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2 种有中央人工孔和无中央人工孔可植入 Collamer 透镜的对比研究。

Comparative study of 2 types of implantable collamer lenses, 1 with and 1 without a central artificial hole.

机构信息

Shinagawa LASIK Center, Tokyo, Japan.

Shinagawa LASIK Center, Tokyo, Japan; Department of Ophthalmology, Wenzhou Medical College, Wenzhou, China.

出版信息

Am J Ophthalmol. 2014 Jun;157(6):1136-43. doi: 10.1016/j.ajo.2014.01.032. Epub 2014 Feb 4.

Abstract

PURPOSE

To compare the outcomes between implantable collamer lenses (ICLs), 1 with and 1 without a central artificial hole.

DESIGN

Comparative study.

METHODS

We included 65 eyes of 65 patients with refractive error in our study. The mean manifest refraction spherical equivalent (MRSE) was -9.32 ± 4.02 diopters (range, 6.75 to -16.50 diopters). We divided patients into 2 groups based on the type of ICL used, 1 for those without a central artificial hole (Group I, 21 eyes) and 1 for those with a hole (Group II, 44 eyes). The postoperative changes in visual acuity, endothelial cell density, MRSE, higher order aberrations readings, and objective scatter index between the 2 kinds of ICLs were compared. The follow-up period was 3 months.

RESULTS

There were no statistically significant differences in the postoperative changes in uncorrected distance visual acuity (P = 0.81), corrected distance visual acuity (P = 0.24), MRSE (P = 0.18), and endothelial cell density (P = 0.76) between the groups. Also, no difference in objective scatter index was found at 3 months (P = 0.32). None of the higher order aberrations readings showed any significant difference between the groups.

CONCLUSION

There were no significant differences between the outcomes of these ICLs, either with or without a central artificial hole.

摘要

目的

比较带中央孔和不带中央孔的可植入 Collamer 透镜(ICL)的结果。

设计

对比研究。

方法

我们纳入了 65 例近视患者的 65 只眼。平均表现屈光球镜等效值(MRSE)为-9.32 ± 4.02 屈光度(范围,6.75 至-16.50 屈光度)。我们根据 ICL 的类型将患者分为 2 组,一组为不带中央人工孔(I 组,21 只眼),另一组为带孔(II 组,44 只眼)。比较两种 ICL 术后视力、内皮细胞密度、MRSE、高阶像差读数和客观散射指数的变化。随访 3 个月。

结果

两组间术后未矫正远视力(P = 0.81)、矫正远视力(P = 0.24)、MRSE(P = 0.18)和内皮细胞密度(P = 0.76)的变化均无统计学差异。3 个月时,客观散射指数也无差异(P = 0.32)。两组间各高阶像差读数也无显著差异。

结论

带或不带中央孔的这些 ICL 的结果无显著差异。

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