有晶状体眼后房型人工晶状体植入术后拱高与眼前节参数的相关性研究  

Correlation between the early postoperative vault after ICL implantation and parameters of the anterior segments

作　　者：江畅 高健[1] 叶敏捷[1] 朱凤 廖超 吴宇博 廖荣丰[1] JiangChang;Gao Jian;Ye Minjie;Zhu Feng;Liao Chao;Wu Yubo;Liao Rongfeng(Ophthalmology Department of the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Hefei Bright Eye Hospital,Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院眼科,合肥230022 [2]合肥普瑞眼科医院,230022

出　　处：《临床眼科杂志》2024年第3期229-235,共7页Journal of Clinical Ophthalmology

摘　　要：目的研究分析有晶状体眼后房型人工晶状体(ICL)植入术后早期的拱高与术前眼前节参数的相关性。方法回顾性病例研究。收集2021年7月至2022年10月行ICL植入手术患者388例(696只眼)的病历资料,所有患者术后随访1周,使用三维眼前节分析仪(Pentacam)测量患者术后拱高,分析ICL术后早期拱高与术前角膜水平直径即白到白(WTW)、平均睫状沟直径(STS)、房角距离(ATA)、前房深度(ACD)、术前等效球镜(SE)、眼轴长度(AL)、晶状体厚度(LT)、晶状体矢高(CLR)以及晶状体前表面顶点到水平睫状沟直径所在平面的距离(STSL)之间的相关性,并通过逐步多元线性回归分析建立预测拱高的线性回归方程。结果患者行ICL植入术后1周裸眼视力为-0.08(-0.08,<0.00)logMAR,较术前1.00(1.00,1.22)logMAR显著提升,差异有统计学意义(Z=-22.892,P<0.001),术后1周的拱高与WTW(r=0.229,P<0.001)、ACD(r=0.296,P<0.001)、STS(r=0.163,P<0.001)、AL(r=0.079,P<0.05)、ICL尺寸(r=0.210,P<0.001)呈正相关,与STSL(r=-0.163,P<0.001)、CLR(r=-0.203,P<0.001)、LT(r=-0.292,P<0.001)呈负相关,与SE和ATA无显著相关性(P>0.05)。线性回归结果显示:影响和预测ICL术后早期拱高的因素有ACD、STSL、LT、ICL尺寸。线性回归方程:拱高=-209.742+116.764×(ACD)-114.234×(STSL)-106.168×(LT)+58.156×ICL尺寸(R^(2)=0.130)。结论术后1周的拱高与WTW、ACD、STS、AL、ICL尺寸呈正相关,与STSL、CLR、LT呈负相关,与SE和ATA不相关,ACD、STSL、LT和ICL尺寸是影响和预测术后拱高的重要因素。Objective To analyse the correlation between early postoperative vault and preoperative anterior seg⁃ment parameters in myopic patients who underwent implantable collamer lens(ICL)implantation in lensed eyes.Methods A retrospective case study was undertaken to collect medical records of 696 eyes of 388 patients who underwent ICL im⁃plantation between July 2021 and October 2022.And postoperative follow-up extended to one week.The vault was mea⁃sured using Pentacam.The study elucidated the correlation between the vault during the early postoperative phase and the preoperative white-to-white distance(WTW),mean sulcus-to-sulcus distance(STS),iridocorneal angle to iridocorneal angle measurement(ATA),anterior chamber depth(ACD),spherical equivalent(SE),axial length(AL),lens thickness(LT),crystalline lens rise(CLR),and the distance between the STS plant and the anterior crystalline lens surface(STSL).The derivation of a predictive linear regression equation for vault was achieved through stepwise multiple linear regression analysis.Results The uncorrected visual acuity at 1week post-ICL implantation demonstrated a marked improvement from the preoperative level of 1.00(1.00,1.22)logMAR to the postoperative of-0.08(-0.08,0)logMAR(Z=-22.892,P<0.001).The vault at 1week postoperatively exhibited positive correlation with WTW(r=0.229,P<0.001),ACD(r=0.296,P<0.001),STS(r=0.163,P<0.001),AL(r=0.079,P<0.05),ICLdimensions(r=0.210,P<0.001),while manifesting negatively correlated with STSL(r=-0.163,P<0.001),CLR(r=-0.203,P<0.001),and LT(r=-0.292,P<0.001).No sig⁃nificant correlations were discerned with preoperative SE or ATA(P>0.05).Linear regression analysis revealed that the de⁃terminants influencing early vault post-ICL implantation were ACD,STSL,LT,and ICL size.The derived linear regression equation is expressed as follows:vault=-209.742+116.764×(ACD)-114.234×(STSL)-106.168×(LT)+58.156×ICL dimen⁃sions(R^(2)=0.130).Conclusions The vault at 1week post-ICL implantation positively correlated with WTW,ACD,STS,AL,and ICL

关 键 词：有晶状体眼后房型人工晶状体 拱高 近视 眼前节 参数 

分 类 号：R779.6[医药卫生—眼科]