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眼前节光学相干断层扫描评估有晶状体眼近视患者植入后房角。

Evaluation of the anterior chamber angle by anterior segment optical coherence tomography after implantable phakic contact lens implantation in myopic eyes.

机构信息

Ophthalmology Department, Faculty of Medicine, Minia University, Minia, Egypt.

出版信息

Int Ophthalmol. 2022 Aug;42(8):2449-2457. doi: 10.1007/s10792-022-02244-2. Epub 2022 Mar 4.

Abstract

PURPOSE

To evaluate the changes in the angle of the AC and lens vault after IPCL implantation by AS-OCT in myopic patients.

METHODS

This was a prospective observational study involving 30 myopic eyes implanted with IPCL. AS-OCT was used to evaluate lens vault and AC angle parameters including anterior chamber angle, angle opening distance and trabecular-iris space area (TISA) at 1, 3 and 6 months postoperatively.

RESULTS

All 3 AC angle parameters were significantly reduced at the 1st postoperative month compared to preoperative values, but remained stable thereafter with no significant change at the 3rd or 6th postoperative months. The lens vault showed no significant change over the entire follow-up period.

CONCLUSION

IPCL implantation is a safe method for correction of myopia with stable AC angle narrowing over the course of 6 months postoperatively as monitored using AS-OCT.

摘要

目的

利用 AS-OCT 评估有晶状体眼后房型人工晶状体(ICL)植入术后前房角和房角脉络膜巩膜空间(CACS)角度的变化。

方法

这是一项前瞻性观察研究,共纳入 30 例近视患者的 30 只眼,这些患者均植入了 ICL。术后 1、3 和 6 个月,使用 AS-OCT 评估晶状体 vault 和前房角参数,包括前房角、房角开口距离(AOD)和小梁虹膜空间面积(TISA)。

结果

与术前相比,术后第 1 个月所有 3 个前房角参数均显著减小,但此后保持稳定,术后第 3 或 6 个月无明显变化。整个随访期间,晶状体 vault 无明显变化。

结论

AS-OCT 监测显示,有晶状体眼后房型人工晶状体植入术是一种安全的近视矫正方法,术后 6 个月内前房角变窄稳定。

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