80例新生儿白内障术后屈光分析
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摘要
目的探讨新生儿白内障术后屈光状态。方法随机抽选2014年1月—2016年2月昆明医科大学附属儿童医院眼科收治入院的80例白内障新生儿,均为单眼先天性白内障,确诊后行超声乳化白内障吸除联合前段玻璃体切除术,采用全自动电脑验光机及A/B型超声测量仪测量角膜曲率及眼轴,根据SRK II公式计算人工晶状体屈光度,对比术前不同测量技术对术后屈光度的影响。结果该组80例新生儿白内障手术前采取的测量技术不同,术后屈光度分别为[(0.687±0.62)D vs(1.342±0.25)D],组间比较差异有统计学意义(t=13.878,P<0.05)。结论 A型超声测量仪可有效降低白内障术后屈光不正的发生率,从而保证手术效果。
Objective To study the refraction of newborns after the cataract surgery. Methods 80 cases of cataract newborns admitted and treated in the department of ophthalmology in our hospital from January 2014 to February 2016 were random selected and all patients were with monocular congenital cataract, and the patients were treated with phacoemulsification combined with anterior vitrectomy after confirmation, and the corneal curvature and axis oculi were measured by the full automatic computer optometry machine and A/B type ultrasonic measuring instrument, and the intraocular lens diopter was calculated by the SRK II, and the effect of different measures before operation on the diopter after operation was compared.Results In the group, difference in the diopter after operation between different measurement technologies had statistical significance, [(0.687±0.62)D vs(1.342±0.25)D], and the difference between groups had statistical significance(t=13.878,P<0.05). Conclusion The type A ultrasound measurement instrument can effectively reduce the incidence rate of refractive error after cataract surgery thus ensuring the operating effect.
Objective To study the refraction of newborns after the cataract surgery. Methods 80 cases of cataract newborns admitted and treated in the department of ophthalmology in our hospital from January 2014 to February 2016 were random selected and all patients were with monocular congenital cataract, and the patients were treated with phacoemulsification combined with anterior vitrectomy after confirmation, and the corneal curvature and axis oculi were measured by the full automatic computer optometry machine and A/B type ultrasonic measuring instrument, and the intraocular lens diopter was calculated by the SRK II, and the effect of different measures before operation on the diopter after operation was compared.Results In the group, difference in the diopter after operation between different measurement technologies had statistical significance, [(0.687±0.62)D vs(1.342±0.25)D], and the difference between groups had statistical significance(t=13.878,P<0.05). Conclusion The type A ultrasound measurement instrument can effectively reduce the incidence rate of refractive error after cataract surgery thus ensuring the operating effect.
引文
[1]洪莲花,李英俊.干眼对年龄相关性白内障患者人工晶状体度数测量和计算准确性的影响[J].中华实验眼科杂志,2016,34(2):170-174.
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[5]郑虔,赵镇南,廉恒丽,等.轴性高度近视眼超声乳化白内障吸除联合人工晶状体植入术后屈光度数误差分析[J].中华眼科杂志,2015,51(4):276-281.
[6]Fernandes,Philana,O'Donnell,et al.Intestinal Expression of Fas and Fas Ligand Is Upregulated by Bacterial Signaling through TLR4 and TLR5,with Activation of Fas Modulating Intestinal TLR-Mediated Inflammation[J].The Journal of Immunology:Official Journal of the American Association of Immunologists,2014,193(12):6103-6113.
[7]李铁兵.论对白内障的手术治疗方法的探析[J].中国卫生产业,2012,9(31):180.
[8]杨小红,郭瑞,尹东明,等.早产儿及早产儿视网膜病变婴幼儿屈光状态的临床分析[J].实用医学杂志,2013,29(16):2660-2662.
[9]宋秋平,彬川.玻璃体切除联合白内障超声乳化吸出与非联合手术屈光状态变化[J].中国实用眼科杂志,2014,32(5):564-566.
[2]杨斐,侯宪如,吴慧娟,等.年龄相关性白内障合并浅前房患者白内障术后屈光状态研究[J].中华眼科杂志,2014,50(2):84-88.
[3]刘佳,王凯.影响年龄相关性白内障术后屈光误差的术前眼球生物学参数特征分析[J].中华眼视光学与视觉科学杂志,2015,17(8):480-483.
[4]申笛,龙潭.儿童白内障人工晶状体不同植入方式对屈光预测误差的影响[J].解放军医药杂志,2016,28(4):90-93.
[5]郑虔,赵镇南,廉恒丽,等.轴性高度近视眼超声乳化白内障吸除联合人工晶状体植入术后屈光度数误差分析[J].中华眼科杂志,2015,51(4):276-281.
[6]Fernandes,Philana,O'Donnell,et al.Intestinal Expression of Fas and Fas Ligand Is Upregulated by Bacterial Signaling through TLR4 and TLR5,with Activation of Fas Modulating Intestinal TLR-Mediated Inflammation[J].The Journal of Immunology:Official Journal of the American Association of Immunologists,2014,193(12):6103-6113.
[7]李铁兵.论对白内障的手术治疗方法的探析[J].中国卫生产业,2012,9(31):180.
[8]杨小红,郭瑞,尹东明,等.早产儿及早产儿视网膜病变婴幼儿屈光状态的临床分析[J].实用医学杂志,2013,29(16):2660-2662.
[9]宋秋平,彬川.玻璃体切除联合白内障超声乳化吸出与非联合手术屈光状态变化[J].中国实用眼科杂志,2014,32(5):564-566.