（B-MICS）.METHODS：Eighty eyes which underwent cataract surgery using B-MICS technique performed by the same experienced surgeon were included in the study：40 eyes were implanted with an Incise？MJ14 IOL through a 1.4 mm CCI（group A）without enlargement of the main CCI,while 40 eyes were implanted with an Akreos？MI60 IOL with enlargement of the main CCI to 1.8 mm（group B）.Best corrected visual acuity（BCVA）,astigmatism and endothelial cell loss were evaluated before and after surgery at 7,30d and 6mo.Anterior segment-optical coherence tomography（AS-OCT）of CCI was performed at 1,3,7,30d,6 and 18mo.PCO incidence was evaluated at 18mo using EPCO 2000 Software.RESULTS：Mean BCVA improvement and endothelial cell loss were statistically significant at 18mo in both groups with no difference between the two groups;no statistically significant difference in surgically induced astigmatism（SIA）was noticed in the two groups.At AS-OCT the only significant alterations in the CCI were endothelial gaping and local detachment of Descemet’s membrane at 1 and 7d after surgery;no statistically significant alterations were found at 1,6 and 18mo.PCO score at 18mo was 0.03±0.07for group A and 0.08±0.18 for group B（P=0.11）with no sign of central optic plate invasion in both groups.CONCLUSION：The implant of the new Incise？MJ14 IOL through a 1.4 mm CCI and B-MICS technique appeared to be a safe and effective procedure with rapid visual recovery.PCO rate resulted very low and the CCI presented few morphological alterations which were only detectable in the first days postoperatively and achieved fast corneal healing during the long-term follow-up.展开更多
目的比较2.0 mm微切口飞秒激光角膜基质透镜取出术(2.0 mm small incision lenticule extraction,2.0 mm SMILE)与飞秒激光辅助的LASIK(laser in situ keratomileusis with femtosecond laser,FS-LASIK)矫正近视的疗效。方法研究纳入行2...目的比较2.0 mm微切口飞秒激光角膜基质透镜取出术(2.0 mm small incision lenticule extraction,2.0 mm SMILE)与飞秒激光辅助的LASIK(laser in situ keratomileusis with femtosecond laser,FS-LASIK)矫正近视的疗效。方法研究纳入行2.0 mm SMILE的近视患者48例(96眼),同期行FS-LASK者50例(100眼),记录并比较两组术前及术后1d、1周、1个月、3个月及6个月的裸眼视力(uncorrected visual acuity,UCVA)、最佳矫正视力(best corrected visual acuity,BCVA)、屈光度、生活质量量表(quality of life,QOL)得分及手术满意度量表评分。结果在术后1周以后SMILE组视力高于FS-LASIK组,且状态较FS-LASIK组更为稳定。术后1个月、3个月、6个月SMILE组UCVA≥术前BCVA的比例高于FS-LASIK组,差异均有统计学意义(均为P<0.05)。术后早期(术后1周)SMILE组存在1例过矫,而FS-LASIK组存在1例欠矫,但在术后1个月、3个月、6个月两组手术患者均在±1.00 D范围内。术后平均角膜前表面形态变异指数及垂直不对称指数在各时间点均为FS-LASIK组大于SMILE组,差异均有统计学意义(均为P<0.05)。两组术前及术后6个月QOL得分组间比较,差异均无统计学意义(均为P>0.05),术后6个月QOL得分均较术前有所增加,且差异均有统计学意义(SMILE:t=-13.85,P=0.00;FS-LASIK:t=-13.21,P=0.00),而两组术后6个月QOL得分比较,差异无统计学意义(P>0.05)。两组均有较高的再次手术选择率及手术推荐率,并且未发生严重的并发症。结论 2.0 mm SMILE与FS-LASIK均具有良好的有效性、稳定性以及可预测性,术后都可获得良好的视力及良好的生活质量,前者更好地保持了角膜前表面的形态。展开更多
白内障在临床眼科疾病中所占比例很高,而随着人口老龄化的日益加剧,白内障合并青光眼及玻璃体视网膜疾病或其他眼部疾病的复杂白内障患者也逐渐增加。因此,对于复杂白内障患者来说,白内障手术不仅仅单纯解决白内障问题,而是同时联合前...白内障在临床眼科疾病中所占比例很高,而随着人口老龄化的日益加剧,白内障合并青光眼及玻璃体视网膜疾病或其他眼部疾病的复杂白内障患者也逐渐增加。因此,对于复杂白内障患者来说,白内障手术不仅仅单纯解决白内障问题,而是同时联合前后节手术为患者一次性治疗多种疾病,从而以最小的创伤得到最佳的治疗效果。近年来,国内外眼科学者及专家将1.8 mm同轴微切口白内障超声乳化术(C-MICS)应用于临床取得了较好的疗效,并被医师和患者广泛接受。未来,1.8 mm C-MICS将成为治疗白内障的主流方式。展开更多
文摘目的:探讨3.2mm透明角膜切口白内障超声乳化吸除术(Phaco)联合人工晶状体(IOL)植入术治疗白内障的疗效。方法:回顾性分析2015-10/2016-10我院眼科接诊的白内障患者95例107眼,均行3.2mm透明角膜切口Phaco联合IOL植入术,观察术后视力、角膜曲率、角膜散光、前房深度等情况。结果:术后3d,1wk,1mo本组患者裸眼视力(0.16±0.06、0.15±0.05、0.14±0.04)明显优于术前(0.48±0.15),前房深度(3.86±1.09、3.69±1.04、3.84±1.07mm)明显高于术前(2.71±0.88mm)(均 P <0.05),但角膜曲率和角膜散光度与术前无明显差异,且术后各时间点手术源性散光度无差异(均 P >0.05)。结论:3.2mm透明角膜切口Phaco联合IOL植入术可有效改善视力,减小角膜散光,是治疗白内障安全有效的手术方式。
文摘AIM：To analyze the visual outcomes and the posterior capsule opacification（PCO）with the new Incise？MJ14intraocular lens（IOL）implanted through a 1.4 mm clear corneal incision（CCI）in patients who underwent bimanual microincision cataract surgery（B-MICS）.METHODS：Eighty eyes which underwent cataract surgery using B-MICS technique performed by the same experienced surgeon were included in the study：40 eyes were implanted with an Incise？MJ14 IOL through a 1.4 mm CCI（group A）without enlargement of the main CCI,while 40 eyes were implanted with an Akreos？MI60 IOL with enlargement of the main CCI to 1.8 mm（group B）.Best corrected visual acuity（BCVA）,astigmatism and endothelial cell loss were evaluated before and after surgery at 7,30d and 6mo.Anterior segment-optical coherence tomography（AS-OCT）of CCI was performed at 1,3,7,30d,6 and 18mo.PCO incidence was evaluated at 18mo using EPCO 2000 Software.RESULTS：Mean BCVA improvement and endothelial cell loss were statistically significant at 18mo in both groups with no difference between the two groups;no statistically significant difference in surgically induced astigmatism（SIA）was noticed in the two groups.At AS-OCT the only significant alterations in the CCI were endothelial gaping and local detachment of Descemet’s membrane at 1 and 7d after surgery;no statistically significant alterations were found at 1,6 and 18mo.PCO score at 18mo was 0.03±0.07for group A and 0.08±0.18 for group B（P=0.11）with no sign of central optic plate invasion in both groups.CONCLUSION：The implant of the new Incise？MJ14 IOL through a 1.4 mm CCI and B-MICS technique appeared to be a safe and effective procedure with rapid visual recovery.PCO rate resulted very low and the CCI presented few morphological alterations which were only detectable in the first days postoperatively and achieved fast corneal healing during the long-term follow-up.
文摘目的比较2.0 mm微切口飞秒激光角膜基质透镜取出术(2.0 mm small incision lenticule extraction,2.0 mm SMILE)与飞秒激光辅助的LASIK(laser in situ keratomileusis with femtosecond laser,FS-LASIK)矫正近视的疗效。方法研究纳入行2.0 mm SMILE的近视患者48例(96眼),同期行FS-LASK者50例(100眼),记录并比较两组术前及术后1d、1周、1个月、3个月及6个月的裸眼视力(uncorrected visual acuity,UCVA)、最佳矫正视力(best corrected visual acuity,BCVA)、屈光度、生活质量量表(quality of life,QOL)得分及手术满意度量表评分。结果在术后1周以后SMILE组视力高于FS-LASIK组,且状态较FS-LASIK组更为稳定。术后1个月、3个月、6个月SMILE组UCVA≥术前BCVA的比例高于FS-LASIK组,差异均有统计学意义(均为P<0.05)。术后早期(术后1周)SMILE组存在1例过矫,而FS-LASIK组存在1例欠矫,但在术后1个月、3个月、6个月两组手术患者均在±1.00 D范围内。术后平均角膜前表面形态变异指数及垂直不对称指数在各时间点均为FS-LASIK组大于SMILE组,差异均有统计学意义(均为P<0.05)。两组术前及术后6个月QOL得分组间比较,差异均无统计学意义(均为P>0.05),术后6个月QOL得分均较术前有所增加,且差异均有统计学意义(SMILE:t=-13.85,P=0.00;FS-LASIK:t=-13.21,P=0.00),而两组术后6个月QOL得分比较,差异无统计学意义(P>0.05)。两组均有较高的再次手术选择率及手术推荐率,并且未发生严重的并发症。结论 2.0 mm SMILE与FS-LASIK均具有良好的有效性、稳定性以及可预测性,术后都可获得良好的视力及良好的生活质量,前者更好地保持了角膜前表面的形态。
文摘白内障在临床眼科疾病中所占比例很高,而随着人口老龄化的日益加剧,白内障合并青光眼及玻璃体视网膜疾病或其他眼部疾病的复杂白内障患者也逐渐增加。因此,对于复杂白内障患者来说,白内障手术不仅仅单纯解决白内障问题,而是同时联合前后节手术为患者一次性治疗多种疾病,从而以最小的创伤得到最佳的治疗效果。近年来,国内外眼科学者及专家将1.8 mm同轴微切口白内障超声乳化术(C-MICS)应用于临床取得了较好的疗效,并被医师和患者广泛接受。未来,1.8 mm C-MICS将成为治疗白内障的主流方式。
