第九章 白内障术前检查预测术后视力.pdf

江医学2013 年第35 卷第8 期 白内障术前检查预测白内障术 后视力的临床研究 吴智敏 楼定华 李旭东 徐芸 摘要 】 目的 评估依照晶状体混浊程度不同采用不同的检查项目来预测术后视力的准确性、有效性和实用性。 方法 对 348 例358 眼不同类型白内障患者在手术前按依照LOCS Ⅱ晶状体混浊分类标准进行分级且分A 、B 两组，分别做相关检查项目。A 组散瞳前置镜眼底检查、视网膜计潜视力（PVA ）检查，A 超测量眼轴长度；B 组闪光视网膜电图（F-ERG ）,闪光视诱发电位（F-VEP ）， 眼科A 超眼轴长度的测量得出术后预测视力，并将其与术后4 周最佳矫正视力（BCVA ）对照并做统计分析。 结果 348 例358 眼 白内障患者术前检查预测术后视力和术后4 周最佳矫正视力（BCVA ）基本符合，且A 、B 两组间差异无统计学意义，术前检查项目与 术后BCVA 之间均存在正线性相关。 结论 白内障分组术前检查能准确、有效、快速地预测白内障手术后视力。 关键词】 白内障 闪光视网膜电图 闪光视诱发电位 视网膜计 预测视力 Preoperative examination for prediction of postoperative vision in cataract patients China Abstract 】 Objective To investigate the value of preoperative examination of lens opacity degree in prediction of postop- erative visual acuity. Methods Total 358 eyes (348 cases ) with different types of cataract were enrolled according to LOCS Ⅱ the lens opacities were classified and the cases were divided into two groups: in group A, indirect fundal ophthalmoscopy, retinometer, eyeball axial length measurement were performed; in group B, F-ERG, F-VEP, eyeball axial length measurement were performed. According to the above results, postoperative visual acuity was predicted, which was compared with the best corrected visual acuity (BCVA) on 4 weeks after operation. Results The predicted postoperative visual acuity in 358 eyes was consistent with 4w postoperative BCVA , and there was no significant difference between group A and group B. The preoperative examination items were linearly correlated with the postoperative BCVA. Conclusion The preoperative examination can accu- rately predict postoperative visual acuity in cataract patients. Key words 】 Cataract F-ERG F-VEP Retinometer Predictive visual acuity 白内障是我国首位致盲眼疾，且随着社会的发展和 1 料和方法 人口的老龄化，要求进行手术复明的患者越来越 ，且 患者对术后视力恢复的要求也越来越高。白内障超声乳 1.1 一般资