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叶黄素对白内障术后患者黄斑及视觉功能的影响

冷非 白大勇 梁天蔚 胡守龙 赵军阳 刘平 李莉

解放军医学院学报2017,Vol.38Issue(5):414-416,448,4.
解放军医学院学报2017,Vol.38Issue(5):414-416,448,4.DOI:10.3969/j.issn.2095-5227.2017.05.007

叶黄素对白内障术后患者黄斑及视觉功能的影响

Effects of lutein on the macular and visual function after cataract surgery in the elderly

冷非 1白大勇 2梁天蔚 1胡守龙 1赵军阳 1刘平 1李莉3

作者信息

  • 1. 首都医科大学附属北京儿童医院 眼科,北京 100045
  • 2. 北京市顺义区妇幼保健院,北京 100300
  • 3. 哈尔滨医科大学附属第一医院眼科医院,黑龙江哈尔滨 150001
  • 折叠

摘要

Abstract

Objective To explore the effects of lutein on the macular and visual function after cataract surgery in the elderly.Methods Total of 80 patients with senile cataract including 52 males and 28 females with an average age of 55-75 years old were selected and randomly divided into group A(experiment group, n=40, postoperatively treated with lutein, 12 mg/d, once a day for 3 months) and group B (control group, n=40, postoperatively treated with starch as placebo, 12 mg/d, once a day for 3 months). All the patients underwent phacoemulsification plus intraocular lens implantation before the experiment. At T0 (before experiment), T1 (1 month after experiment), T2 (3 months), T3 (6 months) and T4 (12 months), the best-corrected visual acuity (BCVA), visual function index (VF value) and macular pigment density values (MPOD) were collected. Results The BCVA, VF value and MPOD In group A at T1-T4 were respectively higher than those in group B [BCVA (T1: 0.93±0.21 vs 0.84±0.19; T2: 0.93±0.20 vs 0.83±0.20; T3: 0.92±0.17 vs 0.80±0.18; T4: 0.87±0.21 vs 0.76±0.22)(P < 0.05, respectively). VF value (T1: 88.0±3.19 vs 85.9±14.09; T2: 86.1±2.55 vs 82.9±4.24; T3: 83.1±3.11 vs 79.2±4.93; T4: 79.9±4.37 vs 75.3±15.73) (P < 0.05, respectiely). MPOD (T1: 0.578±0.086 vsO.535±0.097; T2: 0.591±0.089 vs 0.520±0.088; T3: 0.585±0.091 vs 0.508±0.084; T4: 0.574±0.074 vs 0.486±0.070)(P < 0.05, respectively)]. No significant difference was deceted between the two groups in early postoperative omplications.Conclusion Prophylactic usage with lutein after cataract surgery may improve the macular and visual function of elderly.

关键词

叶黄素/老年性白内障/黄斑/视功能

Key words

lutein/senile cataracts/macula lutea/visual function

分类

医药卫生

引用本文复制引用

冷非,白大勇,梁天蔚,胡守龙,赵军阳,刘平,李莉..叶黄素对白内障术后患者黄斑及视觉功能的影响[J].解放军医学院学报,2017,38(5):414-416,448,4.

基金项目

北京市属医院科研培育计划项目(BCHYIPA-2016-03) Supported by the Municipal Hospital Research and Development Program of Beijing (BCHYIPA-2016-03) (BCHYIPA-2016-03)

解放军医学院学报

OACSTPCD

2095-5227

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