眼科 ›› 2014, Vol. 23 ›› Issue (4): 267-271.doi: 10.13281/j.cnki.issn.1004-4469.2014.04.013

• 论著 • 上一篇    下一篇

囊袋张力环对合并高度近视的晶状体半脱位患者术后屈光预测准确性的影响

王洪涛  丁宁  宋旭东   

  1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室
  • 收稿日期:2014-04-08 出版日期:2014-07-25 发布日期:2014-07-22
  • 通讯作者: 宋旭东,Email:drxdsong@sina.com

The influence of capsular tension ring on post-operation refraction in lens subluxation patients combined with high myopia 

WANG Hong-tao, DING Ning, SONG Xu-dong.   

  1. Beijing Tongren Eye Centre, Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2014-04-08 Online:2014-07-25 Published:2014-07-22
  • Contact: SONG Xu-dong, Email: drxdsong@sina.com

摘要: 目的 观察囊袋张力环(CTR)植入对于合并高度近视的晶状体半脱位患者术后屈光预测的影响。设计 回顾性病例系列。研究对象 2013年1-12月北京同仁医院眼科白内障中心行白内障超声乳化摘除联合人工晶状体(IOL)植入及CTR植入的合并高度近视的晶状体半脱位患者20例(20眼)。同时期连续行白内障超声乳化未植入CTR的患者20例(20眼)作为对照组。方法 回顾患者病历中手术前、后的视力、眼压、内皮细胞计数、屈光状态资料,记录预期屈光度,并计算术后屈光度偏差(术后验光值与术前预留度数的差值)。主要指标 预期屈光度、屈光度偏差。 结果 CTR植入组和对照组预期屈光度数分别为(-1.29±0.34)D、(-1.16±0.39)D (P=0.31);术后3个月的屈光偏差值分别为(1.38±0.43)D、(1.71±0.32)D(P=0.06)。两组均无术后远视偏差发生。结论 囊袋张力环植入对于合并高度近视的晶状体半脱位患者的术后屈光状态无显著性影响,无需调整IOL计算公式和预期度数。(眼科, 2014, 23: 267-271)

关键词: 囊袋张力环, 高度近视, 晶状体半脱位, 屈光偏差

Abstract: Objective To research the influence of capsular tension ring (CTR) on post-operation refraction in lens subluxation patients combined with high myopia.  Design Retrospective case series. Participants 20 patients (20 eyes) with high myopia were performed phacoemulcificatioan and IOL implantation as control group. 20 patients (20 eyes) with high myopia were performed phacoemulcification, IOL and CTR implantation as observed group. All patients came from Beijing Tongren Hospital in Jan. 2013 to Dec. 2013. Method The visual acuity, intraocular pressure, corneal endothelium, and refraction before and after surgery in both groups were reviewed and compared. Main Outcome Measures Visual acuity, intraocular pressure, coneal endothelium, and refrection predication error. Results Predicative refractive degree in observed group and control group was (-1.29±0.34) D, (-1.16±0.39) D (P=0.31). Refractive prediction error in observed group and control group in 3 months after phacoemulcification was (1.38±0.43) D, (1.71±0.32) D, respectively (P=0.06). There was no hyperopia error in two groups after phacoemulcification. Conclusion Capsular tension ring implantation had no significant effect on refractive error in lens subluxation patients combined with high myopia. There is no necessity to additional adjusting IOL calculating formula in these patients.  (Ophthalmol CHN, 2014, 23: 267-271)

Key words: capsular tension ring, high myopia, lens subluxation, refractive predication error