Lenstar 900与接触性A超测量白内障患者眼轴的对比研究.docVIP

Lenstar 900与接触性A超测量白内障患者眼轴的对比研究 　　【摘要】 目的 探讨Lenstar 900与接触性A超测量白内障患者眼轴的差异， 评价Lenstar 900测量眼轴的准确性。方法 150例白内障手术患者， 依据测量方式不同分为Lenstar 900测量组与接触性A超测量组， 各75例。分别应用Lenstar 900与接触性A超两种方法同时由同一医师测量每例患者眼轴， 且均由同一医师行白内障超声乳化联合人工晶体植入术， 将测得的眼轴计算人工晶体度数作为手术植入人工晶体的度数。术后观察患者角膜情况、前房深度、术后视力， 并于术后3个月检查患者术眼屈光情况， 对比分析两种测量方法有无差异性。结果 接触性A超测量组与Lenstar 900测量组测量眼轴结果比较差异无统计学意义（P0.05）， 所有患者顺利完成手术， 无并发症， 术后部分患者角膜水肿， 绝大部分1周内水肿消退， 前房深度正常， 均较手术前加深， 术后视力恢复至0.5～1.0；术后3个月两组实际屈光范围[（-1.00±0.25）DS VS （-0.50±0.25）DS]及实际与目标屈光绝对差值[（0.46±0.45）DS VS （0.15±0.35）DS]比较差异有统计学意义（P0.05）。结论 Lenstar 900与接触性A超均能较好的测量白内障患者眼轴， 但Lenstar 900较接触性A超更能精确的测量白内障患者眼轴， 术后视力更好。 　　【关键词】 Lenstar 900；接触性A超；白内障；眼轴 　　DOI：10.14163/j.cnki.11-5547/r.2016.19.015 　　Comparative research between Lenstar 900 and contact A ultrasound in axis oculi measurement of cataract patients YE Wei-ming， ZHANG Chun-ling， HUANG Yong-quan， et al. Zhongshan City Shiqi Su Huazan Hospital， Zhongshan 528402， China 　　【Abstract】 Objective To investigate difference between Lenstar 900 and contact A ultrasound in axis oculi measurement of cataract patients， and to evaluate accuracy by Lenstar 900 in axis oculi measurement. Methods A total of 150 cataract patients were divided by different measurement way into Lenstar 900 measurement group and contact A ultrasound measurement group， with 75 cases in each group. The two groups received respectively Lenstar 900 and contact A ultrasound in axis oculi measurement by the same physician， who also accomplished their phacoemulsification and intraocular lens implantation. Data of axis oculi was taken in calculation for intraocular lens degree. Postoperative observation was made on cornea condition， chamber depth， postoperative vision， and refraction examination after 3 months for comparison between the two measures. Results There was no statistically significant difference of axis oculi between Lenstar 900 measurement group and contact A ultrasound measurement group （P0.05）. All patients received successful operation w