山东大学耳鼻喉眼学报 ›› 2016, Vol. 30 ›› Issue (6): 75-77.doi: 10.6040/j.issn.1673-3770.0.2016.059

• 论著 • 上一篇    下一篇

中老年白内障人群角膜散光的分布规律

刘露,梁皓   

  1. 广西医科大学第一附属医院眼科, 广西 南宁 530021
  • 收稿日期:2016-02-22 出版日期:2016-12-16 发布日期:2016-12-16
  • 通讯作者: 梁皓. E-mail:gxnn_lianghao@163.com E-mail:83547459@qq.com

Distribution of corneal astigmatism among middle aged and senior citizens with cataract.

LIU Lu, LIANG Hao   

  1. Department of Ophthalmology, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi, China
  • Received:2016-02-22 Online:2016-12-16 Published:2016-12-16

摘要: 目的 了解中老年白内障人群术前角膜散光的分布规律。 方法 收集2014年7月至2015年10月在广西医科大学第一附属医院就诊的489例(630眼)白内障患者性别、年龄、民族、角膜散光、角膜最小曲率、角膜最大曲率,并按性别、年龄、眼别、散光类型分组。 结果 研究对象中男234例(302眼),女255例(328眼); 47~98岁。散光度数>2.00 D 者32眼(5.08%), 1.01~2.00 D者175眼(27.78%),≤1.00 D者423眼(67.14%);散光度数与年龄呈正相关(r=0.193, P=0.020);顺规散光240眼(38.10%),逆规散光360眼(57.14%),斜轴散光30眼(4.76%)。随着年龄的增长,顺规散光所占比例越来越小,而逆规散光所占比例越来越大,斜轴散光无明显变化趋势。 结论 随着年龄增长,白内障人群散光度数有增大的趋势,散光类型有顺规散光逐渐向逆规散光变化的趋势。

关键词: 白内障, 年龄, 角膜散光

Abstract: Objective To study the distribution of corneal astigmatism among middle aged and senior citizens with cataract. Methods The gender, age, nation, corneal astigmatism,minimum value of corneal curvature and maximum value of corneal curvature of 489 cataract patients(630 eyes)from First Affiliated Hospital of Guangxi Medical University between July 2014 and October 2015 were collected, and the patients were divided into groups according to their gender, age, eyes and astigmatism type. Results The subjects in this study were aged between 47 and 98 years, among whom 234(302 eyes)were male and 255(328 eyes)were female. The astigmatic power were bigger than 2.00 D in 32 eyes(5.08%), between 1.01D and 2.00 D in 175 eyes(27.78%), and smaller than 1.00 D in 423 eyes(67.14%). The astigmatic power was positively correlated with the age(r=0.193, P=0.020). With-the-rule astigmatism was found in 240 eyes(38.10%),against-the-rule astigmatism in 360 eyes(57.14%), and oblique astigmatism in 30 eyes(4.76%). With the increase of age, the portion of with-the-rule astigmatism became smaller, the portion of against-the-rule astigmatism became bigger, but no definite trend was found for oblique astigmatism. Conclusion With the increase of age, the corneal astigmatism in cataract patients has an increase trend, and with-the-rule astigmatism gradually changes into against-the-rule astigmatism.

Key words: Cataract, Corneal astigmatism, Age

中图分类号: 

  • R776.1
[1] Khan M I, Muhtaseb M. Prevalence of corneal astigmatism in patients having routine cataract surgery at a teaching hospital in the United Kingdom[J]. J Cataract Refract Surg, 2011, 37(10):1751-1755.
[2] Ferrer-Blasco T, Montes-Mico R, Peixoto-De-Matos S C, et al. Prevalence of corneal astigmatism before cataract surgery[J]. J Cataract Refract Surg, 2009, 35(1):70-75.
[3] Lekhanont K, Wuthisiri W, Chatchaipun P, et al. Prevalence of corneal astigmatism in cataract surgery candidates in Bangkok, Thailand[J]. J Cataract Refract Surg, 2011, 37(3):613-615.
[4] Ercegovic A, Brajkovic J, Surac I K, et al. Prevalence, distribution and types of corneal astigmatism in cataract surgery patients in Sibenik County[J].Acta Clin Croat, 2012, 51(2):275-278.
[5] Hoffmann P C, Hütz W W. Analysis of biometry and prevalence data for corneal astigmatism in 23,239 eyes[J]. J Cataract Refract Surg, 2010, 36(9):1479-1485.
[6] Isyaku M, Ali S A, Hassan S. Preoperative corneal astigmatism among adult patients with cataract in Northern Nigeria[J]. Indian J Ophthalmol, 2014, 62(11):1094-1095.
[7] Chen W, Zuo C, Chen C, et al. Prevalence of corneal astigmatism before cataract surgery in Chinese patients[J]. J Cataract Refract Surg, 2013, 39(2):188-192.
[8] Guan Z, Yuan F, Yuan Y Z, et al. Analysis of corneal astigmatism in cataract surgery candidates at a teaching hospital in Shanghai, China[J]. J Cataract Refract Surg, 2012, 38(11):1970-1977.
[9] Yuan X, Song H, Peng G, et al. Prevalence of corneal astigmatism in patients before cataract surgery in northern China[J]. J Ophthalmol, 2014, 2014:536412. doi: 10.1155/2014/536412.
[10] 李翯.不同方法测量近视眼角膜曲率的比较[J].眼科新进展,2011,31(7):670-672. LI He. Comparison of corneal curvature by different methods in myopic eyes[J]. Recent Advances in Ophthalmology, 2011, 31(7):670-672.
[11] 何明光,林智,黄娟,等.广州荔湾区学龄儿童的屈光不正患病率的现状调查[J].中华眼科杂志,2008, 44(6):491-496. HE Mingguang, LIN Zhi, HUANG Juan, et al. Population-based survey of refractive error in school-aged children in Liwan District, Guangzhou[J]. Chinese Journal of Ophthalmology, 2008, 44(6):491-496.
[12] Nichamin L D. Astigmatism control[J]. Ophthalmol Clin North Am, 2006, 19(4):485-493.
[13] Wu H K. Astigmatism and LASIK[J]. Curt Opin Ophthalmol, 2002, 13(4):250-256.
[14] Hashemi H, Asgari S, Emamian M H, et al. Age-related changes in corneal curvature and shape: the Shahroud eye cohort study[J]. Cornea, 2015, 34(11):1456-1458.
[1] 李厚秀,刘中华,陈智. 白内障超声乳化术中后囊膜破裂风险因素分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 88-90.
[2] 高雪,郝琳琳,刘少华,张晗. 两种人工晶体计算公式预测闭角型青光眼合并白内障患者超声乳化手术后屈光度准确性的比较[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 68-71.
[3] 郑晚秋,万文娟,李灿. 前房维持器在白内障术中后囊破裂的应用[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 9-12.
[4] 魏超, 张晗. 多焦点人工晶状体的临床应用进展[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 29-35.
[5] 毕宏生. 精准屈光性白内障手术规划[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 1-4.
[6] 杨玉焕,张婕,张锦鹏,严宏. Pentacam系统监测散瞳对白内障患者手术前后前节参数的影响[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 5-8.
[7] 田靖,廖萱,兰长骏,谭青青,林佳,文佰伟. 不同球差非球面人工晶状体眼高阶像差比较[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 13-17.
[8] 冀帅飞,张婕,严宏. 年龄相关性黄斑变性患者人工晶状体的选择[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 36-39.
[9] 王翠,颜昕,赵博军. IVR联合PDT治疗湿性年龄相关性黄斑变性的临床观察[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 94-97.
[10] 翁碧艳,柳灿. 巩膜隧道切口和透明角膜切口对白内障超声乳化摘除术患者术后泪膜的影响[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 80-83.
[11] 赵露,谢国丽,王艳玲. 玻璃体腔注射雷珠单抗对湿性年龄相关性黄斑变性患者眼血流动力学的影响[J]. 山东大学耳鼻喉眼学报, 2016, 30(4): 101-104.
[12] 邓志峰. 改良白内障超声乳化术的临床研究[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 85-88.
[13] 林莉,杨旭. 白内障术后角膜上皮功能障碍治疗的疗效分析[J]. 山东大学耳鼻喉眼学报, 2016, 30(2): 84-86.
[14] 刘钊, 吴昌睿, 高宁. 白内障超声乳化摘除手术对睑板腺功能的影响[J]. 山东大学耳鼻喉眼学报, 2015, 29(6): 68-70.
[15] 陈春丽, 宋宗明, 贾新国, 周仲楼, 汪朝阳. 促红细胞生成素抑制氧化损伤诱导的人眼Müller细胞凋亡[J]. 山东大学耳鼻喉眼学报, 2015, 29(3): 65-71.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!