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发表评论 伴发青光眼对人工晶体度数计算准确性的影响
- 作者: Belov D.F.1, Nikolaenko V.P.1,2
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隶属关系:
- Saint Petersburg State Hospital No. 2
- Saint Petersburg State University
- 期: 卷 13, 编号 1 (2020)
- 页面: 5-9
- 栏目: Original study articles
- URL: https://journal-vniispk.ru/ov/article/view/19025
- DOI: https://doi.org/10.17816/OV19025
- ID: 19025
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目的 探讨在进行超声乳化术前评估伴发青光眼（包括已接受抗青光眼手术治疗的）对人工晶体(IOL)度数计算准确性的影响。材料和方法 该研究共纳入了 413 例患者，并将其分为4组: 第一组—无伴发青光眼的白内障患者(251 例); 第二组—白内障合并原发性开角型青光眼且使用药物降压治疗的患者(103 例); 第三组 — 接受过小梁切除术的白内障患者(42 例); 第四组 — 白内障合并原发性闭角型青光眼且使用药物降压治疗的患者(17例)。使用 IOL-Master 500 仪器通过光学生物测量法对所有患者均进行了IOL计算。一个月后，将根据 Barrett Universal II 公式计算得出的屈光度和根据 Topcon-8800 自动验光仪得出的屈光度进行对比。
结果 在前三组的研究中IOL计算的准确性没有显著差异 (每组对应的计算误差分别为 –0.09 ± 0.39 D,
–0.08 ± 0.45 D, –0.03 ± 0.49 D)。然而在第四组中显示较明显的近视屈光偏移(–0.47 ± 0.48 D, p = 0.095)。
结论 针对白内障合并青光眼且使用药物降压治疗以及接受过小梁切除术的患者在IOL计算算法上并未进行任何修改。但是，为了避免超声乳化术后近视屈光度过高，针对原发性闭角型青光眼的患者建议选择小 0.5 D 的人工晶体。
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作者简介
Dmitrii Belov
Saint Petersburg State Hospital No. 2
编辑信件的主要联系方式.
Email: belovd1990@gmail.com
Ophthalmic Surgeon. Microsurgery Department No. 4
俄罗斯联邦, Saint PetersburgVadim Nikolaenko
Saint Petersburg State Hospital No. 2; Saint Petersburg State University
Email: dr.nikolaenko@mail.ru
MD, PhD, Professor, Otorhinolaryngology and Ophthalmology Chair of Medical Faculty
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