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近视患者植入可植入式角膜胶原晶状体后立体视锐度的变化。

Changes in stereoacuity following implantable Collamer lens implantation in patients with myopia.

作者信息

Khokhar Sudarshan, Gupta Shikha, Gogia Varun, Tewari Ruchir, Agarwal Tushar

机构信息

Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Ophthalmol. 2015 Oct;63(10):788-90. doi: 10.4103/0301-4738.171510.

Abstract

The study evaluated the impact of implantable Collamer lens (ICL) implantation on stereoacuity in myopes in a retrospective case series. Ninety-five eyes of 48 patients were recruited. Distance and near stereoacuity were measured using distance Randot stereotest and TNO test, respectively, before surgery and at 4 weeks postoperatively. Mean age of the patients was 23.67 ± 3.7 years. Mean uncorrected distance visual acuity (UDVA) was 1.28 ± 0.37 logarithm of the minimum angle of resolution (logMAR) (median: 1.3; range: 0.3-1.8), and median best-corrected distance visual acuity (BDVA) was 0.18 logMAR (range: 0-0.6). There was a significant improvement in both UDVA and BDVA postsurgery (P < 0.001; Wilcoxon signed rank test). The overall improvement in stereopsis was observed in 15/48 (31.25%) and 13/48 (27.10%) subjects for near and distance, respectively, with no significant difference between the two (P = 0.82; Fisher's exact test). Among stereoblind individuals, the odd's ratio for near stereoacuity to improve in comparison to distance stereoacuity was 8.85 (95% confidence interval: 1.68-46.70; P = 0.01). ICL implantation for refractive correction aided stereoacuity improvement in myopes more so for near.

摘要

本回顾性病例系列研究评估了植入式可折叠人工晶体(ICL)植入术对近视患者立体视锐度的影响。共纳入48例患者的95只眼。分别在手术前及术后4周,使用远距离兰多立体视觉测试和TNO测试测量远距离和近距离立体视锐度。患者的平均年龄为23.67±3.7岁。平均未矫正远距离视力(UDVA)为1.28±0.37最小分辨角对数(logMAR)(中位数:1.3;范围:0.3 - 1.8),最佳矫正远距离视力(BDVA)中位数为0.18 logMAR(范围:0 - 0.6)。术后UDVA和BDVA均有显著改善(P < 0.001;Wilcoxon符号秩检验)。分别有15/48(31.25%)和13/48(27.10%)的受试者在近距离和远距离立体视方面有总体改善,两者之间无显著差异(P = 0.82;Fisher精确检验)。在立体盲个体中,近距离立体视锐度改善相对于远距离立体视锐度的优势比为8.85(95%置信区间:1.68 - 46.70;P = 0.01)。ICL植入用于屈光矫正有助于近视患者立体视锐度的改善,尤其是在近距离方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92c4/4728979/1cd06ef008aa/IJO-63-788-g002.jpg

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