两种有晶状体眼后房型人工晶状体矫正高度近视的远期疗效

doi:10.3760/cma.j.issn.1674-845X.2014.12.004

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Abstract

Objective To compare the clinical efficacy of two types of implantable lenses： a posterior chamber phakic refractive lens （PC-PRL） and a phakic posterior chamber implantable collamer lens （PPC-ICL） in two groups of patients with high myopia. Methods This was a retrospective study. Ninety-eight myopic eyes of 51 high myopia patients were enrolled. Eighteen patients （33 eyes） were implanted with PC-PRLs （PRL group）， and the other 33 patients （65 eyes） were implanted with PPC-ICLs （ICL group）. Visual acuity， mainfest refraction， intraocular pressure， endothelial cell density， the distance between the posterior surface of the cornea to the lens， and contrast sensitivity （CS） were measured at least 2 years after the surgery. The occurrence of complications was also observed in the patients. An independent samples t test and Wilcoxon rank sum test were used for statistical analysis. Results A comparison of uncorrected visual acuity after surgery between the PRL and ICL groups did not show a significant difference （Z=-1.871， P＞0.05）. Intraocular pressure was 12.03±2.61 mmHg in the PRL group and 13.35±3.37 mmHg in the ICL group （t=-1.197， P＞0.05）， while endothelial cell density was 2 185±516 cells/mm2 in the PRL group and 2 341±405 cells/mm2 in the ICL group （t=-1.168， P＞0.05）. There was no significant difference in a comparison of the distance between the posterior surface of the cornea to the lens， nor was there a significant difference between the arc height of 0.37±0.15 mm in the PRL group and 0.41±0.17 mm in the ICL group （t=-1.120， P＞0.05）. In addition， there was no significant difference in CS at all spatial frequencies. In terms of complications， in the PRL group， the lens deviated in 1 patient （1 eye） and cataract developed in 1 patient （1 eye）； in the ICL group， a cataract developed in 1 patient （2 eyes） and posterior surface artificial crystals came in contact with the anterior surface of the lens which added to the opacity of the anterior capsule in 1 patient （2 eyes）. Conclusion There was no significant difference in the clinical efficacy between the PC-PRL and PPC-ICL implantation.

Key words： Phakic intraocular lenses Myopia,degenerative Therapy outcome

Corresponding Authors: Liao Rongfeng， Email： liaorfayfy@126.com

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	Lu Qinyi
	Liao Rongfeng
	Xia Weidong
	Yu Junqi
	Xia Chunli
	Fei Xiaoqing

Cite this article:

Lu Qinyi,Liao Rongfeng,Xia Weidong等. A comparative study of two types of implantable lenses for correcting high myopia： A posterior chamber phakic refractive lens and a collamer lens[J]. Chinese Journal of Optometry Ophthalmology and Visual science, 2014, 16(12): 717-721.

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https://www.cjoovs.com/EN/10.3760/cma.j.issn.1674-845X.2014.12.004 OR https://www.cjoovs.com/EN/Y2014/V16/I12/717

[1]	Alfonso JF， Palacios A， Montes-Mico R. Myopic phakic STAAR collamer posterior chamber intraocular lenses for keratoconus[J]. J Refract Surg，2008，24：867-874.
[2]	Verde CM， Teus MA， Arranz-Marquez E， et al. Medennium posterior chamber phakic refractive lens to correct high myopia[J]. J Refract Surg，2007，23：900-904.
[3]	夏春丽，廖荣丰. 有晶状体眼后房型人工晶状体植入矫正高度近视[J]. 中华眼视光学与视觉科学杂志，2013，15：743-746.
[4]	廉井财，廖华萍，周正申，等. 有晶状体眼人工晶状体植入术治疗超高度近视10年随访分析[J]. 眼科研究，2008，26：773-775.
[5]	罗岩，胡六梅，徐婧，等. 后房型有晶状体眼人工晶状体植入术治疗高度近视[J]. 中华眼视光学与视觉科学杂志，2012，14：551-554.
[6]	辜臻晟，盛耀华，祝肇荣，等. 胶原性眼内接触镜眼内植入后的生物相容性评价[J]. 中国临床康复，2006，10：202-205.
[7]	Sari ES， Pinero DP， Kubaloglu A， et al. Toric implantable collamer lens for moderate to high myopic astigmatism： 3-year-follow-up[J]. Graefes Arch Clin Exp Ophthalmol，2013，251： 1413-1422.
[8]	Hashemian SJ， Soleimani M， Foroutan A， et al. Toric implantable collamer lens for high myopic astigmatism in keratoconic patients after six months[J]. Clin Exp Optom，2013，96：225-232.
[9]	宫巧娥，刘玉璞，刘佩佩，等. ICL植入术对高度近视眼对比敏感度影响的研究[J]. 国际眼科杂志，2013，13：69-71.
[10]	廖荣丰，刘晓庆. 后房型有晶体眼人工晶体植入术与Lasik术矫正高度近视的疗效比较[J]. 安徽医药，2013，34：1587-1590.
[11]	Yu AY， Wang QM， Xue AQ， et al. Comparison of contrast sensitivity after angle-supported， iris-fixed and posterior chamber phakic intraocular lens implantation for high myopia[J]. Ophthalmologica，2008，222：53-57.
[12]	Trindate F， Pereira F. Cataract formation after posterior chamber phakic intraocular lens implantation[J]. J Cataract Refract Surg， 1998，24：1661-1663.
[13]	董喆，王宁利，甄毅，等. 后房型有晶状体眼人工晶状体植入术安全性的临床分析[J]. 眼科，2011，20：396-400.
[14]	Uusitalo RJ， Aine E， Sen NH， et al. Implantable contact lens for high myopia[J]. J Cataract Refract Surg，2002，28：29-36.
[15]	Gonvers M， Bornet C， Othenin GP. Implantable contact lens for moderate to high myopia： relationship of vaulting to cataract formation[J]. J Cataract Refract Surg，2003，29：918-924.
[16]	Gao J， Liao RF， Li N. Ciliary sulcus diameters at different anterior chamber depths in highly myopic eyes[J]. J Cataract Refract Surg，2013，29：1011-1016.
[17]	罗栋强，王华，段国平，等. ICL植入术矫正超高度近视的临床效果观察[J]. 国际眼科杂志，2013，13：131-133.
[18]	谢秀丽. ICL晶状体更换手术的有效性与安全性探讨[J]. 国际眼科杂志，2013，13：939-940.

[1]

Chinese Optometric Association, Chinese Ophthalmological Society; Ophthalmology and Optometry Committee, Ophthalmologists Association, Chinese Doctor Association; et al. Expert Consensus on Multifocal Soft Contact Lens Fitting for Myopia Control (2023)[J]. Chinese Journal of Optometry Ophthalmology and Visual science, 2023, 25(8): 561-567.