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在高近视眼睛的眼内透镜位置

Ziyi Wang¹, Siqing He², Ning Ding³

¹Hebei Provincial Eye Hospital, Hebei, 054001, Xingtai, China.

Japanese journal of ophthalmology

|February 27, 2026

概括

在高近视时,晶状镜片的对齐决定了白内障手术后眼内镜片的位置. 虽然眼内镜片比较分散,但通常不会影响视觉质量.

科学领域:

眼科医生眼科眼科
生物医学光学生物医学光学
解剖学研究解剖学研究

背景情况:

高近视在白内障手术中提出了独特的挑战.
了解晶状透镜 (CLL) 和眼内透镜 (IOL) 之间的位置关系对于最佳的视觉结果至关重要.
前段光学连贯性断层扫描 (AS-OCT) 为这些评估提供了精确的测量.

研究的目的:

通过AS-OCT研究眼内透镜 (IOL) 和晶状透镜 (CLL) 之间的位置关系.
分析高近视和白内障眼中的两种透镜的倾斜和分散.
确定影响这些患者内腔眼镜位置的因素.

主要方法:

对患者进行内腔镜植入的发泡乳化后期分析.
排除具有眼科病史影响区域,瞳孔扩张不良或手术并发症的病例.
通过AS-OCT测量CLL和IOL倾斜和分散,CLL厚度,前腔深度和轴长度.

主要成果:

高近视 (HM) 眼睛与凝视 (EM) 眼睛相比,CLL倾斜和分散显著增加 (p<0.01).
在HM和EM组中,IOL分散率明显高于CLL分散率 (HM的p<0.01,EM的p=0.043).
在这两组中,CLL对齐是IOL位置的唯一显著预测因素 (R2值在0.097到0.476之间,p<0.01).

结论:

晶状镜片的对齐是高近视的眼内镜片位置的关键决定因素.
眼内透镜在高近视病例中比较分散,尽管通常不会影响视觉质量的程度.
这些位置差异需要在高近视患者的手术规划和结果评估中加以考虑.

关键词:

前段光学连贯性断层扫描前段光学连贯性断层扫描脱中心化脱中心化高近视是指高近视的情况.眼内透镜的眼内镜片是什么?倾斜的倾斜是一种倾斜.

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