目的:观察超声乳化联合囊袋张力环及人工晶状体植入术治疗高度近视合并白内障患者的疗效。方法:回顾性研究。选取2021-12/2023-04我院白内障科收治的高度近视合并白内障患者82例82眼,根据术中是否使用囊袋张力环分为两组:对照组39眼采...目的:观察超声乳化联合囊袋张力环及人工晶状体植入术治疗高度近视合并白内障患者的疗效。方法:回顾性研究。选取2021-12/2023-04我院白内障科收治的高度近视合并白内障患者82例82眼,根据术中是否使用囊袋张力环分为两组:对照组39眼采用单纯超声乳化联合人工晶状体植入术治疗,联合组43眼采用超声乳化联合囊袋张力环及人工晶状体植入术治疗。比较两组患者手术前后最佳矫正视力、中央前房深度、小梁睫状突距离、视觉质量和并发症。结果:术后1mo,两组患者的最佳矫正视力(LogMAR)较术前明显改善(联合组:0.64±0.28 vs 0.12±0.14;对照组:0.62±0.26 vs 0.23±0.25,均P<0.001);中央前房深度均高于术前(联合组:2.57±0.56 vs 1.97±0.40 mm;对照组:2.22±0.45 vs 1.89±0.37 mm,均P<0.001),联合组最佳矫正视力和中央前房深度优于对照组(均P<0.05);两组患者手术前后小梁睫状突距离比较均无差异(联合组:0.68±0.22 vs 0.74±0.20 mm;对照组:0.74±0.19 vs 0.78±0.17 mm,均P>0.05)。术后1 mo视觉质量评分联合组均高于对照组[看电视3.00±0.38 vs 2.22±0.46分;看书2.85±0.42 vs 2.21±0.44分;夜间视物:2.71±0.34 vs 2.37±0.41分;精细操作2.82±0.38 vs 2.33±0.40分,均P<0.001]。联合组并发症发生率显著低于对照组(33%vs 14%,P<0.05)。结论:超声乳化联合囊袋张力环及人工晶状体植入术治疗高度近视合并白内障患者能有效促进患者视功能恢复,改善房角结构,降低并发症发生率。展开更多
Background As intraocular pressure （lOP） and lOP fluctuation are known risk factors for glaucoma, it is important to understand the effects of high myopia on these ocular parameters. The aim of this study was to inv...Background As intraocular pressure （lOP） and lOP fluctuation are known risk factors for glaucoma, it is important to understand the effects of high myopia on these ocular parameters. The aim of this study was to investigate if primary open-angle glaucoma （POAG） patients with high myopia exhibit higher lOP and greater lOP fluctuations at resting conditions over 24 hours. Methods We designed a prospective control clinical study. Eighty-two eyes of 82 high-tension Chinese POAG patients only on prostaglandin analogue locally were divided into 3 groups according to various myopic grades （〈-6.0 D, n=27 and between -0.76 and -5.99 D, n=33） or without myopia （-0.75 to 0.75 D, n=22）. Single time lOP at 10 am, mean corrected 24-hour lOP, mean corrected night lOP, 24-hour lOP fluctuation and lOPs of 10 am, 2 pm, 6 pm, 10 pm, 2 am, 6 am and 8 am were measured. Results The lOP was higher in POAG patients with high myopia over those POAG alone in three ways： the elevated lOP value was 0.65 mmHg measured in single time lOP at 10 am, 0.84 mmHg in mean corrected 24-hour lOP, 0.97 mmHg in mean corrected night lOP. The 24-hour lOP fluctuation was lower in the two myopia groups than in non-myopia group. Further, using repeated measurement analysis of variance, there was no statistical significance among groups regarding the lOPs at the seven time points （P=0.77） and there was no interaction between groups and time points （P=0.71）, but the difference of lOPs at the seven time points in same group was statistically significant （P=0.01）. Conclusion High-tension POAG patients with high myopia, even on pharmacological glaucoma therapy, still have hinhe.r IC）P. h^Jt 24-hnur IC）P fluc.tuatinn at re.qtina ~.nnditinn.q wA.q InwAr in th~..~, n^ti~.nt.q展开更多
文摘目的:观察超声乳化联合囊袋张力环及人工晶状体植入术治疗高度近视合并白内障患者的疗效。方法:回顾性研究。选取2021-12/2023-04我院白内障科收治的高度近视合并白内障患者82例82眼,根据术中是否使用囊袋张力环分为两组:对照组39眼采用单纯超声乳化联合人工晶状体植入术治疗,联合组43眼采用超声乳化联合囊袋张力环及人工晶状体植入术治疗。比较两组患者手术前后最佳矫正视力、中央前房深度、小梁睫状突距离、视觉质量和并发症。结果:术后1mo,两组患者的最佳矫正视力(LogMAR)较术前明显改善(联合组:0.64±0.28 vs 0.12±0.14;对照组:0.62±0.26 vs 0.23±0.25,均P<0.001);中央前房深度均高于术前(联合组:2.57±0.56 vs 1.97±0.40 mm;对照组:2.22±0.45 vs 1.89±0.37 mm,均P<0.001),联合组最佳矫正视力和中央前房深度优于对照组(均P<0.05);两组患者手术前后小梁睫状突距离比较均无差异(联合组:0.68±0.22 vs 0.74±0.20 mm;对照组:0.74±0.19 vs 0.78±0.17 mm,均P>0.05)。术后1 mo视觉质量评分联合组均高于对照组[看电视3.00±0.38 vs 2.22±0.46分;看书2.85±0.42 vs 2.21±0.44分;夜间视物:2.71±0.34 vs 2.37±0.41分;精细操作2.82±0.38 vs 2.33±0.40分,均P<0.001]。联合组并发症发生率显著低于对照组(33%vs 14%,P<0.05)。结论:超声乳化联合囊袋张力环及人工晶状体植入术治疗高度近视合并白内障患者能有效促进患者视功能恢复,改善房角结构,降低并发症发生率。
文摘Background As intraocular pressure （lOP） and lOP fluctuation are known risk factors for glaucoma, it is important to understand the effects of high myopia on these ocular parameters. The aim of this study was to investigate if primary open-angle glaucoma （POAG） patients with high myopia exhibit higher lOP and greater lOP fluctuations at resting conditions over 24 hours. Methods We designed a prospective control clinical study. Eighty-two eyes of 82 high-tension Chinese POAG patients only on prostaglandin analogue locally were divided into 3 groups according to various myopic grades （〈-6.0 D, n=27 and between -0.76 and -5.99 D, n=33） or without myopia （-0.75 to 0.75 D, n=22）. Single time lOP at 10 am, mean corrected 24-hour lOP, mean corrected night lOP, 24-hour lOP fluctuation and lOPs of 10 am, 2 pm, 6 pm, 10 pm, 2 am, 6 am and 8 am were measured. Results The lOP was higher in POAG patients with high myopia over those POAG alone in three ways： the elevated lOP value was 0.65 mmHg measured in single time lOP at 10 am, 0.84 mmHg in mean corrected 24-hour lOP, 0.97 mmHg in mean corrected night lOP. The 24-hour lOP fluctuation was lower in the two myopia groups than in non-myopia group. Further, using repeated measurement analysis of variance, there was no statistical significance among groups regarding the lOPs at the seven time points （P=0.77） and there was no interaction between groups and time points （P=0.71）, but the difference of lOPs at the seven time points in same group was statistically significant （P=0.01）. Conclusion High-tension POAG patients with high myopia, even on pharmacological glaucoma therapy, still have hinhe.r IC）P. h^Jt 24-hnur IC）P fluc.tuatinn at re.qtina ~.nnditinn.q wA.q InwAr in th~..~, n^ti~.nt.q
