超声乳化术中联合应用囊袋张力环对不同眼轴长度超高度近视合并白内障患者的临床疗效  

Clinical effect of combined application of capsular tension ring implantation in patients having ultra-high myopia combined with cataract at different axial lengths

作　　者：刘刚[1] 王洪亮 贾万程[1] 张淑萍 张春娣[1] 裴响华 周梅娟 LIU Gang;WANG Hongliang;JIA Wancheng;ZHANG Shuping;ZHANG Chundi;PEI Xianghua;ZHOU Meijuan(Department of Ophthalmology,Shanghai Jiaotong University Affiliated Sixth People’s Hospital South Campus,Shanghai 201400,China;Anhui University of Science and Technology,Huainan 232001,Anhui Province,China)

机构地区：[1]上海交通大学附属第六人民医院南院眼科,上海市201400 [2]安徽理工大学,安徽省淮南市232001

出　　处：《眼科新进展》2020年第5期439-443,共5页Recent Advances in Ophthalmology

基　　金：上海市奉贤区科委社会类科技发展基金项目(编号20191205)。

摘　　要：目的探讨超声乳化术中联合囊袋张力环植入对不同眼轴长度(axial length,AL)超高度近视合并白内障患者的疗效和安全性。方法选取2016年10月至2019年6月于我院治疗的超高度近视合并白内障患者56例(56眼)。将患者随机分成两组观察组28例(28眼),其中AL为27~<30 mm者12眼,AL≥30 mm者16眼;对照组28例(28眼),其中AL为27~<30 mm者14眼,AL≥30 mm者14眼。观察组超声乳化术中联合应用囊袋张力环植入,对照组术中不植入张力环。术后随访3个月,检测各组患者视力、眼压、角膜内皮细胞计数、人工晶状体偏心量和倾斜度,同时对各组患者进行主观视觉质量量表评分。结果两组不同AL患者术后3个月最佳矫正视力均较术前升高(均为P<0.05);两组不同AL患者间比较差异则均无统计学意义(均为P>0.05)。两组不同AL患者术后3个月眼压和角膜内皮细胞计数均较术前降低(均为P<0.05);两组不同AL患者间比较差异则均无统计学意义(均为P>0.05)。术后1个月和3个月两组不同AL患者各自组间水平偏心量、垂直偏心量及总偏心量比较,差异均无统计学意义(均为P>0.05)。术后1个月和3个月两组27 mm≤AL<30 mm患者组间水平倾斜度、垂直倾斜度及总倾斜度比较,差异均无统计学意义(均为P>0.05)。术后1个月,观察组AL≥30 mm患者水平倾斜度和总倾斜度均低于对照组同级AL患者,差异均有统计学意义(均为P<0.05);垂直倾斜度比较差异无统计学意义(P>0.05)。术后3个月,观察组AL≥30 mm患者垂直倾斜度和总倾斜度均低于对照组同级AL患者,差异均有统计学意义(均为P<0.05);水平倾斜度比较差异无统计学意义(P>0.05)。术后3个月两组患者主观视觉质量评分均高于术前;两组间同级AL患者观察组均高于对照组,差异均有统计学意义(均为P<0.05)。术后随访3个月,两组患者均未发生眼压升高、角膜内皮失代偿、人工晶状体脱位、眼内炎、视网膜�Objective To investigate the effect of combined application of capsular tension ring implantation in patients having ultra-high myopia combined with cataract at different axial length(AL).Methods The study recruited 56 eyes of 56 cases having ultra-high myopia combined with cataract who received treatment in our hospital from October 2016 to June 2019.The patients were divided into two groups Observation group(28 eyes;28 cases),including 12 eyes with AL 27-<30 mm and 16 eyes with AL≥30 mm,and receiving phacoemulsification combined with capsular tension ring implantation;and control group(28 eyes;28 cases),including 14 eyes with AL 27-<30 mm and 14 eyes with AL≥30 mm),only receivingphacoemulsification.All patients were followed up for 3 months.Visual acuity,intraocular pressure(IOP),corneal endothelial cell count,IOL eccentricity and tilt were detected,and subjective visual quality scale was measured for patients in each group.Results Best corrected visual acuity(BCVA)at postoperative 3 months was higher than that before operation for patients with different AL in two groups(all P<0.05);no statistical difference was found among patients with different AL in both two groups(both P>0.05).IOP and corneal endothelial cell count at postoperative 3 months were lower than those before operation for patients with different AL between two groups(all P<0.05);no statistical difference was found among patients with different AL in both two groups(both P>0.05).No statistical difference was found in horizontal eccentricity,vertical eccentricity and total eccentricity at postoperative 1 month and 3 months among patients with different AL in both two groups(all P>0.05).No statistical difference was found in horizontal eccentricity,vertical eccentricity and total eccentricity at postoperative 1 month and 3 months for patients with 27 mm≤AL<30 mm between the two groups(all P>0.05).At postoperative 3 months,the horizontal eccentricity and total eccentricity for patients with AL≥30 mm in observation group were higher than tho

关 键 词：超高度近视 白内障 囊袋张力环 视觉质量 

分 类 号：R778.1[医药卫生—眼科]