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光学相干断层扫描观察高度近视眼白内障超声乳化术后黄斑区变化
引用本文:李世玮,吴强,陆斌,王文清,陈颖,方健. 光学相干断层扫描观察高度近视眼白内障超声乳化术后黄斑区变化[J]. 上海交通大学学报(医学版), 2011, 31(8): 1090-1095. DOI: 10.3969/j.issn.1674-8115.2011.08.009
作者姓名:李世玮  吴强  陆斌  王文清  陈颖  方健
作者单位:上海交通大学附属第六人民医院眼科,上海,200233
摘    要:目的观察高度近视眼白内障超声乳化术后黄斑区视网膜的变化及术后视力恢复情况。方法 105例(150眼)白内障患者分为高度近视眼白内障组(A组,56例,80眼)和非高度近视眼白内障组(B组,49例,70眼),分别行超声乳化联合人工晶体植入术。分别于术前和术后1周、1个月和3个月测量患者裸眼视力(UCVA)和最佳矫正视力(BCVA);行光学相干断层扫描,测量黄斑中心凹视网膜神经上皮层厚度(MFT)和黄斑中心凹直径6 mm范围内的黄斑区容积(TMV);计算高、低累积能量复合参数(AECP)。结果 A组和B组术后各时间点UCVA、BCVA和TMV均显著高于术前(P<0.01),而术后各时间点MFT与术前比较差异均无统计学意义(P>0.05)。A组和B组中,高、低AECP患者术后各时间点MFT与术前比较差异均无统计学意义(P>0.05);高、低AECP患者术后各时间点TMV均显著高于术前(P<0.01);高AECP患者术后各时间点MFT和TMV与术前的差值与低AECP患者比较差异均无统计学意义(P>0.05)。术后A组中1眼黄斑区鼻下方发生视网膜神经上皮层浅脱离,A组中3眼、B组中1眼黄斑区中心凹发生微囊样改变。结论高度...

关 键 词:高度近视眼  白内障  超声乳化术  光学相干断层扫描

Changes of macular area in highly myopic eyes after phacoemulsification evaluated by optic coherence tomography
LI Shi-wei,WU Qiang,LU Bin,WANG Wen-qing,CHEN Ying,FANG Jian. Changes of macular area in highly myopic eyes after phacoemulsification evaluated by optic coherence tomography[J]. Journal of Shanghai Jiaotong University:Medical Science, 2011, 31(8): 1090-1095. DOI: 10.3969/j.issn.1674-8115.2011.08.009
Authors:LI Shi-wei  WU Qiang  LU Bin  WANG Wen-qing  CHEN Ying  FANG Jian
Affiliation:LI Shi-wei,WU Qiang,LU Bin,WANG Wen-qing,CHEN Ying,FANG Jian(Department of Ophthalmology,the Sixth People's Hospital,Shanghai Jiaotong University,Shanghai200233,China)
Abstract:Objective To evaluate the macular changes and recovery of visual acuity in highly myopic patients after phacoemulsification. Methods One hundred and five patients(150 eyes) with cataract were divided into highly myopic group(group A,56 patients,80 eyes) and non-highly myopic group(group B,49 patiens,70 eyes),and phacoemulsification and intracapsular implantation of foldable intraocular lens were performed.In all patients,uncorrected visual acuity(UCVA) and best-corrected visual acuity(BCVA) were measured,mi...
Keywords:high myopia  cataract  phacoemulsification  optic coherence tomography  
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