年龄相关性白内障患者角膜球面像差分析
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Analysis of corneal spherical aberration in age-related cataract
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    摘要:

    目的:探讨年龄相关性白内障患者角膜球面像差分布情况。

    方法:回顾性系列病例研究。收集2017-08/2018-08在我院确诊为单纯年龄相关性白内障患者217例217眼。按年龄分为三组:Ⅰ组50~60岁(63眼),Ⅱ组61~70岁(107眼),Ⅲ组71~80岁(47眼)。使用Pentacam眼前节分析系统测量角膜参数,用Zernike analysis计算以角膜顶点为中心6mm直径范围内的患者角膜前、后表面球差,角膜前、后表面K值和角膜总球差,并分析其相关性。

    结果:三组患者角膜总球差平均值为0.311±0.098μm; 角膜前表面球差和总球差组间比较有差异(F=34.434、32.896,P<0.05)。角膜前、后表面K值,后表面球差与年龄无相关性(r=0.040、0.066、0.097,P>0.05),角膜前表面球差、角膜总球差与年龄呈正相关(r=0.506、0.509,P<0.05)。

    结论:年龄相关性白内障患者角膜总球差较之前的研究结果略高,角膜前表面球差和总球差与年龄呈正相关,后表面球差与年龄无关。

    Abstract:

    AIM:To investigate the distribution of corneal spherical aberration in age-related cataract.

    METHODS: Retrospective study. Totally 217 cases of age related cataract(217 eyes)were collected in the Central Hospital of Kaifeng from August 2017 to August 2018. Patients were divided into 3 groups according to age: 50-60 years(63 eyes)in group Ⅰ, 61-70 years(107 eyes)in group Ⅱ, 71-80 years(47 eyes)in group Ⅲ. Pentacam anterior segment analysis was used to measure the anterior and posterior corneal K-readings. The corneal spherical aberration of anterior, posterior and total were calculated on an area of 6mm diameter by Zernike analysis and a descriptive study was used.

    RESULTS:The Mean±SD of total corneal spherical aberration was 0.311±0.098μm for all the patients. Statically significant were found for the anterior and total corneal spherical aberration(F=34.434, 32.896; P<0.05). The anterior, posterior corneal K-readings and posterior corneal spherical aberration had no correlation with age(r=0.040, 0.066, 0.097, P>0.05). The anterior and total corneal spherical aberration were positively correlated with age(r=0.506, 0.509, P<0.05).

    CONCLUSION:The total corneal spherical aberration in age-related cataract was slightly higher than that before. The anterior and total corneal spherical aberration increased with age, and then the posterior corneal spherical aberration was not.

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朱珂珂,王欣,穆红梅.年龄相关性白内障患者角膜球面像差分析.国际眼科杂志, 2019,19(10):1757-1760.

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  • 收稿日期:2019-05-09
  • 最后修改日期:2019-09-06
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  • 在线发布日期: 2019-09-20
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