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人工晶状体囊袋复合体对白内障术后人工晶状体位置的影响

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目的 探讨人工晶状体(IOL)囊袋复合体形态对IOL倾斜和偏心的影响.方法 前瞻性队列研究.年龄相关性白内障超声乳化联合单片折叠型IOL囊袋内植入术121例(121只眼).术后以裂隙灯采集IOL囊袋复合体形态,以Pentacam测量各组IOL偏心和倾斜的方向和程度.结果 IOL植入术后3个月,全压囊组较其余三组合组180度平面偏心量小(t=-2.020,P=0.046),部分压囊组中的鼻侧组较颞侧组在180度平面向颞侧倾斜度大(t= 2.613,P=0.021).结论 晶状体前囊膜撕囊口边缘全部位于IOL光学面上,是保证术后IOL正位的最佳复合体形态.
The influence of intraocular lens capsular complexon the position of intraocular lens after cataract surgery
Objective To investigate the influence of intraocular lens(IOL)capsular complex morphology on the tilt and decentration of IOL.Methods It was a cohort study.Ultrasound emulsification combined with single-piece folded IOL capsular bag intraoperative implantation was performed in 121 cases(121 eyes)with age-related cataract.The morphol-ogy of IOL capsular complex was collected postoperatively by the slit lamp,and the direction and degree of the decentra-tion and tilt of the IOL in each group were measured by Pentacam.Results At 3 months after IOL implantation,the decen-tration of the full compression capsule group was smaller than that of the other three combined groups(t=-2.020,P<0.05)in 180-degree plane.The tilt of the nasal group was larger to the temporal side than the temporal group in the partial com-pression group in 180-degree plane(t=2.613,P<0.05).Conclusions All the edges of the anterior lens capsule tear are lo-cated on the optical surface of the IOL,which is the best complex morphology to ensure the orthotropic position of the IOL after the operation.

Cataract surgeryIntraocular lensCapsular bagTiltDecentration

张帆、张健

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266011 青岛市妇女儿童医院眼科

100053 北京,首都医科大学宣武医院眼科

白内障手术 人工晶状体 囊袋 倾斜 偏心

首都医科大学基础-临床科研合作基金重点课题

1000172404

2024

临床眼科杂志
安徽医科大学,安徽眼科研究所

临床眼科杂志

CSTPCD
影响因子:0.791
ISSN:1006-8422
年,卷(期):2024.32(1)
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