部队晶状体半脱位患者飞秒激光白内障超声乳化手术的效果

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (1028 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To evaluate the clinical effect of femtosecond laser-assisted phacoemulsification in treating military lens subluxation patients. Methods A total of 40 cases (including 40 eyes) with lens subluxation, who were treated in Henan Provincial Corps Hospital of Chinese People's Armed Police Force from January 2017 to October 2021, were divided into two groups. Patients undergoing femtosecond laser-assisted phacoemulsification with intraocular lens and capsular tension ring implantation were assigned to the observation group (19cases), and those undergoing conventional phacoemulsification with intraocular lens and capsular tension ring implantation were assigned to the control group(21cases).Visual acuity, operative time, cumulative dissipated energy(CDE), spherical equivalent(SE), high order aberration, spherical, coma, trefoil, and the surgical incidence of complications were recorded. Results There was no significant difference between the two groups in best corrected distance visual acuity (BCDVA) before the surgery. After the surgeries, the BCDVA was significantly improved in both groups (P<0.01).At the postoperative time point of one day and one month, the BCDVA of the observation group was significantly better than that of the control group (P<0.05), but at the point of three months and six months, there was no significant difference. At the point of 1 day, 1 month, 3 months and 6 months, the uncorrected distance visual acuity (UCDVA) of the observation group was significantly better (P<0.01). The total operation time of the observation group [(7.34±5.50) min] was significantly lower than that of the control group [(11.28±6.46) min], the cumulative dissipated energy of the observation group [(18.72±4.33) %] was significantly lower than that in the control group [(22.51±5.64)%], and the differences were statistically significant (P<0.05).At 6 months postoperatively, in the equivalent spherical of the residual diopter in the range of ±0.5 D and ±0.75 D-±1.00 D and out of the range±1.00 D,there was statistically significant difference between the two groups(χ²=2.361,P=0.018).At 1 month, 3 months and 6 months postoperatively, the root mean square of the high order aberration, spherical, coma and trefoil in the observation group were significantly better than those in the control group, and the difference was statistically significant(P<0.05). The incidence of surgical complications of the observation group (26.32%) were significantly lower than that of the control group (76.19%), and the difference was statistically significant(P=0.002). Conclusions Femtosecond laser-assisted phacoemulsification with intraocular lens and capsular tension ring implantation is safe, which can provide better vision and better visual quality for the military lens subluxation patients.

Key words： femtosecond laser cataract lens subluxation phacoemulsification high order aberration

Received: 09 May 2022

ZTFLH:

R779.1

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	MA Ning
	ZUO Zhigao
	MAI Zhibin
	CHAO Weijing
	ZHANG Yuan
	PAN Bei
	ZHENG Xiaolu
	ZHAO Qian

Cite this article:

MA Ning,ZUO Zhigao,MAI Zhibin等. Effect of femtosecond laser-assisted phacoemulsification in treatment of military lens subluxation patients[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(10): 848-852.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2022/V33/I10/848

[1]	Pathak-Ray V. Subluxated spherophakic lens: zonules still not relinquished[J]. Indian J Ophthalmol, 2019, 67(1): 136.
[2]	左志高,尹黎,马宁,等. 飞秒激光辅助的白内障超声乳化手术的临床应用[J]. 武警医学,2015,26(11): 1111-1114.
[3]	Schultz T, Ezeanosike E, Dick H B. Femtosecond laser-assisted cataract surgery in pediatric Marfan syndrome[J]. J Refract Surg, 2013, 29(9): 650-652.
[4]	陈佳惠,景清荷,缪爱珠,等. 飞秒激光联合Cionni张力环植入治疗外伤性晶状体不全脱位的有效性和安全性[J]. 国际眼科杂志,2017,17(7): 1323-1326.
[5]	Levitz L M, Scott W J, Lawless M, et al. Comment on: comparison of femtosecond laser-assisted cataract surgery and conventional cataract surgery: a meta-analysis and systematic review[J]. Cataract Refract Surg, 2021, 47(2): 278-278.
[6]	Portney D S, Thibodeau A R, Mian S I, et al. Recent Updates in femtosecond laser-assisted cataract surgery[J]. Int Ophthalmol Clin, 2021, 61(1): 77-94.
[7]	王静,王涵,马立威. LenSx飞秒激光辅助白内障手术安全性和有效性的临床研究[J]. 国际眼科杂志,2016,16(10): 1858-1861.
[8]	蒋永祥,卢奕. 晶状体不全脱位的手术治疗进展[J]. 中国眼耳鼻喉科杂志,2017,17(2): 88-91.
[9]	Saeedi O J, Chang L Y, Ong S R, et al. Comparison of cumulative dispersed energy (CDE) in femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification[J].Int Ophthalmol, 2019, 39(8): 1761-1766.
[10]	Filkorn T, Kovacs I, Takacs A, et al. Comparison of IOL power calculation and refractive outcome after laser refractive cataract surgery with a femtosecond laser versus conventional phacoemulsification[J]. J Refract Surg, 2012, 28(8): 540-544.
[11]	Wang X G, Zhang Z, Li X Y, et al. Evaluation of femtosecond laser versus manual clear corneal incisions in cataract surgery using spectral-domain optical coherence tomography[J]. J Refract Surg, 2018, 34(1): 17-22.
[12]	龚敏,刘谊,杨必. 波前像差及对比敏感度在评价白内障术后视觉质量中的应用[J]. 国际眼科杂志,2013,13(5): 912-914.
[13]	Liao X, Lin J, Tian J, et al. Evaluation of optical quality: ocular scattering and aberrations in eyes implanted with diffractive multifocal or monofocal intraocular lenses[J]. Curr Eye Res, 2018, 43(6) : 696-701.
[14]	Zhang M, Jing Q H, Chen J H, et al. Analysis of corneal higher-order aberrations in cataract patients with high myopia[J]. J Cataract Refract Surg, 2018, 44(12): 1482-1490.
[15]	Mendicute J, Kapp A, Levy P, et al. Evaluation of visual outcomes and patient satisfaction after implantation of a diffractive trifocal intraocular lens[J]. J Cataract Refract Surg, 2016, 42(2): 203-210.
[16]	Lawu T, Mukai K, Matsushima H, et al. Effects of decentration and tilt on the optical performance of 6 aspheric intraocular lens designs in a model eye[J]. J Cataract Refract Surg, 2019, 45(5): 662-668.
[17]	曾凡超,司马晶,杨浩江,等. 飞秒激光白内障手术术源性散光及术后角膜像差的变化研究[J]. 临床眼科杂志,2016,24(2): 97-100.
[18]	Chee S P, Wong M H Y, Jap A. Management of severely subluxated cataracts using femtosecond laser-assisted cataract surgery[J]. Am J Ophthalmol, 2017, 173: 7-15.