摘要
目的 观察白内障超声乳化术中植入四点固定型折叠人工晶体（Akreos）的临床效果。方法 对246例（386眼）白内障患者行白内障超声乳化摘除术，植入四点固定型折叠人工晶体作为观察组，以两袢丙烯酸酯折叠型人工晶体268例（396眼）作为对照组。观察术后1天、1周、1个月、3个月视力，术后1个月、3个月后囊膜皱褶、后发障及人工晶体偏心情况。结果 两组白内障患者术后视力对比差异无统计学意义。术后3月后发障发生率观察组5％，对照组14％；后囊膜皱褶发生率观察组2％，对照组9％；人工晶体偏心发生率观察组3％，对照组16％，两组间差异均有统计学意义（P〈0.01）。结论 四点固定折叠型人工晶体具有植入方便，不易损坏，安全性高的特点，与两袢折叠型人工晶体相比具有更好的居中稳定性，并可减少后发障、后囊膜皱褶、人工晶体偏心等术后并发症的发生。
Objective To evaluate the clinical effect of phacoemulsification with four-loop intraocular lens. Methods 246 patients（386eyes） suffered from cataract accepted the phacoemulsification and four- loop intraocular lens implantation, another followed 268 patients（396 eyes） who received phacoemulsification but using two-loop foldable intraocular lens as control group.The post-operation vision, posterior capsule wrinkle, posterior capsule opacification intraocular lens disceteration were observed after operation. Results There was no significant difference between two groups in vision（p〉0.05）,Posterior capsule opacification rate were 5% in experiment group and 14% in control group. Posterior capsule wrinkle rate were 2% in experiment group and 9% in control group. Intraocular lens decentration rate were 6% in experiment group and 21% in control group. There were significant statistic differences in two groups （p〈0.01）. Conclusions Four-loop intraocular lens is a easy implantarion, less demage, more safty surgery. Obvious compare to foldable intraocular lens less postoperative complications such as posterior capsule wrinkle. Posterior capsule opacification, intraocular lens discenteration and more stability.
出处
《中国实用眼科杂志》
CSCD
北大核心
2007年第6期616-617,共2页
Chinese Journal of Practical Ophthalmology
