年龄相关性白内障超声乳化人工晶状体植入术不同切口长度的疗效分析  

Analysis of the efficacy of different incision lengths for age-related cataract with phacoemulsification and intraocular lens implantation

作　　者：宦会娟 王先龙 王飞 Huan Huijuan;Wang Xianlong;Wang Fei(Department of Ophthalmology,the First Affiliated Hospital of Luoyang Vocational and Technical College,Luoyang Municipal Third People's Hospital,Luoyang 471002,China)

机构地区：[1]洛阳市第三人民医院眼科洛阳职业技术学院第一附属医院,洛阳471002

出　　处：《中华眼外伤职业眼病杂志》2023年第11期807-813,共7页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的分析年龄相关性白内障超声乳化人工晶状体植入术不同切口长度的疗效。方法回顾性病例对照研究。选取洛阳市第三人民医院2020年2月至2023年1月256例(256只眼)年龄相关性白内障患者作为研究对象,按角膜切口大小分为两组:2.2 mm角膜切口的128例作为观察组,3.0 mm角膜切口的128例作为对照组,比较两组手术相关指标包括平均超声乳化时长(APT)、平均超声乳化能量(AVE)、平均有效超声乳化时间(EPT),术前、术后7 d及1个月的视力(logMAR)、角膜散光情况、黄斑区血管密度及视网膜厚度。结果两组APT、AVE、EPT比较,差异均无统计学意义(均P>0.05);两组视力、角膜散光情况、黄斑中心区视网膜厚度差异具有统计学意义(均P<0.05),且随着时间增加,两组黄斑中心区视网膜厚度逐渐增厚,同时观察组术后7 d及1个月(0.05±0.02、0.04±0.01)视力优于对照组(0.13±0.04、0.08±0.02)(t=20.74、22.10,均P<0.001),角膜散光度[(0.54±0.13)、(0.40±0.08)D]较对照组[(0.98±0.41)、(0.91±0.33)D]低(t=11.71、16.79,均P<0.001);两组黄斑旁中心凹血管密度差异无统计学意义(均P>0.05);不同时间点组间黄斑中心区视网膜厚度比较,差异均无统计学意义(均P>0.05)。结论年龄相关性白内障患者行2.2 mm角膜切口超声乳化人工晶状体植入术较3.0 mm切口者术后视力更好,角膜散光度更低,而且对黄斑区中心区视网膜厚度的影响更小。Objective To analyze the efficacy of different incision lengths for age-related cataract with phacoemulsification and intraocular lens implantation.Methods This was a retrospective case-control study.A total of 256 eyes of 256 cases of age-related cataract patients were selected from Feb.2020 to Jan.2023 from Luoyang Municipal Third People’s Hospital as the study subjects,and the patients were divided into two groups based on corneal incision:128 cases with 2.2 mm corneal incision as the observation group,and 128 cases with 3.0 mm incision as the control group.Surgery-related indexes[average phaco time(APT),average ultrasound energy(AVE),effective phaco time(EPT)],visual acuity(logMAR),corneal astigmatism,macular vascular density and retinal thickness preoperatively,at 7 days and 1 month postoperatively were compared between the two groups.Results Comparison of APT,AVE,and EPT between the two groups showed no statistically significant differences(all P>0.05).The differences in visual acuity,corneal astigmatism,and retinal thickness in the central macular area between the two groups were statistically significant(all P<0.05),and with the increase of time,the retinal thickness in the central macular area of the two groups gradually thickened,while visual acuity in the observation group(0.05±0.02,0.04±0.01)was better than that in the control group(0.13±0.04,0.08±0.02)at 7 days and 1 month after surgery(t=20.74,22.10;all P<0.001),and corneal astigmatism[(0.54±0.13),(0.40±0.08)D]was lower than that of the control group[(0.98±0.41),(0.91±0.33)D](t=11.71,16.79;all P<0.001).There was no statistically significant difference in the density of paravascular vessels in the central area of the macula between the two groups(all P>0.05).There was no statistically significant difference in the retinal thickness in the parafoveal area of the macula when comparing between the groups at different time points(all P>0.05).Conclusion Pacoemusification and IOL implantation results in better postoperative visual acuity,lower co

关 键 词：白内障 超声乳化白内障吸除术 散光 植入术 晶状体 人工 角膜 

分 类 号：R779.6[医药卫生—眼科]