超高度近视性白内障超声乳化术后的视功能分析

doi:10.3760/cma.j.issn.1674-845X.2018.09.010

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摘要

目的：分析超高度近视性白内障患者施行超声乳化吸除联合人工晶状体植入术后视功能。方法：回顾性系列病例研究。收集2015年1月至2016年1月期间上海交通大学医学院附属新华医院同一高年资医师完成的超高度近视（眼轴≥27 mm）白内障手术患者53例（81眼），依据眼轴将患者分为< 29 mm、29～31 mm、> 31 mm 3组。在术后1周、1个月、3个月行最佳矫正远视力、裸眼近视力以及微视野检查。数据处理采用Kruskal-Wallis检验。结果：患者以核性白内障为主，其中Ⅲ、Ⅳ、Ⅴ级核患者分别占90%（73眼）、9%（7眼）、1%（1眼）。术后1周、1个月、3个月及6个月最佳矫正远视力及近视力在3组间均随着眼轴长度增加而下降，但3组间差异无统计学意义。MARA微视野检测3组患者黄斑完整度、注视稳定性术后正常眼的比例与眼轴无明显关系，但平均光敏感度阈值正常比例随着眼轴长度增加而下降。结论：超高度近视伴发白内障患者，术前、术后最佳矫正远视力、近视力及黄斑功能随着眼轴的增长，都呈下降趋势。

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	辜臻晟
	陈孝霞
	龚莹莹
	王军良

关键词 ：超高度近视, 超声乳化术, 视功能

Abstract：

Objective: To analyze visual function after phacoemulsification in patients with super high myopia with cataract. Methods: Fifty-three patients (81 eyes) underwent cataract surgery by the same surgeon from January 2015 to January 2016 in Xin Hua Hospital Medical College of Shanghai Jiao Tong University. The patients were divided into three groups based on axial length: < 29 mm, 29-31 mm and > 31 mm. Postoperative best corrected distant visual acuity (BCDVA) and uncorrected near visual acuity (UCNVA) was measured and compared at one week, one month, and three months after surgery. Mara (4-2 strategy) were measured and analyzed three months after surgery. Data were analyzed using Kruskal-Wallis test. results: Patients with nuclear cataract classes Ⅲ, Ⅳ and Ⅴ were accounted for 90% (73 eyes), 9% (7 eyes), 1% (1 eye), respectively.The mean value of postoperative BCDVA and UCNVA all declined as axial length (AL) increased but the differences were not statistically significant between groups (P > 0.05). The ratio of normal macular integrity and fixation stability was not correlated with axial length. The ratio of the normal average threshold declined as AL increased. conclusions: In patients with super high myopia with cataract, the BCDVA, UCNVA, and retinal function show a tendency to decline with an increase of axial length.

Key words： super high myopia phacoemulsification visual function

收稿日期: 2017-12-20

通讯作者: 辜臻晟（ORCID：0000-0001-6704-9261），Email：poohgu@hotmail.com 王军良（ORCID：0000-0002-4821-8442），Email：775345903@qq.com

引用本文:

辜臻晟,陈孝霞,龚莹莹,王军良. 超高度近视性白内障超声乳化术后的视功能分析[J]. 中华眼视光学与视觉科学杂志, 2018, 20(9): 561-565. Zhensheng Gu,Xiaoxia Chen,Yingying Gong,Junliang Wang. Analysis of Visual Function after Phacoemulsification in Patients with Super High Myopia with cataract. Chinese Journal of Optometry Ophthalmology and Visual science, 2018, 20(9): 561-565. DOI: 10.3760/cma.j.issn.1674-845X.2018.09.010

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https://www.cjoovs.com/CN/10.3760/cma.j.issn.1674-845X.2018.09.010 或 https://www.cjoovs.com/CN/Y2018/V20/I9/561

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