散光矫正型人工晶状体植入术后水下轴位调整术的效果  

Efficacy of underwater axial adjustment after toric intraocular lens implantation

作　　者：陈兵 王崇玉 徐涛 Chen Bing;Wang Chongyu;Xu Tao(Department of Cataract,Changzhou Purui Ophthalmic Hospital,Jiangsu 213000,China)

机构地区：[1]常州谱瑞眼科医院白内障科,江苏213001

出　　处：《中华眼外伤职业眼病杂志》2020年第11期872-875,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的:评估散光矫正型人工晶状体(toric IOL)植入术后水下轴位调整轴位的效果。方法:回顾性分析常州谱瑞眼科医院2017年1月至2019年3月白内障6例(6眼)的临床资料,均行超声乳化toric IOL植入术,术后出现轴位旋转。术后2~4周进行无黏弹剂辅助的水下轴位调整术。结果:术后3个月裸眼视力0.7~1.0者5眼(83.3%)。轴位调整术前散光残留1.00~1.50 D,术后3个月减少至0.5 D以下。轴位调整术术前IOL轴位与目标轴位相差:11°~15°者4眼,15°以上者2眼;轴位调整术后IOL轴位与目标轴位相差均在5°以下。结论:白内障术后行无黏弹剂辅助的toric IOL水下轴位调整术,切口小,无需分离原切口,无黏弹剂的副作用。Objective To evaluate the efficacy of underwater axial adjustment after toric intraocular lens implantation for correcting the axis.Methods From Jan.2017 to Mar.2019,the clinical data of 6 eyes of 6 cases who received phacoemulsification and toric IOL implantation in Changzhou Purui Ophthalmic Hospital were retrospectively analyzed.All patients with axial rotation after operation underwent no viscoelastic assisted underwater axial adjustment at 2-4 weeks after operation.Results The uncorrected visual acuity was 0.7-1.0 in 5 eyes(83.3%)at 3 months after operation,which was better than before operation.The residual astigmatism was 1.00-1.50 D before adjustment operation and reduced to less than 0.5 D at 3 months after operation.The difference between the preoperative IOL axis and the target axis was 11°-15°in 4 eyes,and above 15°in 2 eyes.The difference between the IOL axis and the target axis was less than 5°after axial readjustment.Conclusion The underwater axial adjustment of toric IOL without viscoelastic aid is simple and safe.The surgical incision is small,no need to separate the original incision,and there is no side effect of viscoelastic agent.

关 键 词：晶状体 人工 散光矫正型(toric IOL) 调整术 轴位 水下 效果 

分 类 号：R779.66[医药卫生—眼科]