Acrysof Toric人工晶状体植入术后屈光状态及旋转稳定性

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Abstract Objective To evaluate the improvement of refractive status and the stability of the lens in the capsular pouch after carrying out Acrysof Toric intraocular lens implantation operation. Methods Twenty-eight eyes of 20 cataract patients from April 2012 to February 2014 were enrolled from the department of ophthalmology in our hospital. They are all regularity corneal astigmatism which was more than 1.00 diopter (D). All patients underwent similar phacoemulsification combined with Toric IOLs implantation and were followed up at 3 to 8 months. The uncorrected visual acuity (UCVA), best- corrected visual acuity (BCVA), preoperative reserved spherical power and postoperative residual spherical power, preoperative corneal astigmatism, anticipated residual astigmatism, postoperative residual astigmatism and intraocular lens (IOL) axis deflection were detected and measured. Results Three to eight months following surgery, a total of twenty eyes (71%) showed 0. 6 or better in UCVA. 7 eyes (21%) was 0. 8 or better in UCVA and twenty-five eyes (89%) achieved 0. 8 or better in BCVA. The spherical error of postoperative residual and IOL Master reserved ranges from -0.90 D to+0.85 D, and the deviation of spherical equivalent refraction is 0.46±0.23 D. The relations between the postoperative Spherical error and preoperative axial length is Y=11.908 x-231.65, R²=0.817, P<0.05.The mean preoperative corneal astigmatism was (1.84±0.55) D, and there was statistical significance (P<0. 05) compared with postoperative residual astigmatism (0.18±0.11) D after the surgery of three to eight months. Compared with predetermined axis, intraocular lens axis has shift from zero to twelve degrees, and the deflection degrees of the mean axis is 3.96±3.46. Conclusions After the surgery of the Acrysof Toric intraocular lens implantation, the residual spherical powers and IOL Master reserved spherical powers has some error. And the error of the postoperative spherical equivalent was positively correlated with the preoperative axial length, which increases with the increasing axial length. As Acrysof Toric intraocular lens correction regularity corneal astigmatism error is small and has showed good rotational stability, it contributes to the correction of corneal astigmatism.

Key words： Acrysof Toric intraocular lens spherical error corneal astigmatism rotational stability phacoemulsification

Received: 25 August 2014

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	Articles by authors
	MA Huawen
	LUO Ling
	GAO Wei
	HU Lianna

Cite this article:

MA Huawen,LUO Ling,GAO Wei等. Observed Acrysof Toric intraocular lens implantation refractive status and rotational stability[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2015, 26(1): 64-67.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2015/V26/I1/64

[1]	梁丹, 关征实, 林建民 . 角膜散光晶体散光与总合散光关系的研究[J]. 眼科学报, 1995, 11(2):70-72.
[14]	冬雪川 . 人工晶体植入术后屈光偏差影响因素分析[J]. 中国煤炭工业医学杂志, 2008, 11(10):1635-1637.
[2]	Ferrer-Blasco T, Montés-Micó R, Peixoto-de-Matos S C, et al. Prevalence of corneal astigmatism before cataract surgery[J]. J Cataract Refract Surg, 2009, 35(1):70-75.
[15]	徐海燕, 金玉梅, 李辉, 等 . IOL-Master与A型超声测量前房深度和眼轴长度比较及其相关性[J]. 协和医学杂志, 2012, 3(2):200-203.
[16]	刘珣, 王欣玲, 柏全豪, 等 . IOL Master与四种人工晶状体屈光度计算公式的准确性研究[J]. 眼科新进展, 2013, 33(2):143-146.
[3]	Hoffmann P C, Hütz W W. Analysis of biometry and prevalence data for corneal astigmatism in 23, 239 eyes[J]. J Cataract Refract Surg, 2010, 36(9):1479-1485.
[4]	王树林, 刘平, 王新, 等.中低度近视患者LASIK术后散光矫正效果与视觉质量的关系[J].山东医药, 2013, 53(24):9-11.
[5]	Qammar A, Mullaney P. Paired opposite clear corneal incisions to correct preexisting astigmatism in cataract patients[J]. J Cataract Refract Surg, 2005, 31(6):1167–1170.
[6]	Kim P, Sutton G L, Rootman D S. Applications of the femtosecond laser in corneal refractive surgery[J]. Curr Opin Ophthalmol, 2011, 22(4):238–244.
[7]	Savini G, Hoffer K J, Ducoli P. A new slant on Toric intraocular lens power calculation[J]. J Refract Surg, 2013, 29(5):348-354.
[8]	张颖栩, 陈敏瑜, 罗林翼 . Acrysof Toric IOL的临床应用研究[J]. 国际眼科杂志, 2013, 13(1):97-98.
[9]	Lane S S, Ernest P, Miller K M, et al. Comparison of clinical and patient reported outcomes with bilateral AcrySof Toric or spherical control intraocular lenses[J]. J Refract Surg, 2009, 25(10):899-901.
[10]	汤欣, 宋慧 . Toric人工晶状体临床应用中值得关注的问题[J]. 中华眼科杂志, 2013, 49(5):392-394.
[11]	Chua W H, Yuen L H, Chua J, et al. Matched comparison of rotational stability of 1-piece acrylic and plate-haptic silicone toric intraocular lenses in Asian eyes[J]. J Cataract Refract Surg, 2012, 38(4):620-624.
[12]	Jeon J H, Taek Rim T H, Seo K Y, et al. Comparison of refractive stability after non-toric versus toric intraocular lens implantation during cataract surgery [J].American Journal of Ophthalmology, 2014, 157(4):918-919.
[13]	邓吕红, 谭钢, 刘二华 . 浅前房白内障超声乳化联合人工晶体植入术后屈光状态分析[J]. 临床医学, 2013, 2(1):302-303.
[14]	冬雪川 . 人工晶体植入术后屈光偏差影响因素分析[J]. 中国煤炭工业医学杂志, 2008, 11(10):1635-1637.
[15]	徐海燕, 金玉梅, 李辉, 等 . IOL-Master与A型超声测量前房深度和眼轴长度比较及其相关性[J]. 协和医学杂志, 2012, 3(2):200-203.
[16]	刘珣, 王欣玲, 柏全豪, 等 . IOL Master与四种人工晶状体屈光度计算公式的准确性研究[J]. 眼科新进展, 2013, 33(2):143-146.