中央孔型ICL V4c矫治高度近视临床疗效观察.docVIP

中央孔型ICL V4c矫治高度近视的临床疗效观察 　　【摘要】 目的：观察高度近视患者植入中央孔型ICL（ICL V4c）手术后的临床效果。方法：选取本院2015年6月-2016年3月植入ICL V4c的高度近视患者42例80眼的临床资料，排除各种眼部疾病及手术禁忌证，观察患者术前和术后6个月的视力、屈光状态、眼压、对比敏感度及并发症的发生情况。结果：术后观察6个月，所有患者裸眼视力均大于0.6，其中有76眼（95.0%）达到了1.0及1.0以上的视力，有78眼（97.5%）裸眼视力高于术前矫正视力。术前及术后6个月，在相同的?l件下检测，患者术后6个月的明视和暗视及加炫光对比敏感度检测结果均较术前明显提高，差异均有统计学意义（P0.05）。术后有1眼出现了眼压增高，1眼出现了短期的术后角膜反应，1眼出现了局部前囊下的白内障，还有2眼主诉夜间眩光，经处理，大部分早期得到控制缓解，6个月稳定。结论：中央孔型ICL矫正高度近视的术后效果可靠，高度近视患者植入ICL V4c术后，视力、视觉质量均得到了明显提高，眼压平稳。 　　【关键词】 ICL V4c； 高度近视； 视力； 眼压； 视觉质量 　　Clinical Effect Observation of the Treatment of High Myopia by Central Pass ICL V4c/YU Chun-jing，ZHANG Li-jun，MU Ya-nan，et al.//Medical Innovation of China，2016，13（33）：051-054 　　【Abstract】 Objective：To observe the clinical effect of central pass ICL （ICL V4c） after the treatment of high myopia.Method：The clinical data of 42 patients（80 eyes）with high myopia who were implanted ICL V4c in our hospital from June 2015 to March 2016 were selected，excluded all kinds of eye diseases and surgical procedures，visual acuity，refraction，intraocular pressure，contrast sensitivity and complications were observed before and after 6 months.Result：At 6 months after surgery，all the patients were more than 0.6，and 76 eyes （95.0%） were equal to or more than 1.0，78 eyes （97.5%） had higher visual acuity than preoperative corrected visual acuity.Before and after the operation 6 months，the detection under the same conditions，patients after 6 months of photopic and scotopic contrast sensitivity and glare test results were significantly improved，the differences were statistically significant（P0.05）.The intraocular tension at 6 months after operation was（15.19±2.81）mm Hg compared with the preoperative intraocular tension（15.25±3.25）mm Hg，the differences were statistically significant（P0.05）.After operation， 1 eye had increased intraocular pressure，1 eye appeared short-term postoperative corneal reaction，1 eye had local anterior subcapsular cataract，2 eyes had complained glare，after treatment， mos