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植入式隐形眼镜有无中心孔对中国人群眼穹窿随时间变化的比较

Comparison Over Time of Vault in Chinese Eyes Receiving Implantable Contact Lenses With or Without a Central Hole.

作者信息

Cao Xinfang, Wu Weiliang, Wang Yang, Xie Chen, Shen Ye

机构信息

Department of Ophthalmology, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

Department of Orthopedics, Children's Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

出版信息

Am J Ophthalmol. 2016 Dec;172:111-117. doi: 10.1016/j.ajo.2016.09.016. Epub 2016 Sep 20.

Abstract

PURPOSE

To compare the longitudinal vault changes after implantation of a posterior chamber phakic intraocular lens (pIOL) (Visian implantable contact lens) with (ICL V4c) and without (ICL V4) a central artificial hole for moderate to high myopia in Chinese eyes.

DESIGN

Retrospective case series.

METHODS

This study comprised 78 eyes implanted with the ICL V4c model and 82 eyes implanted with the ICL V4 model at our department by the same surgeon. The time course of the postoperative pIOL vault changes was quantitatively assessed using ultrasound biomicroscopy over 6 months.

RESULTS

There was a trend toward a decrease in all measures of central vault, peripheral vault, and the endothelium-anterior pIOL distance for both central hole pIOL and conventional pIOL over time, although the variance was not statistically significant (all P > .05). There were no significant between-group differences in the amount of the pIOL central vault, peripheral vault, or the endothelium-anterior pIOL distance at any time point after surgery (all P > .05).

CONCLUSIONS

The time course of the central hole pIOL vault changes is essentially equivalent to that of the conventional pIOL vault, suggesting that the presence of the central hole did not significantly affect the pIOL position.

摘要

目的

比较植入有中央人工孔(ICL V4c)和无中央人工孔(ICL V4)的后房型有晶体眼人工晶状体(pIOL)(Visian可植入式接触镜)后,中国近视患者眼中纵向晶状体拱高的变化。

设计

回顾性病例系列研究。

方法

本研究纳入了由同一位外科医生在我科植入ICL V4c型号的78只眼和植入ICL V4型号的82只眼。术后6个月内,使用超声生物显微镜对pIOL拱高变化的时间进程进行定量评估。

结果

随着时间的推移,中央孔pIOL和传统pIOL的中央拱高、周边拱高以及内皮-前pIOL距离的所有测量值均有下降趋势,尽管差异无统计学意义(所有P>.05)。术后任何时间点,两组间pIOL中央拱高、周边拱高或内皮-前pIOL距离的差异均无统计学意义(所有P>.05)。

结论

中央孔pIOL拱高变化的时间进程与传统pIOL拱高基本相同,这表明中央孔的存在并未显著影响pIOL的位置。

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