ICL V4c植入术术后早期临床观察
Early Clinical Observation after ICL V4c Implantation
DOI: 10.12677/HJO.2022.112024, PDF, 下载: 299  浏览: 709  科研立项经费支持
作者: 席 欢：甘肃中医药大学第一临床医学院，甘肃 兰州；燕振国*：甘肃中医药大学附属兰州眼科中心，兰州华厦眼科医院，甘肃 兰州
关键词: 近视；有晶状体眼后房型人工晶状体植入术；拱高；ICL V4c；Myopia； Implantable Collamer Lens Implantation； Vault； ICL V4c
摘要: 目的：分析行ICL V4c植入术的高度近视患者术前至术后6月矫正中高度近视的临床效果。方法：回顾性研究。选取2020年10月~2021年4月于兰州华厦眼科医院接受ICL/TICL V4c植入术患者。分别收集患者术前及术后6月内的相关临床资料，观察术后各项指标。结果：术后第6个月患者安全性指数为1.39 ± 0.28 (1.00~2.50)，有效性指数为1.30 ± 0.24 (0.75~2.00)。术后第6个月的SE、UCVA、BCVA均较术前均得到极大改善(t = 33.26、50.47、14.62，P < 0.05)。末次随访时，90.91%的患者UCVA达到1.0或以上，93.81%的患者SE分布在±1.00 D之间，IOP与术前差异无统计学意义(P = 0.55)，ECD丢失率为4.18%差异具有统计学意义(P < 0.001)。术后拱高呈动态下降趋势，术后1天至术后6月患者拱高平均下降了43.33 μm，差异具有统计学意义(P < 0.001)。结论：ICL/TICLV4c植入术后早期患者中高度近视矫正效果显著，视觉质量得到极大改善，具有可靠的有效性、稳定性、安全性和可预测性，是中高度近视患者矫正近视的最优选择。
Abstract: Objective: To analyze the clinical effect of ICL V4c implantation on high myopia from preoperative to postoperative 6 months. Methods: Retrospective study. Patients who received ICL/TICL V4c im-plantation in Lanzhou Huasha Eye Hospital from October 2020 to April 2021 were selected. The clinical data of the patients before and 6 months after the operation were collected, and the post-operative indicators were observed. Results: The safety index was 1.39 ± 0.28 (1.00~2.50) and the efficacy index was 1.30 ± 0.24 (0.75~2.00) at 6 months postoperatively. SE, UCVA, and BCVA at 6 months after operation were significantly improved compared with those before operation (t = 33.26, 50.47, 14.62, P < 0.05). At the last follow-up, UCVA was 1.0 or above in 90.91% of patients, SE distribution was ±1.00 D in 93.81% of patients, there was no significant difference between IOP and preoperative (P = 0.55), ECD loss rate was 4.18%, the difference was statistically significant (P < 0.001). The postoperative vault showed a dynamic decreasing trend, and the mean vault de-creased 43.33 μm from 1 day to 6 months after surgery, with statistical significance (P < 0.001). Conclusion: In the early stage after ICL/TICL V4c implantation, the correction effect of high myopia is significant, and the visual quality is greatly improved. With reliable effectiveness, stability, safe-ty, and predictability, ICL/TICL V4c implantation is the optimal choice for high and medium myopia patients.
文章引用：席欢, 燕振国. ICL V4c植入术术后早期临床观察[J]. 眼科学, 2022, 11(2): 166-175. https://doi.org/10.12677/HJO.2022.112024

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