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。
AIM： To investigate changes of anterior chamber param eters after posterior cham ber phakic im plantable collam er lens（ ICL） surgery and its correlation with intraocular pressure（ IOP）.METHODS： This was a retrospective case series study.Seventy four eyes in 43 m yopia patients were exam ined by Allegro Oculyzer anterior segm ent tom ography to obtain the changes of anterior cham ber volum e（ ACV）,anterior cham ber angle（ ACA）,central anterior cham ber depth（ ACD） and vault,m eanwhile,to m easure the IOP to analyze the correlation with anterior cham ber param eters.RESULTS： Compared with preoperative,ACV,ACA,ACD all decreased apparently（ P〈 0. 01） in the postoperative period of 1,3,and 6m o. ACV,ACA and ACD showed their stability in each period after the surgery. There were changes of vault in 1 and 6m o（ t =27. 66,P= 0. 01）. IOP had not altered when com pared 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 cham ber param eters 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.
出处
《国际眼科杂志》
CAS
2016年第8期1515-1518,共4页
International Eye Science
关键词
ALLEGRO
Oculyzer系统
眼压
前房
后房型人工晶状体植入术
Allegro Oculyzer system
intraocular pressure
anterior chamber
posterior chamber phakic implantable collamer lens surgery
