增强型单焦眼内眼镜对青光眼患者的叶值的影响
Naoki Tojo1, Mitsuya Otsuka2, Yasuhito Nitta2
1Department of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, 2630 Sugitani, Toyama City, 930-0194, Japan. tojo2005nm@yahoo.co.jp.
International ophthalmology
|November 8, 2024
概括
增强型单焦眼内眼镜 (IOL) 在绿内障手术后的绿内障患者中没有影响视网膜敏感性. 增强型和非增强型IOL都在视觉功能上提供了类似的改善.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜科学 视网膜科学
- 玻璃眼研究研究 玻璃眼研究
背景情况:
- 白内障手术在青光眼患者中很常见.
- 眼内透镜 (IOL) 是在白内障手术期间植入的.
- 在手术后评估视觉功能对于对玻璃眼的治疗至关重要.
研究的目的:
- 为了比较增强型单焦内膜眼镜 (TECNIS Eyhance) 与非增强型单焦内膜眼镜 (TECNIS ZCB00V) 对青光眼患者视网膜敏感性的影响.
- 为了评估视野参数和视网膜结构在白内障手术后的变化,使用不同的IOLs.
主要方法:
- 对60名接受白内障手术的青光眼患者 (104只眼睛) 的回顾性研究.
- 使用Humphrey视野分析仪测量叶值手术前和后.
- 分分析包括平均偏差,模式标准偏差,质细胞复合体厚度和最佳校正视力敏度.
主要成果:
- 增强型和非增强型IOL组都显示了视网膜敏感度,平均偏差和最佳纠正视力敏度的显著改善.
- 在增强 (34.41 ± 2.44 dB) 和非增强 (34.61 ± 2.19 dB) IOL组之间没有观察到术后的叶值有显著差异.
- 晚期玻璃眼患者在两种内腔眼镜类型之间的叶值也没有显著差异.
结论:
- 与未增强的单焦眼镜相比,增强的单焦眼镜在青光眼患者中不会导致视网膜敏感性的明显丧失.
- 使用任何一种IOL类型的白内障手术都能改善绿内障患者的视觉功能.
- 增强型眼镜对于接受白内障手术的青光眼患者来说是一个安全的选择.
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