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各因素对后囊膜与人工晶状体之间间隙的影响。

Effect of factors on the space between the posterior capsule and IOL.

作者信息

Liu Xiaohong, Cui Ning, Zhou Chuyi, Long Jinyi, Hu Ping, Wu Xue, Ye Yuhong, Xu Ling, Zhou Zhengbing, Long Da

机构信息

Department of Ophthalmology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No.600, Yishan Road, Shanghai, 200233, China.

出版信息

BMC Ophthalmol. 2025 Feb 28;25(1):101. doi: 10.1186/s12886-025-03917-z.

DOI:10.1186/s12886-025-03917-z
PMID:40022013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11869710/
Abstract

OBJECTIVES

To evaluate the effect of factors on the space between the posterior capsule and IOL.

METHODS

A total of 126 patients were included in the study. All patients underwent AS-OCT examinations after surgery. The relationship between the posterior capsule-IOL (PC-IOL) adhesion range and various factors, including IOL type, follow-up period, axial length, and lens thickness, were analyzed.

RESULTS

When the follow-up period was shorter than 1 week, the proportion of PC-IOL adhesion range greater than 1/2 in the ZA9003, softec, SN6ATX, and 525 groups was 66.7%, 78.9%, 25%, and 53.8%, respectively. When the follow-up period was longer than 1 month, these proportions increased to 75%, 100%, 40.8%, and 100%, respectively. In the multivariate logistic regression analysis, only the IOL types and follow-up period were statistically significant, while axial length and lens thickness were not statistically significant.

CONCLUSION

The follow-up period and IOL types affect the space between the IOL and the posterior capsule, whereas axial length and lens thickness do not. Among the four IOL types studied, the softec IOL has the strongest adhesive power, while the SN6ATX IOL has the weakest.

摘要

目的

评估各因素对后囊膜与人工晶状体之间间隙的影响。

方法

本研究共纳入126例患者。所有患者术后均接受了AS-OCT检查。分析了后囊膜-人工晶状体(PC-IOL)粘连范围与各种因素之间的关系,这些因素包括人工晶状体类型、随访时间、眼轴长度和晶状体厚度。

结果

随访时间短于1周时,ZA9003、softec、SN6ATX和525组中PC-IOL粘连范围大于1/2的比例分别为66.7%、78.9%、25%和53.8%。随访时间长于1个月时,这些比例分别增至75%、100%、40.8%和100%。在多因素logistic回归分析中,只有人工晶状体类型和随访时间具有统计学意义,而眼轴长度和晶状体厚度无统计学意义。

结论

随访时间和人工晶状体类型会影响人工晶状体与后囊膜之间的间隙,而眼轴长度和晶状体厚度则不会。在所研究的四种人工晶状体类型中,softec人工晶状体的粘连力最强,而SN6ATX人工晶状体的粘连力最弱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf7/11869710/ce533dacf776/12886_2025_3917_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf7/11869710/ce533dacf776/12886_2025_3917_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf7/11869710/ce533dacf776/12886_2025_3917_Fig1_HTML.jpg

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本文引用的文献

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Int J Ophthalmol. 2021 Sep 18;14(9):1384-1391. doi: 10.18240/ijo.2021.09.13. eCollection 2021.
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Influence of lens position as detected by an anterior segment analysis system on postoperative refraction in cataract surgery.前段分析系统检测到的晶状体位置对白内障手术术后屈光的影响。
Int J Ophthalmol. 2021 Jul 18;14(7):1006-1012. doi: 10.18240/ijo.2021.07.07. eCollection 2021.
3
Does Every Calculation Formula Fit for All Types of Intraocular Lenses? Optimization of Constants for Tecnis ZA9003 and ZCB00 Is Necessary.
每个计算公式都适用于所有类型的人工晶状体吗?优化Tecnis ZA9003和ZCB00的常数是必要的。
Medicina (Kaunas). 2021 Mar 30;57(4):319. doi: 10.3390/medicina57040319.
4
Posterior Capsule Opacification With Two Hydrophobic Acrylic Intraocular Lenses: 3-Year Results of a Randomized Trial.两种疏水性丙烯酸酯人工晶状体导致后囊混浊:一项随机试验 3 年结果。
Am J Ophthalmol. 2020 Sep;217:224-231. doi: 10.1016/j.ajo.2020.04.011. Epub 2020 Apr 23.
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Relationship of Posterior Capsular Opacification and Capsular Bend Type Investigation Based on Swept-source Optical Coherence Tomography.基于扫频源光相干断层扫描的后囊混浊与囊袋弯曲类型的关系研究。
Curr Eye Res. 2020 Jan;45(1):17-23. doi: 10.1080/02713683.2019.1645183. Epub 2019 Jul 29.
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Influence of total intraocular lens diameter on efficacy and safety for in the bag cataract surgery.人工晶状体总直径对囊袋内白内障手术疗效及安全性的影响。
Oman J Ophthalmol. 2018 May-Aug;11(2):144-149. doi: 10.4103/ojo.OJO_143_2017.
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