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联合晶状体玻璃体切除术后前房深度的变化

Changes in Anterior Chamber Depth after Combined Phacovitrectomy.

作者信息

Gülkılık Gökhan, Karaman Erdur Sevil, Özbek Merve, Özsütçü Mustafa, Odabaşı Mahmut, Demirci Göktuğ, Kocabora Mehmet Selim, Eliaçık Mustafa

机构信息

İstanbul Medipol University Faculty of Medicine, Department of Ophthalmology, İstanbul, Turkey.

出版信息

Turk J Ophthalmol. 2016 Aug;46(4):161-164. doi: 10.4274/tjo.71601. Epub 2016 Aug 15.

DOI:10.4274/tjo.71601
PMID:28058150
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5200820/
Abstract

OBJECTIVES

To evaluate changes in anterior chamber depth (ACD) and postoperative refractive outcomes after combined phacovitrectomy.

MATERIALS AND METHODS

This study included 10 eyes of 10 patients that underwent combined phacovitrectomy (study group) and 14 eyes of 14 patients that underwent phacoemulsification surgery (control group) at İstanbul Medipol University Ophthalmology Department. Preoperative and 3-month postoperative best corrected visual acuity (BCVA), ACD, change in ACD and refractive outcomes were compared between the two groups.

RESULTS

Preoperative ACD, postoperative ACD at 3 months and change in ACD were similar between two groups (p=0.403, p=0.886, p=0.841). Postoperative mean refractive outcomes were 0.22±0.51 diopter in the phacovitrectomy group and -0.39±0.53 diopter in the phacoemulsification group (p=0.019). BCVA was increased in both groups (p=0.001).

CONCLUSION

Postoperative refractive outcomes in eyes that underwent combined phacovitrectomy are different from those in eyes that underwent only phacoemulsification surgery. This is important in determining preoperative intraocular lens power before combined phacovitrectomy.

摘要

目的

评估晶状体玻璃体联合切除术前后前房深度(ACD)的变化及术后屈光结果。

材料与方法

本研究纳入了在伊斯坦布尔梅迪波尔大学眼科接受晶状体玻璃体联合切除术的10例患者的10只眼(研究组),以及接受白内障超声乳化手术的14例患者的14只眼(对照组)。比较两组术前及术后3个月的最佳矫正视力(BCVA)、ACD、ACD变化及屈光结果。

结果

两组术前ACD、术后3个月ACD及ACD变化相似(p = 0.403,p = 0.886,p = 0.841)。晶状体玻璃体联合切除组术后平均屈光结果为0.22±0.51屈光度,白内障超声乳化组为-0.39±0.53屈光度(p = 0.019)。两组BCVA均提高(p = 0.001)。

结论

接受晶状体玻璃体联合切除术的患眼术后屈光结果与仅接受白内障超声乳化手术的患眼不同。这对于确定晶状体玻璃体联合切除术术前人工晶状体度数具有重要意义。

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Refractive changes after vitrectomy and phacovitrectomy for macular hole and epiretinal membrane.玻璃体切割术后黄斑裂孔和视网膜前膜的屈光变化。
J Cataract Refract Surg. 2013 Jun;39(6):942-7. doi: 10.1016/j.jcrs.2013.04.012.
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Optical biometry in combined phacovitrectomy.联合晶状体玻璃体切除术的光学生物测量法
J Cataract Refract Surg. 2009 Jan;35(1):64-9. doi: 10.1016/j.jcrs.2008.09.020.
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Anterior chamber depth measurement in phakic and pseudophakic eyes.有晶状体眼和人工晶状体眼的前房深度测量
Optom Vis Sci. 2008 Dec;85(12):1193-200. doi: 10.1097/OPX.0b013e31818e8ceb.
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Myopic shift after combined phacoemulsification and vitrectomy with gas tamponade.白内障超声乳化吸除联合玻璃体切除及气体填充术后近视漂移
Can J Ophthalmol. 2008 Oct;43(5):581-3. doi: 10.3129/i08-135.
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Accuracy of preoperative biometry in vitrectomy combined with cataract surgery for patients with epiretinal membranes and macular holes: results of a prospective controlled clinical trial.视网膜前膜和黄斑裂孔患者玻璃体切除联合白内障手术中术前生物测量的准确性:一项前瞻性对照临床试验的结果
J Cataract Refract Surg. 2008 Oct;34(10):1754-60. doi: 10.1016/j.jcrs.2008.06.021.
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J Cataract Refract Surg. 2008 Oct;34(10):1694-8. doi: 10.1016/j.jcrs.2008.05.049.
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Intraocular lens power calculation for combined cataract surgery, vitrectomy and peeling of epiretinal membranes for macular oedema.用于白内障手术、玻璃体切除术及黄斑水肿视网膜前膜剥除联合手术的人工晶状体屈光度计算
Acta Ophthalmol Scand. 2007 Feb;85(1):88-91. doi: 10.1111/j.1600-0420.2006.00772.x.
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Factors influencing refractive outcomes after combined phacoemulsification and pars plana vitrectomy: results of a prospective study.白内障超声乳化吸除联合玻璃体切除术屈光结果的影响因素:一项前瞻性研究的结果
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