TICL治疗高度近视合并散光疗效分析
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Clinical research on the TICL for correction of high myopia complicated with astigmism
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    摘要:

    目的:研究T优化的后房型人工晶状体(toric implantable contact lens,TICL)矫正高度近视合并散光的效果。

    方法:本研究中高度近视合并散光患者7例13眼,术前屈光度-9.50~-24.00(平均-14.50±7.43)D,散光范围+1.0~+3.5(平均+2.59±0.38)D,眼轴长度26.20~32.85(平均29.38±3.01)mm。13眼均植入TICL。术后观察视力、屈光度、眼压、人工晶状体位置等。

    结果:所有病例均成功植入TICL,所有患者裸眼视力均有明显提高,术后1wk,所有术眼达到或超过术前最佳矫正视力,眼压正常,屈光度在术后6mo的随访中稳定。

    结论:TICL植入有晶状体眼治疗高度近视合并散光安全可靠,术后屈光度稳定,视觉质量提高。

    Abstract:

    AIM: To study the effectiveness of the posterior chamber toric implantable contact lens(TICL)for high myopia complicated with astigmism.

    METHODS: In the research,7 cases(13 eyes)with high myopia complicated with astigmism were treated with the posterior chamber TICL. The preoperative spherical lens refraction was -9.50--24.00(mean-14.50±7.43)diopter and cylindrical lens refraction was 1-3.5(mean 2.59±0.38)diopter, eyeball length was 26.20-32.85(mean 29.38±3.01)mm. The visual acuity, refraction, intraocular pressure and position of the intraocular lens were examined after operation.

    RESULTS: All of 13 eyes were implanted successfully. The uncorrected visual acuity of every eye was better than preoperative best-corrective visual acuity after postoperative 1 week, the intraocular pressures were normal and the refraction remained stable after postoperative follow-up of 6 months.

    CONCLUSION: The implantation of posterior chamber TICL for high myopia complicated with astigmism is effective and safe. The visual acuity of patients was improved and the postoperative diopter was stable.

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毛治平,谢桂军,丁国鹏,等. TICL治疗高度近视合并散光疗效分析.国际眼科杂志, 2013,13(1):196-198.

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  • 收稿日期:2012-11-16
  • 最后修改日期:2012-12-20
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