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时间:2020-04-17
《不同术式促进高度近视并发白内障患者视力恢复的效果观察.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、中国现代医生2014年9月第52卷第25期·临床探讨·不同术式促进高度近视并发白内障患者视力恢复的效果观察张志明河南省焦煤集团中央医院眼科.河南焦作454000【摘要】目的观察实施小切口白内障囊外摘除(SlCS)联合人工晶状体植入术治疗高度近视并发白内障的临床效果。方法随机将86例高度近视并发白内障患者进行分组,实验组行SICS联合人工晶体植入术,对照组行超声乳化联合人工晶体植入术,对比两组患者临床效果。结果实验组治疗后视力达到0.5的患者为62.79%、矫正视力达到0.5的患者74-42%,分别高于对照组的39.53%、53.49%(P<0.05);实验组降低幅度明显高于
2、对照组(尸l<0.01);两组患者前房积血/炎症、角膜水肿及后囊浑浊等术后并发症发生率比较差异无统计学意义(P>0.05)。结论SICS联合人工晶体植入治疗高度近视合并白内障.具有与超声乳化相近的临床疗效与安全性。【关键词】高度近视;白内障;小切口囊外摘除术;人工晶体植入术【中图分类号】R779.66【文献标识码】B【文章编号】1673—9701(2014)25—0137—03Observationontheefectsofvisualrecoveryinpatientswithhighmyopiacombinedwithcataracttreatedbydiferents
3、urgicalproceduresZHANGZhimingOphthalmologyDepartment,CentralHospitalofHenanCokingCoalGroup,Jiaozuo454000,China【Abstract】ObjectiveToobservetheclinicaleffectsofsmallincisioncataractsurgery(SICS)combinedwithintraocu-larlensimplantationfortreatmentofhighmyopiacombinedwithcataract.MethodsAtotal
4、of86casesofhighmyopiacombinedwithcataractwererandomlyassignedtotwogroups.TheexperimentalgroupwastreatedbySICScombinedwithintraocularlensimplantationandthecontrolgroupwastreatedbyultrasonicemulsificationcombinedwithintraoc·ularlensimplantation.Theclinicaleffectswerecomparedbetweenthetwogrou
5、ps.ResultsAftertreatment,62.79%and74.42%ofpatientsintheexperimentalgrouphadvisualacuityof0.5andcorrectedvisualacuityof0.5respective—ly,higherthan39.53%and53.49%inthecontrolgroup.Theexperimentalgrouphadmoresignificantreductionthanthecontrolgroup(P6、einhyphema/inflammation,cornealedema,posteriorcapsularopacificationandotherpostoperativecomplications(P>0.05).ConclusionSICScombinedwithin—traocularlensimplantationhassimilarclinicalefficacyandsafetywithultrasonicemulsificationwhentreatinghighmy—opiacombinedwithcataract.【Keywords】Highmyopi7、a;Cataract;Smallincisioncataractsurgery;Intraocularlensimplantation高度近视通常眼内营养代谢异常,晶状体因营养病例双眼皆符合入选要求则选择其中病情较为严重障碍、代谢异常等出现囊膜通透性的变化,逐渐开始的患眼作为研究对象人组。实验组43例,其中男27浑浊.进而视力进一步衰退容易导致白内障的发病,例,女16例,年龄33~79岁,平均(56.74+8.25)岁,晶约40%的白内障患者均由高度近视发展而来【”。本文状体核分级情况为Ⅱ级3例、Ⅲ级15例、Ⅳ级1
6、einhyphema/inflammation,cornealedema,posteriorcapsularopacificationandotherpostoperativecomplications(P>0.05).ConclusionSICScombinedwithin—traocularlensimplantationhassimilarclinicalefficacyandsafetywithultrasonicemulsificationwhentreatinghighmy—opiacombinedwithcataract.【Keywords】Highmyopi
7、a;Cataract;Smallincisioncataractsurgery;Intraocularlensimplantation高度近视通常眼内营养代谢异常,晶状体因营养病例双眼皆符合入选要求则选择其中病情较为严重障碍、代谢异常等出现囊膜通透性的变化,逐渐开始的患眼作为研究对象人组。实验组43例,其中男27浑浊.进而视力进一步衰退容易导致白内障的发病,例,女16例,年龄33~79岁,平均(56.74+8.25)岁,晶约40%的白内障患者均由高度近视发展而来【”。本文状体核分级情况为Ⅱ级3例、Ⅲ级15例、Ⅳ级1
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