TICL植入治疗合并散光的高度近视视觉质量疗效观察  

Visual quality observation after implantation of TICL for high myopia with astigmatism

作　　者：吴燕[1] 罗涛[1] 蒋炜[1] 张衡頔[1] 赵雅静[1] 

机构地区：[1]成都军区总医院眼科,四川成都610083

出　　处：《局解手术学杂志》2014年第3期234-237,共4页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的评估矫正散光的有晶体眼后房型人工晶体(TICL)植入术矫正合并散光的高度近视后视力、对比敏感度和主观视觉质量情况。方法对27例(52只眼)合并散光的高度近视患者行TICL植入术。术前及术后分别检查裸眼视力(UCVA)、最佳矫正视力(BCVA)、屈光度、无眩光对比敏感度和眩光对比敏感度,并进行满意度问卷调查。结果术后1个月和6个月UCVA和BCVA均明显高于术前(P<0.05)。术后1个月屈光度(-0.56±0.42)D和散光度数(-0.35±0.60)D与术后6个月屈光度(-0.58±0.22)D及散光度数(-0.31±0.42)D无显著性差异(P>0.05)。术后1个月和6个月时6.0、12.0和18.0 cpd各频率段无眩光对比敏感度值及眩光对比敏感度值与术前相比均显著提高(P<0.05),术后6个月与术后1个月相比各频率段对比敏感度均无显著差异(P>0.05);无眩光对比敏感度值和眩光对比敏感度值,在术前、术后1个月和术后6个月各时间段,两者间各频率段均无显著差异(P>0.05);满意度调查满意度达100%。结论 TICL植入手术治疗合并散光的高度近视,术后视觉质量全面提高,是值得临床推广的手术方式。Objective To assess the clinical outcomes about the visual qufitity of toric implantable contact lens （TICL） implantation for high myopia with astigmatism. Methods Fifty-two eyes of 27 patients that underwent TICL implantation were examined. Uncorrected visual acuity（UCVA） ,best corrected visual acuity（BCVA） , refraction, contrast sensitivity （CS） with and without glare were evaluated before and after the treatment. Results Significant improvement in UCVA and BCVA were found at I month and 6 months after treatment （P 〈 0.05 ）. The refraction at 1 month （ - 0.56 ± 0.42） D and 6 months （ - 0.58 ±0.22） D after treatment were of no significant difference （ P 〉 0.05 ）, and the astigmatism at 1 month （ - 0.35 ±0.60） D and 6 months （ - 0.31 ±0.42） D after treatment were of no significant difference either （P 〉 0.05 ）. The CS with and without glare were all significantly better than results before operation for 6.0,12.0 and 18.0 cycles/degree （P 〈0.05） ,but there were no significant difference between 1 month and 6 months after treatment （P 〉 0.05 ）. No significant difference were found preoperatively, 1 month after treatment and 6 months after treatment in terms of CS with and without glare （P 〉 0.05 ）. The satisfaction of this investigation was 100%. Conclusion The TICL performed well in correcting high myopia with astigmatism,and it is a good surgical option for the treatment.

关 键 词：矫正散光的有晶体眼后房型人工晶体 高度近视 近视散光 对比敏感度 视觉质量 

分 类 号：R778.11[医药卫生—眼科]