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随着同时去除油和植入眼内镜片的状硫,折射的结果
Dezhi Zheng1, Zijing Huang1, Zhiying Chen1
1Joint Shantou International Eye Center of Shantou University and the Chinese University of Hong Kong, Shantou, 515041, Guangdong, China.
European journal of ophthalmology
|October 15, 2024
概括
油去除与纤毛内眼镜镜片植入相结合,改善了视力,但引起了轻微的近视转移. 后部囊切除可能会增加折射结果的变化.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜外科手术 视网膜外科手术
- 眼内透镜植入 眼内透镜植入
背景情况:
- 法科维特利切除术经常需要油 (SO) 吸管.
- 随后的SO去除可能需要在阿法基眼中植入二次眼内透镜 (IOL).
- 状硫IOL安置是一种可行的选择,用于纠正SO后的阿法基亚移除.
研究的目的:
- 为了评估结合的油去除和状硫内膜眼镜植入的折射结果.
- 在联合手术后评估视觉敏度和折射可预测性.
- 为了比较外科手术后部囊切除术和没有外科手术后部囊切除术的结果.
主要方法:
- 回顾40只眼睛的回顾性图表审查,这些眼睛接受了SO切除和状的IOL植入 (2019-2022年).
- 主要结局:未经校正的距离视敏度 (UDVA),预测误差 (PE) 和平均绝对预测误差 (MAE).
- 基于手术内后部囊切除术的子组分析.
主要成果:
- 术后的UDVA显著改善,从1.58到0.99 logMAR (P < 0.01). 术后的UDVA显著改善,从1.58到0.99 logMAR.
- 平均PE为-0.73 ± 0.86 D; 57.50%的眼睛在±1.0 D范围内实现了PE.
- 囊切除组和非囊切除组之间UDVA,PE或MAE没有显著差异,但囊切除组的PE在±1.0 D内较低 (38.90%vs72.70%,P=0.03).
结论:
- 结合去除 SO 和植入硫 IOL,可改善视力,并有轻微的近视折射转移.
- 在外科手术期间的后部囊切除可能会增加术后折射结果的变化.
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