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                  [1]劉剛,王洪亮,賈萬程,等.超聲乳化術中聯合應用囊袋張力環對不同眼軸長度超高度近視合并白內障患者的臨床療效[J].眼科新進展,2020,40(5):439-443.[doi:10.13389/j.cnki.rao.2020.0101]
                   LIU Gang,WANG Hongliang,JIA Wancheng,et al.Clinical effect of combined application of capsular tension ring implantation in patients having ultra-high myopia combined with cataract atdifferent axial lengths[J].Recent Advances in Ophthalmology,2020,40(5):439-443.[doi:10.13389/j.cnki.rao.2020.0101]
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                  超聲乳化術中聯合應用囊袋張力環對不同眼軸長度超高度近視合并白內障患者的臨床療效/HTML
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                  《眼科新進展》[ISSN:1003-5141/CN:41-1105/R]

                  卷:
                  40卷
                  期數:
                  2020年5期
                  頁碼:
                  439-443
                  欄目:
                  應用研究
                  出版日期:
                  2020-05-05

                  文章信息/Info

                  Title:
                  Clinical effect of combined application of capsular tension ring implantation in patients having ultra-high myopia combined with cataract atdifferent axial lengths
                  作者:
                  劉剛王洪亮賈萬程張淑萍張春娣裴響華周梅娟
                  201400 上海市,上海交通大學附屬第六人民醫院南院眼科(劉剛,王洪亮,賈萬程,張淑萍,張春娣,裴響華,周梅娟);232001 安徽省淮南市,安徽理工大學(王洪亮)
                  Author(s):
                  LIU Gang1WANG Hongliang12JIA Wancheng1ZHANG Shuping1ZHANG Chundi1PEI Xianghua1ZHOU Meijuan1
                  1.Department of Ophthalmology,Shanghai Jiaotong University Affiliated Sixth People’s Hospital South Campus,Shanghai 201400,China
                  2.Anhui University of Science and Technology,Huainan 232001,Anhui Province,China
                  關鍵詞:
                  超高度近視白內障囊袋張力環視覺質量
                  Keywords:
                  ultra-high myopia cataract capsular tension ring visual quality
                  分類號:
                  R778.1
                  DOI:
                  10.13389/j.cnki.rao.2020.0101
                  文獻標志碼:
                  A
                  摘要:
                  目的 探討超聲乳化術中聯合囊袋張力環植入對不同眼軸長度(axial length,AL)超高度近視合并白內障患者的療效和安全性。方法 選取2016年10月至2019年6月于我院治療的超高度近視合并白內障患者56例(56眼)。將患者隨機分成兩組:觀察組28例(28眼),其中AL 為27~<30 mm者12眼,AL≥30 mm者16眼;對照組28例(28眼),其中AL為27~<30 mm者14眼,AL≥30 mm者14眼。觀察組超聲乳化術中聯合應用囊袋張力環植入,對照組術中不植入張力環。術后隨訪3個月,檢測各組患者視力、眼壓、角膜內皮細胞計數、人工晶狀體偏心量和傾斜度,同時對各組患者進行主觀視覺質量量表評分。結果 兩組不同AL患者術后3個月最佳矯正視力均較術前升高(均為P<0.05);兩組不同AL患者間比較差異則均無統計學意義(均為P>0.05)。兩組不同AL患者術后3個月眼壓和角膜內皮細胞計數均較術前降低(均為P<0.05);兩組不同AL患者間比較差異則均無統計學意義(均為P>0.05)。術后1個月和3個月兩組不同AL患者各自組間水平偏心量、垂直偏心量及總偏心量比較,差異均無統計學意義(均為P>0.05)。術后1個月和3個月兩組27 mm≤AL<30 mm患者組間水平傾斜度、垂直傾斜度及總傾斜度比較,差異均無統計學意義(均為P>0.05)。術后1個月,觀察組AL≥30 mm患者水平傾斜度和總傾斜度均低于對照組同級AL患者,差異均有統計學意義(均為P<0.05);垂直傾斜度比較差異無統計學意義(P>0.05)。術后3個月,觀察組AL≥30 mm患者垂直傾斜度和總傾斜度均低于對照組同級AL患者,差異均有統計學意義(均為P<0.05);水平傾斜度比較差異無統計學意義(P>0.05)。術后3個月兩組患者主觀視覺質量評分均高于術前;兩組間同級AL患者觀察組均高于對照組,差異均有統計學意義(均為P<0.05)。術后隨訪3個月,兩組患者均未發生眼壓升高、角膜內皮失代償、人工晶狀體脫位、眼內炎、視網膜脫離等并發癥。結論 超聲乳化術中聯合應用囊袋張力環治療超高度近視合并白內障安全穩定,并能獲得理想的視覺質量。
                  Abstract:
                  Objective  To investigate the effect of combined application of capsular tension ring implantation in patients having ultra-high myopia combined with cataract at different axial length (AL). Methods  The study recruited 56 eyes of 56 cases having ultra-high myopia combined with cataract who received treatment in our hospital from October 2016 to June 2019. The patients were divided into two groups: Observation group (28 eyes; 28 cases), including 12 eyes with AL 27-<30 mm and 16 eyes with AL ≥ 30 mm, and receiving phacoemulsification combined with capsular tension ring implantation; and control group (28 eyes; 28 cases), including 14 eyes with AL 27-<30 mm and 14 eyes with AL ≥ 30 mm), only receivingphacoemulsification. All patients were followed up for 3 months. Visual acuity, intraocular pressure (IOP), corneal endothelial cell count, IOL eccentricity and tilt were detected, and subjective visual quality scale was measured for patients in each group. Results  Best corrected visual acuity (BCVA) at postoperative 3 months was higher than that before operation for patients with different AL in two groups (all P<0.05); no statistical difference was found among patients with different AL in both two groups (both P>0.05). IOP and corneal endothelial cell count at postoperative 3 months were lower than those before operation for patients with different AL between two groups (all P<0.05); no statistical difference was found among patients with different AL in both two groups (both P>0.05). No statistical difference was found in horizontal eccentricity, vertical eccentricity and total eccentricity at postoperative 1 month and 3 months among patients with different AL in both two groups (all P>0.05). No statistical difference was found in horizontal eccentricity, vertical eccentricity and total eccentricity at postoperative 1 month and 3 months for patients with 27 mm ≤AL <30 mm between the two groups (all P>0.05). At postoperative 3 months, the horizontal eccentricity and total eccentricity for patients with AL ≥ 30 mm in observation group were higher than those in control group, and statistical differences were found (both P<0.05), but no statistical difference was found in vertical eccentricity (P>0.05). At postoperative 3 months, vertical eccentricity and total eccentricity for patients with AL ≥ 30 mm in observation group were lower than those in control group, and statistical differences were found (both P<0.05), but no statistical difference was found in horizontal eccentricity (P>0.05).At postoperative 3 months, subjective visual quality scale was higher than that before operation in both two groups, also higher for patients with different AL between two groups (all P<0.05). 3-month follow-up showed that there were no complications such as elevated IOL, corneal endothelium decompensation, IOL dislocation, endophthalmitis or retinal detachment for patients in both two groups. Conclusion Combined application of capsular tension ring implantation is safe and stable for treatment of ultra-high myopia and cataract, and can achieve the desired visual quality.

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                  [2]周繼紅 郭秀花 胡力中.準分子激光角膜上皮瓣下磨鑲術矯正超高度近視[J].眼科新進展,2012,32(6):000.
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                   OU-YANG Xian-Ming,LI Li,ZHANG Rui,et al. Different phacoemulsification for super high myopia complicated with cataract[J].Recent Advances in Ophthalmology,2015,35(5):854.[doi:10.13389/j.cnki.rao.2015.0233]

                  備注/Memo

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                  更新日期/Last Update: 2020-05-05
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