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1、探析矯正高度近視兩種眼內(nèi)屈光手術(shù)臨床效果【摘要】目的:探討超高度近視后房型人工晶體手術(shù)與透明晶狀體切除聯(lián)合后房型人工晶狀體植入術(shù)矯正高度近視的臨床效果。方法:系統(tǒng)回顧性研究近一年內(nèi)在本院接受矯正超高度近視眼患者23例(45只眼)。將所有患者隨機(jī)分為A、B組,A組8例(15只眼),為晶體眼后房型人工晶體手術(shù)植入患者,B組15例(30只眼),為透明晶狀體超聲乳化摘除及低度數(shù)或負(fù)度數(shù)人工晶狀體囊袋內(nèi)植入患者。分別在術(shù)后第3、6、12個(gè)月,觀(guān)察兩組患者視力、屈光度、角膜內(nèi)皮細(xì)胞計(jì)數(shù)、眼壓、前房反應(yīng)、后發(fā)性白內(nèi)障及視網(wǎng)膜并發(fā)癥等方面的變化情況
2、。結(jié)果:所有手術(shù)沒(méi)有醫(yī)源性事故發(fā)生。術(shù)后12個(gè)月裸眼視力$0.5:A組11眼(73.3%),B組19眼(63.3%),兩組差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)。手術(shù)主要并發(fā)癥:A組中于術(shù)后24h內(nèi)髙眼壓2眼,平均角膜內(nèi)皮細(xì)胞丟失率為4.2%oB組術(shù)后12個(gè)月行YAG激光后囊切開(kāi)3只眼,未發(fā)生視網(wǎng)膜脫離。兩組均有主訴夜間眩光癥狀,B組視近困難者6例。結(jié)論:兩種手術(shù)臨床療效無(wú)明顯差異,但需充分做好術(shù)前溝通及術(shù)前全面細(xì)致的眼部檢查和評(píng)估。超高度近視行眼內(nèi)屈光手術(shù),是一種安全、有效、穩(wěn)定性好的治療方法,值得推廣。【關(guān)鍵詞】超高度近視;后房型人工
3、晶體手術(shù);透明晶狀體置換ClinicalEffectofTwoKindsofIntraocularRefractiveOperationtoCorrectHighMyopia/LIYu-wen,WUBao-hua,WUPeng-cheng,etol.//MedicalInnovationofChina,2014,11(12):074-076[Abstract】Objective:Toinvestigatetheclinicaleffectofsuperhighmyopiaafterposteriorchamberintraocula
4、rlensoperationandtransparentlensectomycombinedintraocularshapedbodyimplantationforthecorrectionofhighmyopia.Method:Asystemofretrospectivestudyfornearlyayearinthishospitalforcorrectionofhighmyopiain23cases(45eyes),allpatientswererandomlydividedintothegroupAandthegroupB:
5、thegroupAwithcrystaleyesafterintraocularlensimplantationoperationin8cases(15eyes),thegroupBoftransparentlensphacoemu1sificationandlowornegativepowerintraocularlenscapsularbagimplantationin15cases(30eyes)?Thechangeswererespectivelyobservedafterthree,six,twelvemonthsinvi
6、sualacuity,diopter,cornealendothelialcellcount,intraocularpressure,anteriorchamberreaction,aftercataractandretinalcomplicationetc.ResuIt:Therewerenoiatrogenicaccidentafteroperation;twelvemonthsaftersurgery,visualacuitywasgreaterthanorequalto0.5:groupAhad11eyes(73.3%),g
7、roupBhad19eyes(63.3%),therewasnosignificantdiffereneebetweenthetwogroups(P>0.05).0pera.tioncomplies.tions:highIOPwasobservedin2eyesafteroperation24hoursingroupA,theaveragecornealendothelialcelllossratewas4.2%.Post-operativeYAGlasercapsulotomywasdoneon3eyesingroupBafter
8、twelvemonthswithouttheoccurrenceofretinaldetachment,twogroupshavecomplainedglaresymptoms,therecentdifficultieswereocc