多焦点人工晶状体联合角膜松解术对30例白内障合并角膜散光患者的疗效观察  

Clinical effects of multifocal intraocular lens plus corneal lysis in 30 cases of patients with cataract complicated with astigmatism

作　　者：潘远红 邓一鹏 陈韵[1] 何曼莎 PAN Yuanhong;DENG Yipeng;CHEN Yun;HE Mansha(Aier Eye Hospital (Guangzhou), Guangzhou 510000, China)

机构地区：[1]爱尔眼科医院集团广州爱尔眼科医院,广东广州510000

出　　处：《上海医药》2017年第23期42-45,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：广州市医药卫生科技项目(项目名称:散光多焦点人工晶状体与多焦点人工晶状体联合角膜松解术对降低白内障术后散光有效性的对比研究;项目编号:20161A011098)

摘　　要：目的:探讨多焦点人工晶状体联合角膜松解术对白内障合并角膜散光患者的临床疗效。方法:选择白内障合并角膜散光患者60例作为研究对象。其中对照组30例,采用植入散光多焦点人工晶状体治疗;观察组30例,采用植入多焦点人工晶状体联合角膜松解术方式治疗。对比分析两组患者的临床疗效。结果:两组患者术后裸眼视力均显著改善,术后1周、1月、3月平均角膜散光均低于术前。其中在角膜散光<1.50 D的情况下,观察组患者视力略低于对照组,但差异无统计学意义。而在角膜散光>1.50 D的情况下,观察组患者疗效差于对照组(P<0.05)。结论:多焦点人工晶状体联合角膜松解术治疗白内障合并角膜散光,在角膜散光<1.50 D的情况下具有与散光多交点人工晶状体相当的治疗效果,因此在应用中可根据患者的散光程度选择此方式,降低治疗的费用。Objective:To explore the effects of multifocal intraocular lens plus corneal lysis for patients with cataract complicated with astigmatism.Methods:Sixty patients with cataract complicated with astigmatism were selected and randomly divided into a control group(n=30)and an observation group(n=30).The control group was treated with implantation of multifocal toric intraocular lens and the observation group with implantation of multifocal intraocular lens plus corneal lysis.Theclinical effects were compared between the two groups.Results:The postoperative uncorrected visual acuity in all the cases was obviously improved.The mean postoperative astigmtism at1week,1and3months after operation were all lower than before in the two groups,in which the visual acuity was a little bit weaker in the observation group than in the control group when the corneal astigmatism was less than1.50D(P>0.05)and the curative effect was poorer in the observation group than in the control group when the corneal astigmatism was greater than1.50D(P<0.05).Conclusion:The effects between multifocal intraocular lens plus corneal lysis and multifocal toric intraocular lens are equivalent when the astigmatism is less than1.50D.Therefore,the method of treatment should be selected based on astigmatism so as to reduce the tratment costs.

关 键 词：多焦点人工晶状体 角膜松解术 白内障 角膜散光 

分 类 号：R779.6[医药卫生—眼科]