在白内障手术中纠正的不同方法的比较
Mehmet Icoz1, Busra Yildirim2, Sule Gokcek Gurturk Icoz3
1Department of Ophthalmology, Yozgat City Hospital, Yozgat, Turkey.
Clinical & experimental optometry
|September 12, 2023
概括
透明的角膜切口 (CCI) 和眼内镜片 (IOL) 植入是有效的在白内障手术中纠正. CCI适用于低度至中度的光障碍,而 toric IOL更适合高度的光障碍.
科学领域:
- 眼科医生 眼科 眼科
- 手术技巧 手术技巧
- Corneal Astigmatism纠正角膜白的纠正
背景情况:
- 阿斯蒂格马蒂斯症会对视力敏度和视力质量产生负面影响.
- 白内障手术提供了一个纠正的机会.
- 在白内障手术期间存在各种手术方法来纠正白内障.
研究的目的:
- 为了比较三个在白内障手术中的直觉纠正方法的疗效:
- 在最的午线上清晰的角膜切口 (CCI).
- 反向透明的角膜切口 (OCCI).
- 托里克眼内透镜 (IOL) 植入.
主要方法:
- 追溯研究93名患有1.00-3.00 D角膜形症的患者接受白内障手术.
- 患者被分为三个平等的组:CCI,OCCI和托里克IOL植入.
- 在手术前和手术后3个月记录了未经纠正的视力敏度,折射,角质量测量和手术诱导的纹 (阿尔宾斯方法).
主要成果:
- 术后视力敏度在CCI中最高,在门内膜眼镜中最低.
- 在所有组中,术后气折射率的平均值显著降低,在胸部内腔镜组 (-0.40 D) 中降低幅度最大.
- 在不同组中,手术诱导的形有显著差异 (CCI:0.46 D,OCCI:0.91 D,Toric IOL:0.33 D).
结论:
- CCI对轻度至中度的纹有效,不需要特殊技能或工具.
- 体内膜眼镜植入是高风症的优越选择,需要精确的手术前规划.
- 选择的方法应根据手术前白的程度进行调整,以获得最佳的结果.
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