玻璃体切割联合白内障超声乳化及IOL植入术中运用飞秒激光的临床研究

目的：分析玻璃体切割联合白内障超声乳化及人工晶状体(IOL)植入术中应用飞秒激光的临床价值。
　　方法：收集2013-10-31/2015-10-31在我院就诊需行玻璃体切割联合白内障超声乳化及 IOL 植入术的患者100例102眼，分为两组：常规手术组50例52眼和飞秒激光组50例50眼。比较两组患者总的手术时间、术后并发症(眼压升高、葡萄膜炎、玻璃体出血、视网膜脱离)，比较术后6mo 的眼压、近视力、远视力、裸眼视力、矫正视力。
　　结果：两组患者总的手术时间有统计学差异(P<0.05)，两组患者术后眼压升高、葡萄膜炎、玻璃体出血、视网膜脱离差异均无统计学意义(P>0.05)；术后6mo 眼压、近视力、远视力、裸眼视力、矫正视力比较，差异均无统计学意义(P>0.05)。
　　结论：飞秒激光辅助的玻璃体切割联合白内障超声乳化及 IOL 植入术同常规手术一样，有较高的安全性和疗效，且具有精确、高效等优点。

Clinical study of femtosecond laser in vitrectomy combined with phacoemulsification and intraocular lens implantation

AIM: To analyze the clinical value of femtosecond laser in vitrectomy combined with phacoemulsification and intraocular lens(IOL)implantation.

METHODS:We selected 100 patients(102 eyes)undergoing vitrectomy combined with phacoemulsification and IOL implantation in our hospital from October 31 2013 to October 31 2015. They were divided into routine operation group, 50 cases(52 eyes), and femtosecond laser group, 50 cases(50 eyes). The parameters were compared between the two groups, including total operation time, postoperative complications(elevated intraocular pressure, uveitis, vitreous hemorrhage, and retinal detachment), postoperative intraocular pressure and postoperative half of the visual acuity(near visual acuity, visual acuity, uncorrected visual acuity, corrected visual acuity).

RESULTS: The difference on total operation time of the two groups was statistically significant(P<0.05). The differences between the two groups on postoperative intraocular pressure, uveitis, vitreous hemorrhage, retinal detachment were not statistically significant(P>0.05). There were no significant differences on internal pressure, near visual acuity, far visual acuity, uncorrected visual acuity, corrected visual acuity at 6mo after surgery(P>0.05).

CONCLUSION: Femtosecond laser in vitrectomy combined with phacoemulsification and IOL implantation has a high safety and efficacy with the advantages as accurate, efficient.