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“L形”与3.2毫米巩膜隧道切口白内障超声乳化吸除联合人工晶状体植入术临床效果比较

[A comparison of clinical effects between phacoemulsification and intraocular lens implantation through "L-shaped" and 3.2 mm scleral tunnel incision].

作者信息

Nan Li, Tang Xin, Sun Huimin, Yuan Jiaqin

机构信息

Eye Center, Tianjin Medical University, Tianjin 300070, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2002 Apr;38(4):220-3.

PMID:12133391
Abstract

OBJECTIVE

To study the implant surgery through a newly designed L-shaped sutureless scleral tunnel incision and compare the therapeutic effects of this incision with the conventional 3.2 mm scleral tunnel incisions.

METHODS

Phacoemulsification was performed through a L-shaped incision with implantation of 6 mm PMMA intraocular lens (IOL) and 3.2 mm scleral tunnel incision with implantation of acrylic foldable IOL. Uncorrected visual acuity and corneal topography were examined before the operation and 1 day, 7 days, 1 month, 3 months after the operation.

RESULTS

From 1 day to 3 months post-operatively, there was no statistical difference between the two groups in uncorrected visual acuity, surgical induced astigmatism and axis of corneal astigmatism. The preoperative and the post-operative corneal topographies of the two groups were similar.

CONCLUSION

The therapeutic effects of the two groups are similar. In the L-shaped scleral tunnel incision group, the less expensive PMMA IOL can be used.

摘要

目的

研究通过新设计的L形无缝合巩膜隧道切口进行植入手术,并将该切口的治疗效果与传统的3.2mm巩膜隧道切口进行比较。

方法

通过L形切口进行超声乳化白内障吸除术并植入6mm PMMA人工晶状体(IOL),以及通过3.2mm巩膜隧道切口植入丙烯酸可折叠IOL。在手术前以及手术后1天、7天、1个月、3个月检查裸眼视力和角膜地形图。

结果

术后1天至3个月,两组在裸眼视力、手术源性散光和角膜散光轴方面无统计学差异。两组术前和术后的角膜地形图相似。

结论

两组的治疗效果相似。在L形巩膜隧道切口组中,可以使用成本较低的PMMA IOL。

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