[1]旷琳,杨蕾蕾.白内障超声乳化人工晶状体植入术后黄斑中心凹视网膜厚度与最佳矫正视力的相关性研究[J].眼科新进展,2014,34(12):1167-1169.[doi:10.13389/j.cnki.rao.2014.0324]
　KUANG Lin,YANG Lei-Lei.Relationship between macular foveal retinal thickness and BCVA after phacoemulsification and IOL implantation[J].Recent Advances in Ophthalmology,2014,34(12):1167-1169.[doi:10.13389/j.cnki.rao.2014.0324]
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白内障超声乳化人工晶状体植入术后黄斑中心凹视网膜厚度与最佳矫正视力的相关性研究
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
34卷
期数:
2014年12期
页码:
1167-1169
栏目:
应用研究
出版日期:
2014-12-05

文章信息/Info

Title:
Relationship between macular foveal retinal thickness and BCVA after phacoemulsification and IOL implantation
作者:
旷琳; 杨蕾蕾
430000　湖北省武汉市，华中科技大学同济医学院附属普爱医院眼科
Author(s):
KUANG Lin;  YANG Lei-Lei
Department of Ophthalmology, Puai Hospital Affiliated to Tongji Medical College ,Huazhong Sci-tech University. Wuhan 430000.Hubei Province．China
关键词:
白内障; 超声乳化吸出; 人工晶状体植入术; 黄斑中心凹视网膜厚度; 最佳矫正视力
Keywords:
cataract ;  phacoemulsification ;  intraocular lens implantation ;  macular foveal retinal thickness ;  best corrected visual acuity
DOI:
10.13389/j.cnki.rao.2014.0324
文献标志码:
A
摘要:
目的　探讨白内障超声乳化吸出联合人工晶状体植入术后黄斑中心凹视网膜厚度与最佳矫正视力（ｂｅｓｔｃｏｒｒｅｃｔｅｄｖｉｓ-ｕａｌａｃｕｉｔｙ，ＢＣＶＡ）的相关性。方法　选取２０１３年１月至２０１４年３月于我院接受超声乳化吸出联合人工晶状体植入术治疗的６７例（８３眼）白内障患者的临床资料进行回顾性分析，根据患者术后黄斑中心凹视网膜厚度将患者分为低厚度组（≤３３０μｍ）、中厚度组（３３０～３５０μｍ）及高厚度组（≥３５０μｍ），对比３组术后１周及术后１个月的ＢＣＶＡ差异，同时分析术后１周黄斑中心凹视网膜厚度与ＢＣＶＡ的相关性。结果　３组术后１周及１个月ＢＣＶＡ均较术前显著提高，差异均有统计学意义（均为Ｐ＞０. ０５）；但术后１周及术后１个月ＢＣＶＡ比较，差异无统计学意义（Ｐ＞０．０５）。术后１周、１个月低厚度组ＢＣＶＡ均明显高于中厚度组及高厚度组，差异均有统计学意义（均为Ｐ＜０．０５），而中厚度组ＢＣＶＡ明显高于高厚度组，差异均有统计学意义（均为Ｐ＜０．０５）。术后１周低厚度组、中厚度组和高厚度组黄斑中心凹视网膜厚度分别为（３２２．６７±３６．６１）μｍ、（３４１．７２±３７．３６）μｍ、（３５２．６１±２９．５９）μｍ，相关性分析显示，术后１周黄斑中心凹视网膜厚度与ＢＣＶＡ存在显著的负相关（ｒ＝－０．７２４，Ｐ＝０. ０００）。术后１周低厚度组、中厚度组和高厚度组ＢＣＶＡ与术前差值分别为－０．５６±０．１２、－０．４１±０．４１、－０．２３±０．５６，相关性分析显示，术后１周黄斑中心凹视网膜厚度与ＢＣＶＡ差值也存在显著的负相关（ｒ＝－０．６１３，Ｐ＝０．０００）。结论　超声乳化吸出联合人工晶状体植入术后患者的黄斑中心凹视网膜厚度与ＢＣＶＡ存在显著的负相关性。
Abstract:
Objective To discuss the relationship between macular foveal retinal thickness and best corrected visual acuity ( BCVA) after phacoemulsification and intraocular lens ( IOL) implantation. Methods Sixty-seven cataract patients ( 83 eyes ) underwent phacoemulsification and IOL implantation in our hospital from January 2013 to March 2014 were retrospectively analyzed. According to the postoperative macular foveal retinal thickness , the patients were divided into low thickness group (《 330 Vm) , moderate thickness group ( 330 - 350 ym) and high thickness group (≥ 350 Vm) , the differences of BCVA at postoperative I week and I month between three groups were compared,and the relationship between macular foveal retinal thickness and BCVA at postoperative I week was analyzed. Results The BCVA at postoperative I week and I month in three groups were all increased. there were statistical differences ( all P < 0. 05) ,but no difference was found between postoperative I week and I month (P > 0. 05 ) . BCVA at postoperative I week and I month in low thickness group were obviously higher than those in moderate and high group ,there were statistical differences ( all P < 0. 05 ) . and the moderate group was higher than the high thickness group ,there were statistical differences ( all P < 0. 05 ) . The macular foveal retinal thickness at postoperative I week in low.moderate and high thickness group were ( 322. 67 + 36. 61) Vm , ( 341. 72 + 37. 36) ym and ( 352. 61 +29. 59) ym , respectively. The macular foveal retinal thickness at postoperative I week was negative correlated with BCVA ( r = - 0. 724 ,P = 0. 000) . BCVA values different from pre-operation at postoperative I week in low. moderate and high thickness group were - 0. 56 + 0. 12 . - 0. 41 + 0. 41 and - 0. 23 + 0. 56 , respectively. The macular foveal retinal thickness at postoperative I week was negative correlated with BCVA differences ( r = - 0. 613 ,P = 0. 000) . Conclusion The macular foveal retinal thickness in cataract patients after phacoemulsification and IOL implantation is obviously negative correlated with BCVA.

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更新日期/Last Update: 2014-12-04