高透氧性硬性角膜接触镜在无晶状体眼患者中的应用分析

目的：比较高透氧性角膜接触镜（ rigid gas permeable corneal lens ，RGPCL）和框架眼镜矫正无晶状体眼患者的矫正视力及视觉质量。方法：对各种原因所致无晶状体眼患者29例29眼，配戴RGPCL及框架眼镜，随访6mo，观察其矫正视力、眼表情况及视觉质量。结果：RGPCL矫正视力优于框架眼镜，差异有统计学意义（ P＜0．05）；长期配戴RGPCL未见明显角结膜并发症；患者配戴RGPCL主观视觉质量优于配戴框架眼镜。结论：RGPCL是矫正无晶状体眼患者高度远视及散光的一种良好选择，患者依从性较好，长期配戴眼表安全性高。

Analysis of application of rigid gas permeable lens in aphakic patients

AIM: To compare the corrected vision and improvement of visual quality after wearing rigid gas permeable corneal lens(RGPCL)or spectacles in aphakic patients.

METHODS: We selected 29 aphakic patients(29 eyes)caused by different reasons wearing RGPCL and spectacle. The corrected vision, eye condition and visual quality were observed and all patients were followed up for 6mo.

RESULTS: RGPCL was better than spectacle on corrected vision(P<0.05). The patients who wore RGPCL for long had no corneal complications reported. The patients who wore RGPCL had better subjective visual quality than those wore spectacle.

CONCLUSION: RGPCL is a good choice for correcting high myopia and astigmatism for aphakic patients. The patients'' compliance is good. Wearing RGPL long has high safety for patients'' ocular surface.