眼科新进展2017，Vol.37Issue(11)：1064-1067,4.DOI:10.13389/j.cnki.rao.2017.0269
超声乳化白内障吸出联合人工晶状体植入治疗视网膜色素变性合并白内障
Efficacy analysis of phacoemulsification combined with intraocular lens implantation in the treatment of retinitis pigmentosa complicated with cataract
卢建群 1毕娟 1杜慧斌 1王丹 1刘强1
作者信息
- 1. 614000 四川省乐山市,乐山市人民医院眼科
- 折叠
摘要
Abstract
Objective To investigate the efficacy of phacoemulsification combined with intraocular lens implantation in the treatment of retinitis pigmentosa complicated with cataract.Methods A retrospective study was conducted in 52 patients (101 eyes) who admitted in Leshan People's Hospital from January 2012 to December 2016 after diagnosed with primary retinitis pigmentosa combined with cataract and underwent phacoemulsification combined with intraocular lens implantation,and then the clinical data were retrospectively analyzed.All patients were examined for the best corrected visual acuity (BCVA),intraocular pressure,slit lamp anterior segment examination,fundus examination under cycloplegia and optical coherence tomography before and after treatment.The preoperative and postoperative variables were compared by paired t-test,and the correlation between visual acuity and the macular thickness was analyzed by Pearson correlation test.Results Cataract surgery was completed successfully,and all patients were followed-up for (3-12) months,with an average (5.09 ± 2.20) months.The average BCVA of 101 eyes was increased from (0.12 ± 0.09)before surgery to (0.21 ± 0.16) after surgery,and the difference was statistically significant (t =-8.016,P =0.000).Postoperative visual acuity was significantly correlated with macular thickness.Furthermore,there was a negative correlation of macular thickness with macular cystoid edema,macular epiretinal membrane and visual acuity (r =-0.866,P =0.001),but a positive correlation with macular atrophy (r =0.928,P =0.000).Unfortunately,anterior capsule contraction occurred in 2 eyes after cataract surgery,and secondary intraocular hypertension appeared in 2 eyes.Visual acuity was improved and stable for a long time after radial incision of anterior capsule and medication control of intraocular pressure.Conclusion Phacoemuisification combined with intraocular lens implantation can improve the vision of patients,and is a safe and effective method for the treatment of retinitis pigmentosa complicated cataract.关键词
视网膜色素变性/白内障摘出术/视力/黄斑Key words
retiuitis pigmentosa/cataract extraction/vision acuity/macula分类
医药卫生引用本文复制引用
卢建群,毕娟,杜慧斌,王丹,刘强..超声乳化白内障吸出联合人工晶状体植入治疗视网膜色素变性合并白内障[J].眼科新进展,2017,37(11):1064-1067,4.
