应用Pentacam 系统引导个性化非球面人工晶状体植入可行性分析.doc

应用Pentacam 系统引导个性化非球面人工晶状体植入可行性分析 　　摘 要 目的：探讨应用Pentacam 系统引导个性化植入非球面人工晶状体，使全眼球差接近+0.1 mm方法的可行性。方法：选择行白内障超声乳化联合人工晶状体植入的患者72例 90眼随机分为观察组（37例 45眼）和对照组（35例 45眼），术前均应用 Pentacam 三维眼前节分析系统测量患者6 mm 瞳孔直径下的角膜球差。观察组以术后全眼球差接近+0.1 mm为原则，分别植入Tecnis ZCB00、AcrySof IQ、ADAPT-AO非球面人工晶状体。术后3个月，检查两组患者裸眼视力、最佳矫正视力、角膜球差和全眼球差。结果：两组患者的裸眼视力均显著提高（P0.05）；两组全眼眼差实际测量值差异有统计学意义（P0.05）。结论：应用 Pentacam 系统术前测量角膜球差，引导个性化植入非球面人工晶状体，有效降低全眼球差，具有一定的可行性 关键词 Pentacam系统 非球面人工晶状体植入 可行性 中图分类号：R779.66 文献标识码：B 文章编号：1006-1533（2017）09-0050-03 Feasibility analysis of personalized aspheric intraocular lens implantation guided by Pentacam system HE Mansha， JU Ruihong， CHEN Haisong， CHEN Yun， XIAO Shulun（Guangzhou Aier Ophthalmology Hospital of Aier Ophthalmology Group， Guangzhou 510080， China） ABSTRACT Objective： To explore the feasibility of selectively targeting +0.1 mm total spherical aberration by personalized aspheric intraocular lens implantation. Methods： Seventy-two cases （90 eyes） with personalized aspheric intraocular lens implantation were selected and randomly divided into an observation group （37 cases， 45 eyes） and a control group （35 cases， 45 eyes）. Before operation， the corneal spherical aberration with 6 mm pupil diameter was measured by Pentacam system. According to the principle as the total spherical aberration close to +0.1 mm， three different aspheric intraocular lens such as Tecnis ZCB00， AcrySof IQ and ADAPT-AO were implanted in the observation group. At postoperative 3 months， the uncorrected visual acuity， best corrected visual acuity， corneal spherical aberration and total ocular aberration were compared between the two groups. Results： The uncorrected visual acuity in the two groups was improved with significant differences （P0.05）. The differences of total ocular aberrations were statistically significant between the two groups （P0.05）. Conclusion： The personalized aspheric intraocular lens implantation guided by Pentacam system is feasible. KEy WORDS Pentacam system； pers