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[摘要]
目的:研究T优化的后房型人工晶状体(toric implantable contact lens,TICL)矫正高度近视合并散光的效果。
方法:本研究中高度近视合并散光患者7例13眼,术前屈光度-9.50~-24.00(平均-14.50±7.43)D,散光范围+1.0~+3.5(平均+2.59±0.38)D,眼轴长度26.20~32.85(平均29.38±3.01)mm。13眼均植入TICL。术后观察视力、屈光度、眼压、人工晶状体位置等。
结果:所有病例均成功植入TICL,所有患者裸眼视力均有明显提高,术后1wk,所有术眼达到或超过术前最佳矫正视力,眼压正常,屈光度在术后6mo的随访中稳定。
结论:TICL植入有晶状体眼治疗高度近视合并散光安全可靠,术后屈光度稳定,视觉质量提高。
[Key word]
[Abstract]
AIM: To study the effectiveness of the posterior chamber toric implantable contact lens(TICL)for high myopia complicated with astigmism.
METHODS: In the research,7 cases(13 eyes)with high myopia complicated with astigmism were treated with the posterior chamber TICL. The preoperative spherical lens refraction was -9.50--24.00(mean-14.50±7.43)diopter and cylindrical lens refraction was 1-3.5(mean 2.59±0.38)diopter, eyeball length was 26.20-32.85(mean 29.38±3.01)mm. The visual acuity, refraction, intraocular pressure and position of the intraocular lens were examined after operation.
RESULTS: All of 13 eyes were implanted successfully. The uncorrected visual acuity of every eye was better than preoperative best-corrective visual acuity after postoperative 1 week, the intraocular pressures were normal and the refraction remained stable after postoperative follow-up of 6 months.
CONCLUSION: The implantation of posterior chamber TICL for high myopia complicated with astigmism is effective and safe. The visual acuity of patients was improved and the postoperative diopter was stable.
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