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可调节式后房型人工晶体植入的临床观察.doc

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可调节式后房型人工晶体植入的临床观察.doc

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文档介绍:1 可调节式后房型人工晶体植入的临床观察作者; 刘新泉,郭鸣华,杨秋菊,陈洁,陈潞,徐芳[摘要] 目的探讨可调节式后房型人工晶体植入术后的临床疗效及调节效果。方法将 11例( 16眼) 单纯性白内障用超声乳化摘除并植入 1CU 可调节后房型人工晶体作为研究组,同时随机选取同期植入 SN60AT 后房型人工晶体 10 例( 13 眼)作为对照组。手术后随访 3 个月以上,主要观察远视力、最佳矫正远视力; 35cm 近视力、最佳矫正近视力; 前房深度的变化及调节力的测定( 分别用主观法和客观法)。结果 1CU 可调节后房型人工晶体具有很好的组织耐受性, 在囊袋中稳定, 居中性好。研究组与对照组裸眼远视力分别为 ± 和 ± ,差异有显著性(t= , ) ; 最佳矫正远视力分别为 ± 和 ± , 差异无显著性(t= , ) 。 35cm 近视力分别为 ± 和 ± , 差异有显著性(t= , ) ; 最佳矫正近视力分别为 ± 和 ± ,差异有显著性(t= , ) 。两组调节幅度主观法( D )分别为 ± 和 ± ,差异无显著性(t=- , ) ;客观法( D)分别为 ± 和 ± ,差异有非常显著性(t=- , 2 ) 。在用 2 %毛果芸香碱后前房深度变浅( mm ) 分别为 ± 和 ± ,差异有非常显著性(t=4 , ) 。结论这种可调式后房型人工晶体早期观察的结果具有良好的术后视功能, 比普通的人工晶体具有更大的调节范围, 但仍需要观察随着手术后的时间延长其屈光状态和调节能力的变异性及稳定性情况。[关键词] 超声乳化;晶状体,人工;前房深度;调节力; 1CU Clinical effects of an modative PC-IOL after implantation [ Abstract ] Objective To evaluate the clinical effectiveness and modative range after implanting the 1CU modative PC-IOL (1CU).Methods 11 cases (16 eyes) had phacoemulsification and implantation of 1CU (HumanOptics). The other age 拟 matched 10 cases (13eyes) were implanted with conventional IOLs (SN60AT) as the control group. Naked and best corrected distant acuity , naked and best corrected near acuity at 35cm were determined and the change in the anterior chamber depth measured after 3 months and amplitude of modation was measured with subjective and objective 3 The 1CU modative PC-IOLs after implantation had good centered and stable and no IOL-plications. Naked distant acuity of the eyes with 1CU and with SN60AT were ± and ± respectively between which there was significantly statistical differences (t= , ). The best corrected distant acuity of both groups was ± and ± respectively between which no statistically significant(t= , ).The near acuity at 35cm w