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

Abstract

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

CLC Number:

R776

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.

References

[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.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed

Comments

Recommended 0

No Suggested Reading articles found!

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

PDF (PC)

Abstract

Cite this article

share this article

References

Related Articles 4

Metrics

Comments

Recommended 0

[1]	LI Xi, LI Shuyi, XU Wen. Diagnosis and treatment of reverse implantable collamer lens orientation: A case report. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 40-42.
[2]	ZHU Zi-cheng, WEN Yue-chun, WU Zhang-you, KE Gen-jie. Effects of different intraocular lens on macula area of high myopia associated with cataract [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 40-43.
[3]	TANG Dong-yong, TAN Shao-jian, LIANG Hao, HE Jian, LI Xia. Effect of posterior vitreous detachment in high myopia eyes after Bigbag intraocular lens implantation [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(3): 50-53.
[4]	WANG Jingxin¹, GU Baomin², ZHANG Lili¹, XIAO Ping¹, LIU Jianru¹, WANG Liying¹ . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(2): 83-85 .