采用外侧切口技术减少术后逆规散光。

Reduction of postoperative against-the-rule astigmatism by lateral incision technique.

作者信息

Axt J C, McCaffery J M

机构信息

Glendale Eye Medical Group, California 91203-1879.

出版信息

J Cataract Refract Surg. 1993 May;19(3):380-6. doi: 10.1016/s0886-3350(13)80310-0.

DOI:10.1016/s0886-3350(13)80310-0

PMID:8501634

Abstract

A group of 80 preoperative against-the-rule (AR) eyes had cataract removal and intraocular lens implantation with lateral (temporal) incision and suturing. Fifty-six of the 80 eyes had extracapsular cataract extraction (ECCE) and 24 had phacoemulsification (KPE) with capsulorhexis. For both procedures, subgroups (21 of ECCE, ten of KPE) with high preoperative AR astigmatism (> or = -2.0 D) were evaluated. Analysis of the postoperative data provided the following: (1) induced postoperative cylinder decrease, (2) effect of cutting and not cutting sutures, (3) induced axial shift, (4) postoperative astigmatic change as a function of time, and (5) comparative effectiveness of ECCE and KPE lateral incision procedures in reducing postoperative AR astigmatism.

摘要

一组80只术前逆规（AR）眼接受了白内障摘除及人工晶状体植入术，采用颞侧切口及缝合。80只眼中56只进行了囊外白内障摘除术（ECCE），24只进行了超声乳化白内障吸除术（KPE）并撕囊。对于这两种手术，对术前AR散光较高（≥ -2.0 D）的亚组（ECCE组21只，KPE组10只）进行了评估。术后数据分析得出以下结果：（1）术后诱导性柱镜度数降低；（2）拆线与未拆线的影响；（3）诱导性轴性移位；（4）术后散光随时间的变化；（5）ECCE和KPE颞侧切口手术在降低术后AR散光方面的相对有效性。