白内障超声乳化人工晶状体植入手术前后屈光状态及眼压变化相关性研究.docVIP

白内障超声乳化人工晶状体植入手术前后屈光状态及眼压变化相关性研究 　　基金项目 本课题受江苏省“六大人才高峰”项目资助（基金编号ws-031） 　　摘 要 目的：通过对白内障超声乳化人工晶状体植入术术前及术后眼轴、屈光状态、眼压测量结果的比较，了解手术对眼球生理机能的影响及IOL-MASTER测量人工晶体屈光度长期稳定性。方法：行白内障超声乳化摘除及人工晶状体植入术的年龄相关性白内障患者11例（17眼），对白内障术前测量眼球眼轴、角膜曲率、眼压，术后8～14个月复测结果并比较，屈光数值与综合验光仪验光结果比较。结果：白内障术后眼轴缩短，术后眼压降低与术前相比差异有统计学意义（P0.05），术后实际验光球镜度数与术前IOL-Master计算后预留度数相比均减少，差异有统计学意义（P0.05）。结论：白内障超声乳化摘除及人工晶状体植入术后，降低了房水流出阻力，眼压下降，可为急性闭角??青光眼前驱期或临床前期且伴有白内障的患者提供了一种降低眼压的手术方法。同时术后眼轴缩短，所以在采用IOL-Master仪的测量结果时，为达到最佳术后预期，应在检测预期度数上适当增加度数。 　　关键词 IOL-Master 眼轴长度 角膜曲率 眼压 　　Abstract Objective：Through the comparison of cataract phacoemulsification and intraocular lens implantation preoperative and postoperative axial length，refractive status，intraocular pressure measurement results，to understand the effect of operation on ocular physiology and IOL-MASTER measurements of IOL diopter long-term stability.Method：Based on April 2011 to October 2011 underwent phacoemulsification and intraocular lens implantation of age-related cataract in 17 eyes of 11 cataract preoperative measurement of ocular axial length，corneal curvature，intraocular pressure，after 8 months -14 months survey results and comparison，numerical and comprehensive comparison results of optometry optometry diopter combined instrument.Results：After cataract surgery in eyes with postoperative，the axial length shorten and intraocular pressure decreased，there was significant difference compared with the preoperative （P0.05），to calculate the actual refraction spherical and preoperative IOL Master after surgery for degree were reduced compared，there was significant difference （P0.05）.Conclusion：phacoemulsification and intraocular lens implantation，reducing the aqueous outflow resistance，decreased intraocular pressure，can be acute angle-closure glaucoma prodromal period or pre-clinical and accompanied by cataract patients a lower intraocular pressure surgical methods.Meanwhile postoperative axial shortening， so the use of IOL-Master instrument measurements，in order to