飞秒激光松解角膜散光联合三焦点人工晶状体植入术后的疗效观察  

Curative Effect Observation of Femtosecond Laser Ablation of Corneal Astigmatism Combined with Trifocal Intraocular Lens Implantation

作　　者：李泽斌 武琦琦 孙康 周太星 罗明 LI Zebin;WU Qiqi;SUN Kang;ZHOU Taixing;LUO Ming(Ophthalmology Department,Huizhou Aier Eye Hospital,Huizhou,Guangdong 516000)

机构地区：[1]惠州爱尔眼科医院眼科,广东惠州516000

出　　处：《智慧健康》2024年第12期95-98,共4页Smart Healthcare

基　　金：2021年惠州市科技计划(医疗卫生)项目《飞秒激光辅助的白内障手术中应用角膜松解切口矫正角膜规则散光的临床研究》(项目编号:2021WC016076)。

摘　　要：目的探讨飞秒激光松解角膜散光联合三焦点人工晶状体植入术后的短期临床效果。方法收集2019年9月—2021年3月在本院接受飞秒激光辅助超声乳化白内障摘除术的白内障患者29例35眼,所有患者术中均行飞秒激光角膜缘松解切口及蔡司三焦点人工晶状体植入,观察患者术后3个月裸眼及最佳矫正远、中、近视力及散光变化,记录手术并发症发生情况、术后脱镜率及满意度。结果术后3个月裸眼及最佳矫正远视力均较术前明显提高,差异均具有统计学意义(P=0.000)。所有患者术后3个月均获得良好的裸眼及最佳矫正中程视力和近视力。术后3个月散光较术前明显降低,差异有统计学意义(P=0.000)。散光矫正指数<1,存在欠矫现象。术后3个月平均残余散光(0.54±0.24)D,<0.75D,患者术后3个月获得较高的视觉质量。所有患者手术过程顺利,术中及术后随访过程中未发现手术并发症。术后3个月,患者脱镜率为94.3%,满意度为94.3%,获得较高的脱镜率和满意度。结论飞秒激光松解角膜散光不仅有效,还拓宽了三焦点人工晶状体的适应范围,极大地提高了白内障患者术后视觉质量。Objective To explore short-term clinical effect of femtosecond laser ablation of corneal astigmatism combined with trifocal intraocular lens implantation.Methods The paper collected 35 eyes of 29 patients with cataracts with femtosecond laser assisted phacoemulsification in our hospital from September 2019 to March 2021 for prospective study,treated with femtosecond laser corneal limbal release incision and implantation of Zeiss multifocal intraocular lens during surgery.Naked eyes condition and best corrected far,middle,and near visual acuity and astigmatism changes were observed for 3 months after surgery,incidence of surgical complications,postoperative detachment rate and satisfaction degree was recorded.Results After 3 months of surgery,condition of both naked eyes and best corrected far vision was significantly better than after surgery,difference was statistically significant(P=0.000).All patients had good naked eye and best corrected intermediate visual acuity and near visual acuity three months after surgery.After 3 months of surgery,astigmatism was significantly lower than before surgery,difference was statistically significant(P=0.000).Astigmatism correction index<1,indicating phenomenon under correction.After 3 months of surgery,average residual astigmatism was(0.54±0.24)D,<0.75D,and the patients had high visual quality.All patients were treated smoothly during surgery,no surgical complications were found during intraoperative and postoperative follow-up processes.3 months after surgery,detachment rate of patients was 94.3%and satisfaction degree rate was 94.3%,with high detachment rate and satisfaction degree.Conclusion Femtosecond laser ablation of corneal astigmatism can be effective,broaden adaptability range of three focus intraocular lenses,improve postoperative visual quality of cataract patients greatly.

关 键 词：飞秒激光 角膜松解 散光 三焦点人工晶状体 

分 类 号：R779.66[医药卫生—眼科]