植入两种不同的Phakic Toric眼内透镜后的旋转稳定性
Journal of refractive surgery (Thorofare, N.J. : 1995)
|July 14, 2023
概括
在高近视眼中,胸部植入式Collamer透镜 (TICL) 的旋转比胸部植入式Phaic隐形眼镜 (TIPCL) 的旋转小. 这两种镜头都是安全有效的,但TICL需要更少的干预.
科学领域:
- 眼科医生 眼科 眼科
- 生物医学工程 生物医学工程
- 眼镜测量是指眼睛的测量.
背景情况:
- 高近视会带来显著的折射挑战.
- 帕基眼内透镜为纠正高近视和眼提供了一个解决方案.
- 托里克眼内透镜的设计是为了同时纠正两种折射误差.
研究的目的:
- 为了比较托里克植入式Collamer透镜 (TICL) 和托里克植入式Phaic隐形眼镜 (TIPCL) 的临床结果和旋转稳定性.
- 为了评估这些透镜在患有高近视眼症的患者中的安全性和有效性.
主要方法:
- 在2011年1月至2023年1月期间,由一名外科医生植入TICL或TIPCL的患者的回顾性图表审查.
- 增加了15个TIPCL,增加了尺寸以增强顶,偏离了制造商的建议.
- 对折射结果,视觉结果和镜头旋转速度的分析.
主要成果:
- 无论是TICL还是TIPCL,在高近视性眼症的眼睛中都表现出了出色的折射和视觉结果.
- 在这两组中都没有观察到急性玻璃眼或白内障诱导病例.
- 与TIPCL (13.3%) (P = .013) 相比,TICL (2.4%) 的镜头旋转率明显较低. 旋转与手术前气有正相关,与前腔深度 (ACD) 有负相关.
结论:
- 两种TICL和TIPCL都是安全有效的,用于纠正高近视眼.
- 与TIPCL相比,TICL表现出更高的旋转稳定性,需要更少的二次干预.
- 镜头旋转受到手术前眼睛参数的影响,如气和ACD,而不是镜头圆.
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