国际眼科杂志Issue(6)：1023-1025,3.DOI:10.3980/j.issn.1672-5123.2014.06.11
白内障术后黄斑区光学相干断层扫描动态观察
Dynamic observation of macular thickness after cataract operation by optical coherence tomography
孔凡宏 1王艳玲 2吴胜卫 1张蕊 1李雪1
作者信息
- 1. 101149 中国北京市，首都医科大学潞河教学医院眼科
- 2. 100050 中国北京市，首都医科大学附属北京友谊医院眼科
- 折叠
摘要
Abstract
AIM:To observe the changes of macular thickness in patients after cataract operation. <br> METHODS: A total of 126 patients ( 133 eyes ) were divided into two groups that were included in this study. The group (68 eyes of 64 case) with phacoemulsification combined intraocular lens implantation and ( 65 eyes of 62 cases ) with manual small incision cataract surgery ( MSICS) . There was no complication before and during the surgery. Optical coherence tomography ( OCT) was examined 1, 3mo before and after surgery. The visual acuity and macular thickness were compared after surgery. The SPSS 17. 0 software was used for statistical analysis. The paired t-test was used before and after surgery. Independent-samples t test was used in two groups before and after surgery,α=0. 05. <br> RESULTS: The cataract phacoemulsification group:preoperative and 1mo after surgery, the mean macular thickness was 241. 3±10. 9μm and 279. 7±16. 5μm, with significant difference ( P < 0. 01 ). The mean macular thickness was 245. 6±12. 6μm 3mo after surgery without statistical difference compared with preoperative ( P>0-05). The mean macular thickness was 279. 7±16. 5μm 1mo after surgery and 245. 6±12. 6μm 3mo after surgery with statistical difference(P<0. 05). Three eyes displayed cystoid macular edema at 1mo after surgery and 2 eyes of them was resolved 3mo after surgery. The group of MSICS: preoperative and 1mo after surgery, the mean macular thickness was 240-5±11. 9μm and 280. 7±16. 8μm, with significant difference (P<0. 01). The mean macular thickness was 246. 6±13. 2μm 3mo after surgery without statistical difference compared with preoperative ( P >0-05). One month after surgery and 3mo after surgery, the mean macular thickness were 280. 7±16. 8μm and 246-6±13. 2μm, with statistical difference (P<0. 05). Two eyes displayed cystoid macular edema at 1mo after surgery and 2 eyes were resolved 3mo after surgery. Between the two groups pre-operation or after operation for 1, 3mo respectively P values were without statistical difference (P>0. 05). <br> CONCLUSION: The macular thickness and macular edema can be found 1mo after cataract phacoemulsification and MSICS. Three months post-operatively, macular edema disappears and does not show statistical difference compared with preoperative. The increase of macular thickness has no obvious relationship with the choice of surgery.关键词
白内障手术/光学相干断层扫描/黄斑水肿Key words
cataract surgery/optical coherence tomography/macular edema引用本文复制引用
孔凡宏,王艳玲,吴胜卫,张蕊,李雪..白内障术后黄斑区光学相干断层扫描动态观察[J].国际眼科杂志,2014,(6):1023-1025,3.
