预装式疏水性丙烯酸酯类人工晶体和同轴微切口对年龄相关性白内障疗效分析

Analysis of Curative Effect of Pre Assembled Hydrophobic Acrylic Intraocular Lens and Coaxial Micro Incision on Age-related Cataract

目的探讨与分析预装式疏水性丙烯酸酯类人工晶体和同轴微切口对年龄相关性白内障的疗效影响。方法选择2020年8月—2023年5月在蓝田华阳眼科医院诊治的80例年龄相关性白内障患者作为研究对象,根据随机数表法将其分为对照组和研究组,每组40例。所有手术均由同一位医师完成,都采用预装式疏水性丙烯酸酯类人工晶体植入,研究组行2.2 mm同轴透明角膜隧道微切口,对照组行3.0 mm透明角膜隧道切口,比较两组的最佳矫正、并发症发生情况、角膜散光度与前房深度变化情况。结果研究组术后1周与术后1个月的最佳矫正视力都高于对照组,差异有统计学意义(P<0.05);两组术后1个月的最高矫正视力与术后1周相比都升高,差异有统计学意义(P<0.05)。研究组术后1个月的角膜水肿、眼内炎、晶体混浊、囊膜破损等并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。研究组术后1周与术后1个月的角膜散光度都低于对照组,差异有统计学意义(P<0.05);两组术后1个月的角膜散光度与术后1周相比都降低,差异有统计学意义(P<0.05)。研究组术后1周与术后1个月的前房深度都高于对照组,差异有统计学意义(P<0.05);研究组与对照组术后1个月与术后1周的前房深度比较,差异无统计学意义(P>0.05)。结论预装式疏水性丙烯酸酯类人工晶体联合同轴微切口在年龄相关性白内障患者的应用并不会影响患者的前房深度,能减少角膜散光度,提高患者的术后视力,减少并发症的发生。

Objective To explore and analysis the effects of pre assembled hydrophobic acrylic intraocular lenses and coaxial micro incisions on age-related cataracts.Methods 80 age-related cataract patients diagnosed in Lantian Huayang Eye Hospital from August 2020 to May 2023 were selected as the study subjects and divided into control group and study group according to the random number table method,with 40 cases in each group.All operations were performed by the same physician,and pre assembled hydrophobic acrylic intraocular lenses were implanted.The study group underwent 2.2mm coaxial clear corneal tunnel microincision,and the control group underwent 3.0 mm clear corneal tunnel incision.Recorded the optimal correction,complications,corneal astigmatism,and changes in anterior chamber depth between the study group and the control group.Results The optimal corrected visual acuity of the study group at 1 week and 1 month after surgery were higher than that of the control group(P<0.05),and the highest corrected visual acuity of the study group and the control group at 1 month after surgery showed a statistically significant increase compared to 1 week after surgery(P<0.05).The incidence of complications such as corneal edema,endophthalmitis,lens opacity,and capsule damage in the study group were 7.50% one month after surgery,compared to 25.00% in the control group.The incidence of complications in the study group one month after surgery were significantly lower than that in the control group(P<0.05).The corneal astigmatism of the study group were lower than that of the control group at 1 week and 1 month after surgery(P<0.05),and there were a statistically significant decrease in corneal astigmatism at 1 month after surgery compared to the control group(P<0.05).The anterior chamber depth of the study group were higher than that of the control group at 1 week and 1 month after surgery(P<0.05),and there were no statistically significant difference between the study group and the control group at 1 month and 1 week after surgery(P>0.05).Conclusion The application of pre assembled hydrophobic acrylic intraocular lens combined with coaxial micro-incision in patients with age-related cataract will not affect the depth of the patient's anterior chamber,and can reduce the corneal astigmatism,improve the postoperative vision of the patient,and reduce the incidence of complications.