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飞秒激光辅助白内障手术在硬核白内障患者中的应用
引用本文:戎志銮,陆守权,唐小娣,雷鹏,邹红蕾.飞秒激光辅助白内障手术在硬核白内障患者中的应用[J].国际眼科杂志,2019,19(5):753-756.
作者姓名:戎志銮  陆守权  唐小娣  雷鹏  邹红蕾
作者单位:中国广东省广州市,广州新海医院眼科,中国广东省广州市,广州新海医院眼科,中国广东省广州市,广东省第二人民医院眼科,中国广东省广州市,广东省第二人民医院眼科,中国广东省广州市,广州新海医院眼科
摘    要:

目的:分析飞秒激光辅助白内障手术(FLACS)在硬核白内障患者中的应用效果。

方法:回顾性分析我院FLACS(观察组)和传统超声乳化术(对照组)治疗的硬核白内障患者各42例42眼的临床资料。记录两组患者手术情况及术后恢复情况。

结果:观察组平均超声功率、实际及有效超声乳化时间、术后3d角膜水肿程度均低于对照组(P<0.05)。两组术后矫正远视力(CDVA)、裸眼远视力(UCDVA)和角膜内皮细胞丢失率变化情况均为:术后3d>术后1wk>术后1mo,而观察组变化幅度大于对照组(P<0.05)。观察组术后各时间点角膜内皮细胞密度高于对照组(P<0.05)。

结论:FLACS治疗硬核白内障效果显著。

关 键 词:硬核白内障    飞秒激光    超声乳化
收稿时间:2018/9/7 0:00:00
修稿时间:2019/4/4 0:00:00

Application of femtosecond laser assisted cataract surgery in patients with hard nuclear cataract
Zhi-Luan Rong,Shou-Quan Lu,Xiao-Di Tang,Peng Lei and Hong-Lei Zou.Application of femtosecond laser assisted cataract surgery in patients with hard nuclear cataract[J].International Journal of Ophthalmology,2019,19(5):753-756.
Authors:Zhi-Luan Rong  Shou-Quan Lu  Xiao-Di Tang  Peng Lei and Hong-Lei Zou
Institution:Department of Ophthalmology, Guangzhou Xinhai Hospital, Guangzhou 510300, Guangdong Province, China,Department of Ophthalmology, Guangzhou Xinhai Hospital, Guangzhou 510300, Guangdong Province, China,Department of Ophthalmology, Guangdong Second Provincial General Hospital, Guangzhou 510300, Guangdong Province, China,Department of Ophthalmology, Guangdong Second Provincial General Hospital, Guangzhou 510300, Guangdong Province, China and Department of Ophthalmology, Guangzhou Xinhai Hospital, Guangzhou 510300, Guangdong Province, China
Abstract:AIM: To analyze the application effects of femtosecond laser assisted cataract surgery(FLACS)in patients with hard nuclear cataract.

METHODS: The clinical data of each 42 cases(eyes)in patients with hard nuclear cataract who underwent FLACS(observation group)and traditional phacoemulsification(control group)were retrospectively analyzed. The operation conditions and postoperative recovery were recorded in the two groups.

RESULTS: The mean ultrasound power, actual phacoemulsification time and effective phacoemulsification time and corneal edema degree at 3d after operation in observation group were lower than those in control group(P<0.05). The changes of postoperative corrected distance visual acuity(CDVA), uncorrected distance visual acuity(UCDVA)and corneal endothelial cell loss rate showed 3d after operation>1wk after operation>1mo after operation, and the changes in observation group were greater than those in control group(P<0.05). The corneal endothelial cell density in observation group at each time point after operation was higher than that in control group(P<0.05).

CONCLUSION: FLACS has significant effects on hard nuclear cataract.

Keywords:hard nuclear cataract  femtosecond laser  phacoemulsification
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