有晶体眼后房型人工晶体植入与飞秒激光微小切口角膜基质透镜切除术矫正高度近视对眼表影响分析

doi:10.6040/j.issn.1673-3770.1.2017.030

山东大学耳鼻喉眼学报 ›› 2017, Vol. 31 ›› Issue (4): 18-20.doi: 10.6040/j.issn.1673-3770.1.2017.030

• 屈光性白内障手术·论著 • 上一篇下一篇

有晶体眼后房型人工晶体植入与飞秒激光微小切口角膜基质透镜切除术矫正高度近视对眼表影响分析

徐静静¹,郭海科^1,2

1.厦门大学附属厦门眼科中心, 福建厦门 361000;
2.上海和平眼科医院, 上海 200000

收稿日期:2017-07-12 出版日期:2017-08-16 发布日期:2017-08-16
通讯作者: 郭海科. E-mail:guohaike@hotmail.com

Analysis of the effects of implantable contact lens and femtosecond laser small incision lenticule extraction for high myopia on ocular surface.

XU Jingjing¹, GUO Haike^1,2

1. Xiamen University Affiliated Xiamen Eye Center, Xiamen 361000, Fujian, China;2. Shanghai Peace Eye Hospital, Shanghai 200000, China

Received:2017-07-12 Online:2017-08-16 Published:2017-08-16

摘要/Abstract

摘要： 目的比较有晶体眼后房型人工晶体(ICL)植入与全飞秒激光微小切口角膜基质透镜切除术(SMILE)对高度近视患者眼表的影响。方法高度近视患者23例(46眼)分为两组,11例(22眼)行SMILE,12例(24眼)行ICL植入术,比较两组患者术后1个月、3个月的泪膜破裂时间及泪河高度。结果术后1个月,两组患者平均泪膜破裂时间均短于术前,两组患者泪河高度均低于术前,差异均无统计学意义。术后3个月,两组患者平均泪膜破裂时间基本恢复至术前水平,两组患者泪河高度低于术前,差异均无统计学意义。结论 ICL植入与SMILE对患者泪膜破裂时间及泪河高度的影响无明显差异,手术后的泪河高度降低可能与术后用药有关。

关键词: 有晶体眼后房型人工晶体, 高度近视, 全飞秒激光微小切口角膜基质透镜切除术

Abstract: Objective To compare differences in tear rupture time and tear meniscus height between patients with high myopia who received an implantable contact lens(ICL)or who underwent femtosecond laser small incision lenticule extraction(SMILE). Methods Of 23 patients(46 eyes)with high myopia, 11(22 eyes)underwent SMILE and 12(24 eyes)underwent ICL. At 1 and 3 postoperative months, the two groups were compared for tear film rupture time and tear stream height differences, and statistical analysis of the results was performed. Results The mean tear-film rupture times in the ICL group and SMILE group were shorter than before surgery, but there was no significant difference between the two groups(P>0.05). The mean tear-film rupture time returned to preoperative levels at 3 months after surgery. The tear meniscus height in the ICL group and the SMILE group was still lower than before surgery, but the difference was not statistically significant(P>0.05). Conclusion There was no significant difference in tear-film rupture time and tear meniscus height between posterior chamber ICL and SMILE. The reduced tear meniscus height after surgery may be related to medication.

Key words: Implantable collamer lens, femtosecond laser small incision lenticule extraction, High myopia

中图分类号:

R776

徐静静,郭海科. 有晶体眼后房型人工晶体植入与飞秒激光微小切口角膜基质透镜切除术矫正高度近视对眼表影响分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 18-20.

XU Jingjing, GUO Haike. Analysis of the effects of implantable contact lens and femtosecond laser small incision lenticule extraction for high myopia on ocular surface.[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 18-20.

参考文献

[1] Holden BA, Fricke TR, Wilson DA, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050[J]. Ophthalmology, 2016, 123(5):1036-1042.
[2] Resnikoff S, Pascolini D, Mariotti SP, et al. Global magnitude of visual impairment caused by uncorrected refractive errors in 2004[J]. Bull WHO, 2008, 86(1):63-70.
[3] Kasetsuwan N, Satitpitakul V, Changul T, et al. Incidence and pattern of dry eye after cataract surgery[J]. PLoS ONE, 2013, 8(11):e78657.
[4] Baujat B, Krastinova D, Bach CA, et al. Orbital morphology in exophthalmos and exorbitism[J]. Plast Recon Surg, 2006, 117(2):542-552.
[5] Satchi K, McNab AA. Orbital decompression in the treatment of proptosis due to high axial myopia[J]. Ophthal Plast Reconstr Surg, 2010, 26(6):420-425.
[6] Murube J, Benítez del Castillo JM, Chenzhuo L, et al. The Madrid triple classification of dry eye[J]. Arch Soc Esp Oftalmol, 2003, 78(11):587-593.
[7] Ilhan N, Ilhan O, Ayhan Tuzcu E, et al. Is there a relationship between pathologic myopia and dry eye syndrome [J]. Cornea, 2014, 33(2):169-171.
[8] 毛祖红,王乐, 邵毅,等. 不同方位切口对角膜神经损伤及泪膜功能影响相关性研究[J]. 眼科新进展,2013,33(12):1143-1147. MAO Zuhong, WANG Le, SHAO Yi, et al. Effects of different incision in phacoemulsification on corneal nerve injury and tear film function[J]. Rec Adv Ophthalmol, 2013, 33(12):1143-1147.
[9] 刘祖国,罗丽辉,张振平,等. 超声乳化白内障吸除术后泪膜变化[J]. 中华眼科杂志,2002,38(5):274-277. LIU Zuguo, LUO Lihui, ZHANG Zhenping, et al. Tear film changes after phacoemulsification[J]. Chin J Ophthalmol, 2002, 38(5):274-277.
[10] 陆博,张劲松. 人工泪液对年龄相关性白内障术后患者泪膜的影响[J]. 国际眼科杂志,2007,7(4):1006-1008. LU Bo, ZHANG Jinsong. The effect of artificial tears on tear film changes after phacoemulsification and intraocular lens implantation[J]. Int J Ophthalmol, 2007, 7(4):1006-1008.
[11] 张媛,贾冰冰,张岩,等. Oculus角膜地形图仪对飞秒激光Lasik术后泪膜分析[J]. 国际眼科杂志,2014,14(6):1116-1118. ZHANG Yuan, JIA Bingbing, ZHANG Yan, et al. Analysis on tear film after LASIK by femtosecond laser with oculus corneal topography[J]. Int J Ophthalmol, 2014, 14(6):1116-1118.

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有晶体眼后房型人工晶体植入与飞秒激光微小切口角膜基质透镜切除术矫正高度近视对眼表影响分析

Analysis of the effects of implantable contact lens and femtosecond laser small incision lenticule extraction for high myopia on ocular surface.

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