TICL植入术治疗高度近视合并散光的临床观察  

Clinical research of the implantation of Toric implantable collamer lens for high myopia with astigmatism

作　　者：张立[1] 蒋海翔 叶应嘉[1] 张成成[1] 徐曼[1] 杨兰[1] 

机构地区：[1]汉口爱尔眼科医院,中国湖北省武汉市430000

出　　处：《国际眼科杂志》2012年第11期2170-2172,共3页International Eye Science

摘　　要：目的:研究后房型有晶状体眼散光型人工晶状体(toric implantabIe collamerlens,TICL)矫正高度近视合并散光的有效性、安全性。方法:回顾性系列病历研究。收集我院2010-02/2011-06经手术治疗高度近视合并散光22例40眼的病历资料,该手术均在局部麻醉下通过3mm透明角膜切口植入TICL。随访12mo,随访内容包括术前及术后1d;1wk;1,3,12mo的裸眼视力、术前最佳矫正视力、眼压、裂隙灯显微镜检查、屈光度数、角膜内皮细胞分析、人工晶状体柱镜轴位等。结果:术后3mo40眼裸眼视力均等于或高于术前最佳矫正视力,球镜度数均在-0.5～+0.5D,柱镜度数均在-0.75～0D。术后1moTICL轴向偏差在10°以内者占95.0%(38/40),TICL轴向偏差在10°～15°者占2.5%(1/40),偏差大于30°者1眼(2.5%);TICL旋转大于30°的1眼行人工晶状体调位术,术后TICL轴向偏差在10°以内。术后7眼眼压一过性升高,经降眼压治疗,1wk内恢复正常。未发现继发性青光眼、晶状体混浊等病例。结论:TICL植入术矫治高度近视合并散光具有有效性和安全性。AIM：To evaluate the efficacy and safety of Toric implantable collamer lens（TICL） for high myopia with astigmatism.METHODS：This retrospective case series included 40 eyes of 22 patients from February 2010 to June 2011.A TICL was intraocularly implanted via a 3mm clear corneal incision after local anesthesia.Patients were examined preoperatively and followed-up 1 day,1 week,1 month,3,12 months postoperatively for uncorrected visual acuity.The examinations also included best-corrected visual acuity（BCVA） preoperatively,slit-lamp examination,refraction,intraocular pressure,endothelial cell morphometry,cylinder axis of the TICL,etc.RESULTS：：The uncorrected visual acuity in 40 eyes was equal or improved after 3 months of the operation in comparison with BCVA of preoperation.The spherical refraction after operation was within（-0.5-＋0.5）D.The cylinder refraction was within（-0.75-0）D.The axial deviation of TICL after 1 month postoperatively within 10° was 95.0%（38/40）.The axial deviation of TICL between 10 ° and 15° was 2.5%（1/40）.The axial deviation of TICL above 30° was 2.5%（1/40） whose astigmatic axial rotation was changed after surgical intervention.As a result,the axial deviation of TICL was within 10 degrees.7 eyes had increased intraocular pressure shortly after surgery and after treatment the intraocular pressure became normal in 1 week.No severe complications including secondary glaucoma and cataract and etc occurred.CONCLUSION：TICL implantation appears to be an effective,safe method for high myopia with astigmatism.

关 键 词：高度近视 后房型有晶状体眼散光型人工晶状体 

分 类 号：R779.6[医药卫生—眼科]