[1]王燕,欧扬,袁远,等. 后发性白内障Nd：YAG激光后囊膜切开术后屈光状态及眼生物学参数的变化[J].眼科新进展,2015,35(6):569-572.[doi:10.13389/j.cnki.rao.2015.0154]
　WANG Yan,OU Yang,YUAN Yuan,et al. Changes of refraction and ocular biological parameters after Nd : YAG laser capsulotomy for posterior capsule opacification[J].Recent Advances in Ophthalmology,2015,35(6):569-572.[doi:10.13389/j.cnki.rao.2015.0154]
点击复制

 后发性白内障Nd：YAG激光后囊膜切开术后屈光状态及眼生物学参数的变化
分享到：

《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
35卷
期数:
2015年6期
页码:
569-572
栏目:
应用研究
出版日期:
2015-06-05

文章信息/Info

Title:
 Changes of refraction and ocular biological parameters after Nd : YAG laser capsulotomy for posterior capsule opacification
作者:
 王燕; 欧扬; 袁远; 王璐; 庞龙
 510120　广东省广州市，广东省中医院眼科
Author(s):
 WANG Yan; OU Yang; YUAN Yuan; WANG Lu ;  PANG Long
 Department of Ophthalmology , Traditional Chinese Medical Hospital of Guangdong Province , Guangzhou 5 10120 , Guangdong Province , China
关键词:
 ; 后发性白内障; Nd：YAG激光后囊膜切开术; 屈光; 眼生物学参数
Keywords:
 ; posterior capsule opacification;  Nd : YAG laser capsulotomy ;  refraction ;  ocular biological parameters
DOI:
10.13389/j.cnki.rao.2015.0154
文献标志码:
A
摘要:
 目的　探讨后发性白内障行Ｎｄ：ＹＡＧ激光后囊膜切开术后屈光状态、眼生物学参数变化特点及其与后囊膜切口大小的关系。方法　采用临床病例对照研究，选取２０１２年６月至２０１４年６月在广东省中医院眼科就诊的后发性白内障患者６２例（６２眼），将入选患者分为Ａ组２８例（２８眼）、Ｂ组３４例（３４眼）；两组患者均行Ｎｄ：ＹＡＧ激光后囊膜切开术，Ａ组术中形成４．０ｍｍ大小后囊膜切口，Ｂ组术中形成５．５ｍｍ大小后囊膜切口，两组患者术前、术后均行最佳矫正视力（ｂｅｓｔｃｏｒｒｅｃｔｅｄｖｉｓｕａｌａｃｕｉ-ｔｙ，ＢＣＶＡ）、眼压、裂隙灯、眼底检查及等效球镜（ｓｐｈｅｒｉｃａｌｅｑｕｉｖａｌｅｎｔ，ＳＥ）、前房深度（ａｎｔｅｒｉｏｒｃｈａｍｂｅｒｄｅｐｔｈ，ＡＣＤ）及眼轴长度（ａｘｉａｌｌｅｎｇｔｈ，ＡＬ）的测量，比较２组各项指标。结果　术后两组患者ＢＣＶＡ均较术前明显提高，差异均有统计学意义（Ｚ＝－４.２３、－５．０９，均为Ｐ＝０．０００）。两组患者术前ＡＣＤ值分别为（３．３２±０．０７）ｍｍ、（３．３１±０．０５）ｍｍ，术后分别为（３．４５±０.０７）ｍｍ、（３．４８±０．０７）ｍｍ，两组术前术后比较，差异均有统计学意义（Ｚ＝－４．５８、－４．９８，均为Ｐ＝０．０００）；两组术前ＳＥ分别为（－０．２９±０．４４）Ｄ、（－０．２９±０．５７）Ｄ；术后分别为（０．４７±０．４０）Ｄ、（０．５１±０．４２）Ｄ，两组术前术后比较，差异均有统计学意义（Ｚ＝－４．６９、－５．０３，均为Ｐ＝０．０００）。但两组之间ＢＣＶＡ、ＡＣＤ及ＳＥ比较，差异均无统计学意义（均为Ｐ＞０．０５）。ＡＬ值两组术后与术前比较及两组间比较，差异均无统计学意义（均为Ｐ＞０．０５）。结论　后发性白内障Ｎｄ：ＹＡＧ激光后囊膜切开术后存在人工晶状体轻微后移，导致术后远视漂移现象，但远视漂移程度与后囊膜切口大小无关。
Abstract:
 Objective To evaluate the changes of refractive status and ocular biological parameters in posterior capsule opacification ( PCO) patients after Nd : YAG laser capsulotomy. Methods Sixty-two cases (62 eyes) with PCO were recruited from June 2012 to June 2014 in Guangdong Province Hospital Of Traditional Chinese Medical. The patients were divided into two group, group A received laser capsulotomy with 4 mm diameter , and group B with 5. 5 mm diameter. The best corrected visual acuity( BCVA) ,spherical equivalent( SE) .anterior chamber depth ( ACD) and axial lengths ( AL) of patients were recorded before and one mouth after the surgery. Results The postoperative BCVA in two groups of patients was obviously improved compared with the pre-operation (Z = - 4. 23 , - 5. 09 ; both P = 0. 000 ) . The preoperative ACD of two groups were ( 3. 32 + 0. 07 ) mm , ( 3. 31 + 0. 05 ) mm , respectively , while postoperative ACD were ( 3. 45 + 0. 07 ) mm , ( 3. 48 + 0. 07 ) mm , respectively , there were significant differences between pre-operation and post-operation in group A and B ( Z = -4. 58 , -4. 98 ; both P = 0. 000) . The preoperative SE in two groups were ( - 0. 29 + 0. 44 ) D , ( - 0. 29 + 0. 57 ) D , respectively , while the postoperative SE were ( 0. 47 + 0. 40 ) D , ( 0. 51 + 0. 42 ) D . respectively, there were significant differences between pre-operation and post-operation in group A and B ( Z = - 4. 69 , - 5. 03 ;both P = 0. 000 ) . But there was no significant difference in BCVA, SE .ACD between two groups ( all P > 0. 05 ) . There was no significant difference in AL of two groups after surgery compared with the preoperative and the comparison between the two groups ( all P > 0. 05 ) . Conclusion Hyperopic shift exists in PCO patients after Nd :YAG laser capsulotomy , but the change is not related with the incision size of posterior capsulotomy.

相似文献/References:

[1]唐东永 李霞 梁皓 何剑 谭少健.应用超声生物显微镜观察Bigbag人工晶状体在高度近视眼囊袋内的稳定性[J].眼科新进展,2013,33(6):000.
[2]刘苹 康刚劲.细胞因子在后发性白内障发病机制中的研究进展[J].眼科新进展,2013,33(3):000.
[3]董敏 康刚劲.后发性白内障基因治疗的研究进展[J].眼科新进展,2013,33(10):000.
[4]刘平 苏胜. 白内障蛋白质组学研究的现状及未来研究方向[J].眼科新进展,2014,34(1):001.
[5]杨宝娣 宋艳萍 陈中山 丁琴. 微脉冲半导体激光对兔视网膜色素上皮细胞阈值下光凝的光生物调制效应[J].眼科新进展,2014,34(1):005.
[6]赖伟霞 梁皓 谭少健 李霞 邹文进 蒋林志. 钙调素在正常人及不同年龄白内障患者晶状体上皮细胞中的表达[J].眼科新进展,2014,34(1):010.
[7]郑燕林 刘聪慧 沙菽. 水蛭提取液对体外培养RF/6A的细胞液中MMP-2、IV型胶原含量的影响[J].眼科新进展,2014,34(1):013.
[8]周琨 高晓唯 蔡岩 李文静 胡裕坤 田丽丽 付燕. CCR7基因修饰的未成熟树突状细胞在大鼠高危角膜移植免疫排斥反应中的作用[J].眼科新进展,2014,34(1):017.
[9]高伟 程燕 吴洁 王亮 赵帅. 肉毒杆菌B诱导大鼠干眼模型中泪腺Lacritin蛋白表达的研究[J].眼科新进展,2014,34(1):021.
[10]赵宁 张瑞君 刘磊 李佳 刘宁宁. PTEN基因对兔晶状体上皮细胞增殖抑制作用的实验研究[J].眼科新进展,2014,34(1):025.
[11]杨楠,康刚劲,董敏. bFGF与ERK1/2阻断剂对人晶状体上皮细胞α平滑肌肌动蛋白mRNA表达的影响[J].眼科新进展,2014,34(4):326.[doi:10.13389/j.cnki.rao.2014.0088]
[12]曾新生,姚微微,彭燕一,等. d-δ-三烯生育酚对人晶状体上皮SRA细胞增殖和凋亡的影响[J].眼科新进展,2015,35(8):725.[doi:10.13389/j.cnki.rao.2015.0198]
　ZENG Xin-Sheng,YAO Wei-Wei,PENG Yan-Yi,et al. Effects of d-δ-tocotrienols on proliferation and apoptosis of human lens epithelial SRA cell line[J].Recent Advances in Ophthalmology,2015,35(6):725.[doi:10.13389/j.cnki.rao.2015.0198]
[13]马璇,张红,胡竹林. 白内障摘出联合前段玻璃体切割对儿童白内障角膜散光和内皮细胞的影响[J].眼科新进展,2015,35(8):776.[doi:10.13389/j.cnki.rao.2015.0213]
　MA Xuan,ZHANG Hong,HU Zhu-Lin. Effects of cataract extraction combined with vitrectomy on corneal astigmatism and endothelial cells in children cataract[J].Recent Advances in Ophthalmology,2015,35(6):776.[doi:10.13389/j.cnki.rao.2015.0213]

更新日期/Last Update: 2015-06-01