巩膜隧道与透明角膜切口白内障超声乳化吸除术疗效对比  

Comparison of Phacoemulsification via Scleral Tunnel and Transparent Cornea Incision in Treatment of Cataract

作　　者：尚郡主 王瑞栋[2] 冯江虹 

机构地区：[1]山西省残疾人康复医院眼科,山西太原030032 [2]山西医科大学第一临床医院,山西太原030001

出　　处：《山西大同大学学报（自然科学版）》2018年第1期56-57,87,共3页Journal of Shanxi Datong University(Natural Science Edition)

摘　　要：目的探讨巩膜隧道与透明角膜2种切口白内障超声乳化吸除术治疗白内障疗效。方法按随机数字表法将接受白内障超声乳化吸除术治疗的104例白内障患者分为2组,对照组52例行透明角膜切口,研究组52例行巩膜隧道切口。比较2组术后角膜表面不对称指数(SAI)、散光度、最佳矫正视力(BCVA)、黄斑中央凹处视网膜厚度(CMI)。结果术后,研究组BCVA显著高于对照组,散光度低于对照组,差异具有统计学意义(P<0.05);对照组和研究组SAI分别为0.34±0.09、0.14±0.04,差异具有统计学意义(P<0.05);2组CMI均无明显变化,差异无统计学意义(P>0.05)。结论巩膜隧道与透明角膜2种切口白内障超声乳化吸除术治疗白内障均能有效改善患者视觉质量;与透明角膜切口相比,巩膜隧道切口对角膜内皮损伤更小,且BCVA、散光度更优。Objective To investigate the efficacy of phacoemulsification via scleral tunnel and transparent cornea incision in treatment of cataract. Methods 104 cataract patients with phacoemulsification from February 2015 to August 2017 were divided into control group(transparent cornea incision) and research group(scleral tunnel incision) by random number table, with 52 cases in each group.The surface asymmetry index(SAI), astigmatism, best corrected visual acuity(BCVA), central macular thickness(CMT) were compared between the two groups. Results After surgery, the BCVA of research group was higher than that of control group, while the astigmatism of research group was lower than that of control group(P<0.05); The SAI of control group and research group were(0.34±0.09) and(0.14±0.04), there was statistical difference(P<0.05); There was no difference in the CMI between the two groups(P>0.05). Conclusion Phacoemulsification via scleral tunnel and transparent cornea incision in treatment of cataract can improve visual quality; compared with transparent cornea incision, scleral tunnel incision has smaller corneal endothelial injury, better BCVA and astigmatism.

关 键 词：白内障 白内障超声乳化吸除术 透明角膜 巩膜隧道 视觉质量 

分 类 号：R776.1[医药卫生—眼科]