透明角膜对穿切口矫正术前角膜散光的临床研究.docVIP

精品论文 参考文献 透明角膜对穿切口矫正术前角膜散光的临床研究 西安交通大学第一附属医院 陕西西安 眼科 719000 摘要：目的：研究透明角膜对穿切口矫正术前散光的临床安全性及有效性。 方法：选择2011/09~2013/09期间我院收治的资料完整的年龄相关性白内障患者68例68眼，术前测量角膜散光大于等于1.50D。将研究对象分为观察组和对照组，观察组34例34眼，行透明角膜对穿切口白内障超声乳化手术，对照组34例34眼，行普通白内障超声乳化手术，术中尽量将主切口位于或靠近角膜最大曲率子午线上。记录并比较术前、术后第1天、术后第4天及术后1月两组患者的裸眼视力和散光度。 结果：观察组和对照组术后裸眼视力较术前均明显提高（chi;2=36.434，Plt;0.001；chi;2=36.434，Plt;0.001）。观察组术后散光度较术前明显减少（F=30.999，Plt;0.001），随着术后恢复时间延长，散光度呈下降趋势。对照组术后散光度较术前亦减少（F=6.996，Plt;0.001），而术后第1天、第4天、术后1月分别与术前相比，无明显差别（P＞0.05），术后第1天、第4天、1月，观察组裸眼视力均优于对照组（Z=2.931，P=0.003；Z=2.747，P=0.006；Z=2.654，P=0.008），散光度均低于对照组（t=4.381，P＜0.001；t=4.796，P＜0.001；t=6.681，P＜0.001）。 结论：角膜对穿切口超声乳化手术及单纯透明角膜缘切口超声乳化手术均可用于治疗白内障，提高裸眼视力，角膜对穿切口超声乳化手术比单纯透明角膜缘切口超声乳化手术矫正术前散光的效果较好，术后可获得较好的裸眼视力。 关键词：角膜对穿切口；术前角膜散光；白内障；超声乳化 ABSTRACT AIM：To study the clinical safety and efficacy of opposite clear corneal incisions operation to correct preoperative corneal astigmatism in cataract surgery. METHODS：We retrospectively evaluated the data of age-related cataract patients who had complete surgery in our hospital between september 2011 and september 2013.There were 68 eyes of 68 patients.The preoperative corneal astigmatism of these patients is greater than or equal to 1.50 D.The patients were divided into two groups，observation group and control group.Observation group with 34 cases implement opposite clear corneal incisions to correct corneal astigmatism in cataract phacoemulsification.Control group with 34 cases implement single clear corneal incision of cataract phacoemulsification.The main incision of control group located on the steepest meridian or near the steepest meridian of corneal.Postoperative evaluations were performed at 1day，4day，and 1 month and included uncorrected visual acuity（UCVA）and corneal astigmatism. RESULTS：The postoperative UCVA were significantly improved in observation group（chi;2=36.434，Plt;0.001）and control group（chi;2=36.434，Plt;0.001）.The postoperative corneal astigmatism was obviously reduced in