存在眼底基础病患者白内障超声乳化术后疗效观察  

Clinical Observation of Patients with Fundus Lesions After Phacoemulsification

作　　者：张雪彤[1] 李佳[1] 周丹虹[1] ZHANG Xue-tong;LI Jia;ZHOU Dan-hong(Affiliated Hospital of Jiangnan University,Wuxi No.4People's Hospital,Wuxi,Jiangsu,214062,China)

机构地区：[1]江南大学附属医院、无锡市第四人民医院,江苏无锡214062

出　　处：《中国血液流变学杂志》2018年第2期173-176,共4页Chinese Journal of Hemorheology

摘　　要：目的 探讨眼底存在明显基础病患者的白内障手术时机、手术效果.方法 术前存在明显眼底基础病的白内障患者34 例、43 眼,根据眼底病变类型分为超高度近视组、老年性黄斑病变组、糖尿病性视网膜病变组、黄斑微小病变组、视网膜色素变性组,观察各组术前和术后1 周、1 个月、3 个月最佳矫正视力(BCVA)及光学相干断层扫描(OCT)观察黄斑区的结构、形态,测量术前及术后各时间点黄斑中心凹视网膜神经上皮层厚度(MFT).结果 各组术后各时间点BCVA均较术前提高,差异具有统计学意义(P<0.01).联合治疗组术后1 个月、3 个月MFT下降,差异具有统计学意义(P<0.01),超高度近视组、视网膜色素变性组术后3 个月MFT下降,差异具有统计学意义(P<0.01).其余组术后MFT与术前差异无统计学意义(P>0.05).结论 对于存在眼底基础病白内障患者通过适当手术可提高患眼的视力,提高患者生存质量并为进一步的眼底治疗提供了有利条件.Objective To approach the operation timing and effect of cataract surgery in patients with basis fundus lesions.Methods Forty-three eyes of 34 patients with basis fundus lesions,which grouped according to the fundus lesion types were retrospectively studied.Best corrected visual acuity (BCVA),the retinal thickness and macular morphology were compared before operation and 1 week,1 month and 3 months after operation. Results There were significant differences in BCVA after operation at all time points (P <0.01).MFT declined in combined surgery group,super-high myopia group and retinal pigment degeneration group after operation (P <0.01).No significant differences in other groups.Conclusion BCVA after surgery and the patients'quality of life could be improved by proper cataract surgery in patients with basis fundus lesions.

关 键 词：超声乳化白内障摘除术 眼底基础病 视力 黄斑 

分 类 号：R776.1[医药卫生—眼科]