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两种法可化技术的比较:水植入和粘植植入
Yusuf Ayaz1, Hatice Deniz Ilhan1, Cisil Erkan Pota1
1Department of Ophthalmology, Akdeniz University, Antalya, Türkiye.
Beyoglu eye journal
|February 9, 2026
概括
在发泡乳化手术期间的水植入可能会降低早期的术后眼内压力 (IOP) 与粘性植入相比. 需要进一步的研究来充分评估安全性和有效性.
科学领域:
- 眼科医生 眼科 眼科
- 手术技巧 手术技巧
- 角膜成像 角膜成像
背景情况:
- 用眼内透镜 (IOL) 植入法化是一种常见的白内障手术.
- 选择插入IOL的技术,特别是使用粘弹性材料 (VEM),可以影响手术后的结果.
- 了解水植入与粘植植入的影响对于优化外科手术至关重要.
研究的目的:
- 为了比较水植入和粘植植入技术在法化手术中.
- 分析角膜断层扫描参数和两种技术之间的眼内压力 (IOP) 变化.
主要方法:
- 追溯研究74只眼睛经历了发泡乳化和可折叠的内腔镜植入.
- 患者被分为VEM (+) (n=39) 和VEM (-) (n=35) 组,分别与VEM或没有VEM进行内腔镜植入.
- 术后检查包括IOP,角膜断层扫描,最佳校正视敏度,前腔深度和特定间隔的轴长度.
主要成果:
- 在手术前或大多数手术后的时间点中,IOP没有显著差异.
- 在手术后24小时,VEM (+) 组的内血压显著增加 (p=0.010).
- 一个月后,在VEM (+) 组中,中枢角膜厚度显著更高 (p=0.027). 没有观察到视力敏度,前腔深度或轴长度的显著差异.
结论:
- 液体植入似乎是一种安全和可行的替代品,可用于粘性植入法可化.
- 水植入可能有助于减少手术后早期的IOP升高.
- 建议使用光镜显微镜对角膜内皮细胞功能进行进一步的研究,以进行全面的安全比较.
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