Bigbag及Rayner 620H两种不同人工晶状体在白内障合并高度近视眼内的有效性探讨

The Effectiveness of Two Different Intraocular Lenses Bigbag and Rayner 620H in Cataract and High Myopia Eyes

目的:探讨两种不同人工晶状体植入治疗白内障合并高度近视患者的临床效果差异。方法:选择2013年9月至2016年1月本院眼科实行白内障超声乳化吸出术+人工晶状体植入术治疗的98例患者进行回顾性分析,其中50例(68眼)选择Bigbag人工晶状体,48例(63眼)选择Rayner 620H人工晶状体,对比两组效果。结果:术前,两组患者的黄斑中心凹视网膜厚度、眼轴值、最佳矫正视力、眼压测定值差异均无统计学意义(P>0.05);术后1个月、3个月,Bigbag组的黄斑中心凹视网膜厚度测定值显著的低于Rayner 620H组(P<0.05),Bigbag组的最佳矫正视力显著的优于Rayner 620H组(P<0.05);术后1个月、3个月,两组患者的验光度数值较术前均显著的降低(P<0.05);术后3个月复查,Bigbag组的后囊膜皱褶、浑浊的发生率均显著的低于Rayner 620H组(P<0.05)。结论:Bigbag人工晶状体在白内障合并高度近视患者中的应用效果更理想。

Objective： To investigate the clinical effect of two different intraocular lens implantation in the treatment of cataract with high myopia. Methods： From September 2013 to January 2016,98 cases of cataract phacoemulsification and intraocular lens implantation in the ophthalmological center of our hospital were retrospectively analyzed. Among them,50 cases（ 68 eyes） were given Bigbag intraocular lens,and 48 cases（ 63 eyes） were given Rayner 620 H intraocular lens. The effect of the two groups were compared. Results： Before operation,there were no significant differences in the two groups of patients with macular central retinal thickness,axial value,the best corrected visual acuity,and intraocular pressure（ IOP） were not statistically significant（ P〉0.05）; At 1 months and 3 months after operation,the Bigbag group of Rayner group had significantly lower than the 620 H Rayner group（ P〈0.05）,and the best corrected visual acuity was significantly better than that of the 620 H Bigbag group（ P〈0.05）; 1 months and 3 months after surgery,the degree of numerical optometry of two groups of patients were significantly lower than that before operation（ P〈0. 05）; 3 months after surgery,Bigbag group,posterior capsular wrinkle opacification were significantly lower than Rayner group 620 H（ P〈0.05）. Conclusion： Bigbag intraocular lens is more effective in cataract patients with high myopia.