飞秒激光辅助下超声乳化术、普通白内障超声乳化术对年龄相关性白内障患者眼内压及最佳矫正视力、视盘区血流密度的影响  

Effect of femtosecond laser assisted cataract surgery and conventional phacoemulsification cataract surgery on intraocular pressure,best corrected visual acuity,and optic disc blood flow density in patients with age-related cataract patients

作　　者：任旋[1] 赖梦云 谌婷婷 REN Xuan;LAI Mengyun;CHEN Tingting(Department of Fundus,Nanchang Aier Eye Hospital,Jiangxi Province,Nanchang330000,China;Department of Nursing,Nanchang Aier Eye Hospital,Jiangxi Province,Nanchang330000,China)

机构地区：[1]南昌爱尔眼科医院眼底科,江西南昌330000 [2]南昌爱尔眼科医院护理部,江西南昌330000

出　　处：《中国当代医药》2024年第17期83-86,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202211502)。

摘　　要：目的比较飞秒激光辅助下超声乳化术(FLACS)、普通白内障超声乳化术(CPCS)在年龄相关性白内障(ARC)患者中的效果。方法选取2021年7月至2023年7月南昌爱尔眼科医院收治的70例ARC患者作为研究对象,按随机数字表法分为对照组(35例)、观察组(35例)。对照组行CPCS,观察组行FLACS,两组术后均随访3个月。比较两组的手术相关指标、眼内压、黄斑中心凹厚度(CMT)、最佳矫正视力(BCVA)、视盘区血流密度、并发症等。结果观察组的超声乳化时间为(14.57±2.30)min,短于对照组的(22.49±3.58)min,观察组的超声乳化能量为(5.39±1.20)ml,低于对照组的(11.33±2.15)ml,观察组的并发症总发生率为5.71%(2/35),低于对照组的22.86%(8/35),差异有统计学意义(P<0.05)。重复测量方差分析结果显示,两组患者术前,术后1 d,术后1周,术后1、3个月BCVA的时间、组间比较,差异有统计学意义(P<0.05),交互作用比较,差异无统计学意义(P>0.05);两组患者术后1 d,术后1周,术后1、3个月的BCVA均高于本组术前,差异有统计学意义(P<0.05)。两组患者手术前后各时间点眼内压、CMT、视盘旁血流密度、视盘内血流密度的时间、组间、交互作用比较,差异无统计学意义(P>0.05)。结论FLACS具有更短的超声乳化时间,更少的乳化能量,其可提升视力,且不会加重对眼压、视盘区血流密度与CMT的影响,并发症较少。Objective To compare the effect of femtosecond laser assisted cataract surgery(FLACS)and conventional phacoemulsification cataract surgery(CPCS)on intraocular pressure,best corrected visual acuity,and optic disc blood flow density in patients with age-related cataract(ARC)patients.Methods A total of 70 ARC patients admitted to Nanchang Aier Eye Hospital from July 2021 to July 2023 were selected as the research objects,and they were divided into control group(35 cases)and observation group(35 cases)according to the random number table method.The control group was treated with CPCS,and the observation group was treated with FLACS.Both groups were followed up for 3 months.The operation-related indicators,intraocular pressure,central macular thickness(CMT),best corrected visual acuity(BCVA),blood flow density in the optic disc area,and complications were compared between the two groups.Results The time of phacoemulsification in the observation group was(14.57±2.30)min,shorter than(22.49±3.58)min in the control group,the energy of phacoemulsification in the observation group was(5.39±1.20)ml,lower than(11.33±2.15)ml in the control group,and the total incidence of complications in the observation group was 5.71%(2/35),less than 22.86%in the control group(8/35),with statistically significant differences(P<0.05).The results of repeated measures analysis of variance showed that the BCVA time and inter-group comparison before operation,1 day after operation,1 week after operation,1 month and 3 months after operation between the two groups were statistically significant(P<0.05),while the interaction between the two groups was not statistically significant(P>0.05).The BCVA of the two groups at 1 day,1 week,1 month and 3 months after operation were higher than those before operation,and the differences were statistically significant(P<0.05).There were no significant differences in the time,inter-group and interaction of intraocular pressure,CMT,peripapillary blood flow density,intrapapillary blood flow density between the

关 键 词：年龄相关性白内障 普通白内障超声乳化术 飞秒激光 并发症 

分 类 号：R776.1[医药卫生—眼科] R779.63[医药卫生—临床医学]