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| 角膜地形图引导超声乳化治疗2型糖尿病年龄相关性白内障 | |
| 引用本文： | 易昀敏,易敬林,邵毅,余瑶,王慧珍,龚菊梅,高桂平. 角膜地形图引导超声乳化治疗2型糖尿病年龄相关性白内障[J]. 山东医药, 2011, 51(42) |
| 作者姓名： | 易昀敏 易敬林 邵毅 余瑶 王慧珍 龚菊梅 高桂平 |
| 作者单位： | 1. 江西省中医院,南昌,330006 2. 南昌大学医学院 3. 南昌大学第一附属医院 4. 南昌市第三医院 |
| 基金项目： | 江西省卫生厅科研基金资助项目(20071021,20091069);江西省卫生厅中医药科研基金资助项目(20111122070161) |
| 摘 要： | 目的观察角膜地形图引导超声乳化治疗2型糖尿病年龄相关性白内障患者角膜散光及泪膜稳定性。方法术前存在角膜散光的2型糖尿病年龄相关性白内障患者80例(80眼),随机分为A、B组,各40例(40眼)。A组采用常规上方透明角膜切口行超声乳化白内障吸除联合人工晶状体(IOL)植入术,B组在角膜地形图引导下作切口行超声乳化白内障吸除联合IOL植入术,术后l周及3个月复查角膜地形图并观察泪膜改变情况。结果角膜垂直散光失量J0和水平散光失量P,A组术前与术后1周相比,P<0.01,与术后3个月相比,P>0.01;B组术前与术后l周和3个月相比,P均<0.01。两组术后1周泪膜破裂时间(BUT)明显缩短,与术前相比,P均<0.05,但B组BUT较A组明显延长(P<0.05);术后3个月,两组BUT基本恢复至术前水平(P均>0.01)。结论对于合并角膜散光的2型糖尿病年龄相关性白内障,在角膜地形图引导下作切口行超声乳化联合I0L植入术可以部分矫正患者术前的角膜散光,并可以较早稳定泪膜,提高患者的视觉质量。 |
| 关 键 词： | 白内障 角膜地形图 超声乳化白内障吸除术 散光 泪膜 |
Topography-guided phacoemulsification surgery on type 2 diabetic patients with age-related cataract |
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| YI Yun-min,YI Jing-lin,SHAO Yi,YU Yao,WANG Hui-zhen,GONG Ju-mei,GAO Gui-ping. Topography-guided phacoemulsification surgery on type 2 diabetic patients with age-related cataract[J]. Shandong Medical Journal, 2011, 51(42) | |
| Authors: | YI Yun-min YI Jing-lin SHAO Yi YU Yao WANG Hui-zhen GONG Ju-mei GAO Gui-ping |
| Affiliation: | YI Yun-min1,YI Jing-lin,SHAO Yi,YU Yao,WANG Hui-zhen,GONG Ju-mei,GAO Gui-ping(1 Traditional Chinese Medical Hospital of Jiangxi Province,Nanchang 330006,P.R.China) |
| Abstract: | Objective To observe the corneal astigmatism and tear film stability of type 2 diabetic patients with age-related cataract and astigmatism after phacoemulsification surgery guided by corneal topography.Methods 80 patients with type 2 diabetic age-related cataract and astigmatism were randomly divided into two groups:group A was treated by traditional superior corneal incision phacoemulsification surgery and IOL implantation,group B was treated by corneal topography guiding incision phacoemulsification surge... |
| Keywords: | cataract corneal topography phacoemulsification surgery astigmatism tear film |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |