Objective To evaluate surgically induced astigmatism (SIA) resulting from femtosecond laser-assisted phacoemulsification cataract surgery with a 2.2 mm clear corneal incision. Methods A prospective, comparative analysis was performed in a case series. A total of 105 eyes of 84 patients (from No. 1 cataract department of Shanxi Eye Hospital) who underwent femtosecond laser-assisted phacoemulsification cataract surgery between March 2014 and April 2016 were enrolled in this study. The main outcomes were a comparison of SIA, far visual acuity, and spherical refractive power preoperatively and 1, 3, and 6 months postoperatively. Distance visual acuity was recorded as logMAR. Based on follow-up times (1, 3, and 6 months postoperatively), lens nucleus hardness (grades Ⅱ, Ⅲ, Ⅳ), corneal astigmatism types (with-the-rule, against-the-rule, oblique) and laterality (left, right), SIA was analyzed using Alphins vector analysis. Data were analyzed using repeated measured ANOVA. Results The mean preoperative logMAR visual acuity was 0.65±0.24, which was significantly different from postoperative logMAR visual acuity at 1 month (0.07±0.02), 3 months (0.06±0.01), and 6 months (0.06±0.01). No significant logMAR visual acuity differences were found at the three postoperative follow-up times. SIAs at 1, 3, and 6 months after surgery were 0.28±0.11 D, 0.25±0.13 D, 0.24±0.10 D, respectively. No statistically significant differences in SIA were found when postoperative follow-up times (1, 3, and 6 months) and factor groups for lens nucleus hardness (grades II, Ⅲ, Ⅳ), corneal astigmatism types (with-the-rule, against-the-rule, oblique) and laterality (left, right) were compared. Conclusion Femtosecond laser-assisted phacoemulsification cataract surgery using a 2.2 mm clear corneal incision can provide stable SIA and better postoperative visual acuity.
李博,张素华,张哲,等. 2.2 mm透明角膜切口飞秒激光辅助白内障超声乳化手术术源性散光的临床研究. 中华眼视光学与视觉科学杂志, 2016, 18(11):654-659. DOI:DOI:10.3760/cma.j.issn.1674-845X.2016.11.004.
Li bo,Zhang Suhua,Zhang Zhe,et al. Investigation of surgically induced astigmatism resulting from femtosecond laser-assisted cataract surgery using a 2.2 mm clear corneal incision. Chinese Journal of Optometry Ophthalmology and Visual science, 2016, 18(11):654-659.
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