国产干涉条纹视力计预测白内障术后视力的临床研究  

Clinical Study of Domestic Interferometer on Predicting Postoperative Visual Acuity of Cataract Patients

作　　者：张敏[1] 易际磐[1] 黄小洁[1] 金成鹏[2] ZHANG Min;YI Ji-pan;HUANG Xiao-jie;JIN Cheng-peng(Zhejiang Industry and Trade Vocational College,Wenzhou,325003,China)

机构地区：[1]浙江工贸职业技术学院,浙江温州325003 [2]温州医科大学,浙江温州325000

出　　处：《浙江工贸职业技术学院学报》2020年第1期67-70,共4页Journal of Zhejiang Industry & Trade Vocational College

基　　金：温州市科技局项目“干涉条纹视力检测技术的应用研究”(2013G0025)。

摘　　要：探讨国产干涉条纹视力计对预测白内障术后视力的准确性及其影响因素。方法:收集105例(105眼)白内障患者,年龄为69.89±10.04岁(30~92岁),术前分别用德国Heine视网膜视力计和国产干涉条纹视力计检测患者的术后预测视力,与术后1月最佳矫正视力比较,进行统计学分析。国产干涉条纹视力计和德国Heine视网膜视力计测量的预测视力分别为0.13±0.04和0.17±0.11,术后1月的最佳矫正视力为0.07±0.03,三者之间两两比较,有显著性差异(P<0.05),国产干涉条纹视力计与术后最佳矫正视力之间的差异较小。国产干涉条纹视力计预测视力符合率为66.67%(两者之间相差≤2行)。晶状体重度混浊和合并眼部疾病如青光眼、黄斑前膜、糖尿病性眼底病变等是其影响因素。国产干涉条纹视力计能有效预测白内障术后视力,但在重度白内障和合并眼底其他疾病的患者应结合相关临床检查做综合性评估。To evaluate the accuracy of domestic interferometer on predicting postoperative visual acuity of cataract patients and its influencing factors. 105 patients(105 eyes) with cataract, aged 69.89 ± 10.04 years(range, 30-92 years), were examined by domestic interferometer and Heine retinometer, and compared with the best corrected visual acuity(BCVA) one month after surgery. Results:The predicted visual acuities were 0.13±0.04 and 0.17±0.11, respectively, and the best corrected visual acuities were 0.07±0.03 one month after operation. There was significant difference among the three groups(P < 0.05). The coincidence rate of domestic interferometer was 66.67%(the difference of tested visual acuity between them was less than 2 lines). Severe lens opacity and associated eye diseases such as glaucoma, macular pucker and diabetic retinopathy are the influencing factors. The domestic interferometer can effectively predict the postoperative visual acuity of cataract patients, but the patients with severe cataract or complicated with other ocular fundus diseases should be evaluated comprehensively in combination with related clinical examinations.

关 键 词：干涉条纹视力 白内障术后 最佳矫正视力 视网膜视力 

分 类 号：R776.1[医药卫生—眼科]