Objective To observe clear corneal incision aberrations and contrast sensitivity corneal wavefront after 1.8 mm micro-incision phacoemulsification with different locations. Methods 86 patients (86 eyes) with age-related cataract in our Hospital Kenmin of Wuhan University were selected, use in randomization method divided into two groups according to different locations: temporal 10∶00 bit incision or temporal 2∶00 bit incision group: 43 cases (43 eyes); 12∶00 bit incision group: 43 cases (43 eyes). Corneal wavefront aberrations and contrast sensitivity were recorded preoperative and postoperative at 1 month and 3 months. Independent sample t tests, rank sum test, chi-square test were used. Results The differences of visual acuity between the 2 groups was statistically significant after 1 month and 3 months postoperation (χ2=8.053, 10.532, P<0.05). 1 month and 3 months postoperation Z42 in group A and group B were 0.03±0.04 μm and 0.09±0.06 μm, 0.03±0.03 μm and 0.08±0.04 μm, respectively. The difference was statistically significant (t=4.54, 4.93, P<0.05). The difference was statistically significant in total higher order aberrations (t=2.16, 2.76, P<0.05). There was no statistically significant differences in contrast sensitivity between the 2 groups 1 month and 3 months postoperation. Bright and bright glare under each spatial frequency conditions or dark and dark glare under different frequency conditions with statistically significant differences between the 2 groups (P<0.05). Conclusion 1.8 mm clear corneal incision phacoemulsification incision with temporal corneal incision has less wavefront aberrations and better visual quality than the 12∶00 incision, which is an ideal surgical incision site.
伟伟,邢怡桥. 不同位置1.8 mm切口白内障超声乳化术对视觉质量的影响[J]. 中华眼视光学与视觉科学杂志, 2014, 16(8): 461-464.
Wei Wei,Xing Yiqiao. Preliminary study on visual quality of 1.8 mm clear corneal incision phacoemulsification surgery with different locations. Chinese Journal of Optometry Ophthalmology and Visual science, 2014, 16(8): 461-464. DOI: 10.3760/cma.j.issn.1674-845X.2014.08.004
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