本文選題：IOL-Master + A超�。� 參考：《眼科新進展》2014年11期

【摘要】：目的分析應(yīng)用IOL-Master測量重硅油Oxane HD填充眼眼軸長度的效果。方法收集2011年5月至2013年5月在我院就診的36例(36眼)重硅油Oxane HD填充眼患者,分別應(yīng)用A超和IOL-Master進行眼軸測量,并進行人工晶狀體度數(shù)測算,在重硅油取出聯(lián)合超聲乳化白內(nèi)障摘出人工晶狀體植入術(shù)后1個月應(yīng)用A超和IOL-Master進行第二次眼軸測量,3個月時進行屈光檢查,對兩種檢查的結(jié)果進行對比分析。結(jié)果術(shù)前眼軸長度A超測量為(26.3±3.6)mm,IOL-Master測量為(26.2±3.7)mm;術(shù)后1個月眼軸長度A超測量為(26.2±3.6)mm,IOL-Master測量為(26.2±3.7)mm。術(shù)前術(shù)后A超測量結(jié)果之間、IOL-Master測量結(jié)果之間,以及術(shù)前IOL-Master測量結(jié)果與術(shù)后A超測量結(jié)果之間差異均無統(tǒng)計學(xué)意義(均為P0.05),而術(shù)前A超測量結(jié)果與術(shù)后IOL-Master測量結(jié)果差異有統(tǒng)計學(xué)意義(P=0.030),A超測量結(jié)果較IOL-Master測量結(jié)果眼軸較長。術(shù)前IOL Master測量的人工晶狀體度數(shù)預(yù)估術(shù)后屈光狀態(tài)為-0.36~0.08(-0.11±0.13)D,術(shù)后3個月等效球鏡度為-0.41~0.11(-0.11±0.14)D。用IOL-Master計算的預(yù)計術(shù)后屈光度與術(shù)后真實屈光度比較差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論對于重硅油Oxane HD填充眼的眼軸測量,應(yīng)首選IOL-Master測量,對于屈光間質(zhì)混濁、患者無法固視而不能進行IOL-Master檢查的患者眼軸可采用A超測量。
[Abstract]:Objective to analyze the effect of using IOL-Master to measure the length of eye axis in Oxane HD eyes filled with heavy silicone oil. Methods from May 2011 to May 2013, 36 patients (36 eyes) with heavy silicone oil (Oxane HD) were enrolled in our hospital. The axial measurements were performed by A-scan and IOL-Master respectively, and the IOL degree was calculated. After the extraction of heavy silicone oil and phacoemulsification cataract extraction and intraocular lens implantation, A ultrasound and IOL-Master were used to measure the second eye axis one month later, and refractive examination was performed at 3 months. The results of the two examinations were compared and analyzed. Results preoperative axial length A was 26.3 鹵3.6 mm and IOL-Master was 26.2 鹵3.7 mm and 26.2 鹵3.6 mm IOL-Master, respectively. Before and after operation, the results of A ultrasound measurement were compared with those of IOL-Master. There was no significant difference between preoperative IOL-Master and post-operative A-scan (P 0.05), but there was significant difference between preoperative A and postoperative IOL-Master. The degree of intraocular lens (IOL) measured by IOL Master before operation was estimated to be -0.360.08 鹵0.11 鹵0.13 Dand, and the equivalent spherical degree was -0.41 鹵0.11 鹵0.11 鹵0.14 D3 months after operation. There was no significant difference between the predicted postoperative diopter calculated by IOL-Master and the postoperative true diopter (P 0.05). Conclusion for the axial measurement of Oxane HD eyes filled with heavy silicone oil, IOL-Master should be chosen as the first choice, and A ultrasound should be used for opacity of refractive stroma and IOL-Master examination.
【作者單位】： 昆明醫(yī)科大學(xué)第四附屬醫(yī)院眼科;云南省第二人民醫(yī)院眼科;
【基金】：云南省教育廳科學(xué)研究基金(編號:2011C079) 云南省衛(wèi)生科技計劃項目(編號:2012WS0109) 云南省應(yīng)用基礎(chǔ)研究項目(編號:2012FB083) 云南省高層次衛(wèi)生技術(shù)人才培養(yǎng)專項經(jīng)費資助~~
【分類號】：R779.6

【參考文獻】

相關(guān)期刊論文 前5條

1 陳艷;林季建;;重硅油在玻璃體視網(wǎng)膜手術(shù)的應(yīng)用[J];國際眼科縱覽;2006年06期

2 李石磊;才娜;;硅油填充狀態(tài)下測算人工晶狀體屈光度數(shù)準確性分析[J];眼科新進展;2008年01期

3 潘穎U，

本文編號：1833470