| 引用本文： |
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邓淑雅,顾雪芬,马凌云,等.高度近视飞秒激光白内障术后囊袋及人工晶状体稳定性研究[J].同济大学学报（医学版）,2020,41(6):734-738. [点击复制]
- DENG Shu-ya,GU Xue-fen,MA Ling-yun,et al.The stability of capsule and intraocular lens after femtosecond laser-assisted cataract surgery for high myopia[J].同济大学学报（医学版）,2020,41(6):734-738. [点击复制]
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| 摘要: |
| 目的探讨飞秒激光辅助白内障手术对高度近视合并白内障患者囊袋稳定性及人工晶状体（intraocularlens， IOL）有效位置的影响。方法应用前瞻性队列研究法，收集上海新视界眼科医院2019年7月—10月收治的高度近视合并白内障患者39例（60眼），分为飞秒激光辅助白内障手术组（飞秒组）16例26眼和传统白内障超声乳化吸除术(对照组)23例34眼。应用Pentacam三维眼前节成像系统及Image Pro Plus软件测量术后1周、1、3个月前房深度、前囊口直径、人工晶状体偏心量及倾斜度。结果术后1周、1、3个月飞秒组IOL水平偏心量明显低于对照组，差异有统计学意义（P=0.029，0.002）。术后1、3个月飞秒组IOL水平倾斜角低于对照组，差异有统计学意义（P=0.008，0.006）。不同时间点两组术后前房深度、垂直偏心量及垂直倾斜角差异均无统计学意义（P>0.05）。飞秒组术后3个月与术后1周前囊口水平直径变化量、水平偏心变化量、水平及垂直倾斜角变化量、前房深度变化量均低于对照组，差异有统计学意义（P＜0.05），而垂直直径及IOL垂直偏心变化量差异无统计学意义（P>0.05）。结论在高度近视并发白内障人群中，飞秒激光辅助白内障手术减少前囊膜收缩程度，增强人工晶状体在囊袋内的稳定性。 |
| 关键词: 飞秒激光 高度近视 白内障 |
| DOI：10.16118/j.1008-0392.2020.06.009 |
| 投稿时间：2020-03-02 |
| 基金项目: |
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| The stability of capsule and intraocular lens after femtosecond laser-assisted cataract surgery for high myopia |
| DENG Shu-ya,GU Xue-fen,MA Ling-yun,RONG Ao |
| (Dept. of Ophthalmology, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China;Shanghai Xinshijie Eye Hospital, Shanghai 200050, China) |
| Abstract: |
| ObjectiveTo investigate the effect of femtosecond laser-assisted cataract surgery on the stability of capsular bag and effective position of intraocular lens(IOL) in patients with high myopia. MethodsFrom July to October 2019, 39 patients(60 eyes) with high myopia and cataract were enrolled from Shanghai Xinshijie Eye Hospital. Femtosecond laser-assisted cataract surgery(femtosecond group) was performed in 16 cases(26 eyes) and conventional phacoemulsification(control group) in 23 cases(34 eyes). Pentacam three-dimensional anterior segment imaging system and Image Pro Plus software were used to measure the postoperative anterior chamber depth, anterior capsule opening diameter, intraocular lens decentration and tilt at 1 week, 1 month, and 3 months after surgery. ResultsThe decentration of IOL in femtosecond group was significantly lower than that in control group at 1 week, 1 month and 3 months after operation(P=0.029,0.002,<0.001). And the IOL horizontal tilt of femtosecond group was lower than that of the control group at 1 month and 3 months postoperatively(P=0.008，0.006). There were no significant differences in postoperative anterior chamber depth, IOL vertical decentration and tilt between two groups during the follow-up period(P>0.05). The changes of horizontal diameter between 3 months and 1 week after surgery, IOL horizontal decentration, IOL tilt and postoperative anterior chamber depth in femtosecond group were lower than those in control group(P＜0.05), while there were no significant differences in the changes of vertical diameter and IOL vertical eccentricity in femtosecond group(P>0.05). ConclusionIn patients with high myopia and cataract, femtosecond laser-assisted cataract surgery can reduce the extent of the anterior capsule contraction and enhance the stability of IOL in the capsule. |
| Key words: femtosecond laser high myopia cataract |
