Allegro Oculyzer眼前节诊断系统评估ICL术后眼前节参数变化与眼压相关性分析
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Assessment on changes of anterior chamber parameters after ICL surgery with Allegro Oculyzer system and their correlation with IOP
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    摘要:

    目的:研究有晶状体眼后房型人工晶状体植入术(posterior chamber phakic implantable collamer lens surgery,ICL)后眼前节参数变化及各参数与眼内压(intraocular pressure, IOP)间相关性。

    方法:回顾性研究。2012/2014年于苏州理想眼科医院屈光手术中心行ICL患者43例74眼,应用Allegro Oculyzer眼前节诊断系统测量其术前、术后1、3、6mo前房容积(anterior chamber volume,ACV)、房角(anterior chamber angle,ACA)、中央前房深度(central anterior chamber depth,ACD)、拱高(vault)变化,并测量同一时期眼内压后进行统计学分析。

    结果:术前与术后1、3、6mo相比,术后较术前ACV,ACA,ACD均较显著减小(P<0.01)。术后ACV,ACA,ACD在各随访观测时间点均稳定,术后vault 在1mo与6mo间存在统计学差异(t=27.66, P=0.01)。而IOP术前与术后各测量点间无统计学差异(P>0.05)。各时期IOP与ACV,ACA,ACD,拱高均无显著相关性(P>0.05)。

    结论:ICL术后眼前节参数ACV,ACA,ACD较术前均减小,术后早期即能达到稳定状态,眼内压具有同样的稳定性,且与ACV,ACA,ACD,vault变化无关,但仍需长期观测。

    Abstract:

    AIM: To investigate changes of anterior chamber parameters after posterior chamber phakic implantable collamer lens(ICL)surgery and its correlation with intraocular pressure(IOP).

    METHODS: This was a retrospective case series study. Seventy four eyes in 43 myopia patients were examined by Allegro Oculyzer anterior segment tomography to obtain the changes of anterior chamber volume(ACV), anterior chamber angle(ACA), central anterior chamber depth(ACD)and vault, meanwhile, to measure the IOP to analyze the correlation with anterior chamber parameters.

    RESULTS: Compared with preoperative, ACV, ACA, ACD all decreased apparently(P<0.01)in the postoperative period of 1, 3, and 6mo. ACV, ACA and ACD showed their stability in each period after the surgery. There were changes of vault in 1 and 6mo(t=27.66, P=0.01). IOP had not altered when compared with the preoperative. This research revealed that IOP had no relation with ACV, ACA, ACD and vault in every phase(all P>0.05).

    CONCLUSION: For patients underwent ICL, the anterior chamber parameters all decreased which included ACV, ACA, ACD, and had stabilized since early postoperative period. Correspondingly,IOP was stable and had not correlate with ACV, ACA, ACD and vault, however the long-term observation is still necessary.

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陈庆,余鹏,赵雅丽,等. Allegro Oculyzer眼前节诊断系统评估ICL术后眼前节参数变化与眼压相关性分析.国际眼科杂志, 2016,16(8):1515-1518.

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  • 收稿日期:2016-03-14
  • 最后修改日期:2016-07-10
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  • 在线发布日期: 2016-07-26
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