眼科新进展2018，Vol.38Issue(2)：161-163,167,4.DOI:10.13389/j.cnki.rao.2018.0036
小瞳孔白内障超声乳化手术中应用OASIS瞳孔扩张器的疗效观察
Effects of OASIS iris expander in phacoemulsification surgery of cataract with small pupil
摘要
Abstract
Objective To assess the outcomes of OASIS iris expander in phacoemulsification surgery of cataract with small pupil.Methods A prospective case-control study was conducted in 22 microcoria cataract patients (22 eyes).And they were randomly divided into group A and B,in which the pupils of group A were dilated by tearing instruments in 13 eyes,and the pupils of group B were dilated using OASIS iris expander in 9 eyes.All patient underwent phacoemulsification with 3.2 mm clear corneal incision and were followed up at postoperative 1 week,1 month,3 months and 6 months.Finally,the best corrected visual acuity (BCVA),intraocular pressure (IOP),corneal endothelial cell counts,pupil size before and after surgery were recorded and analyzed by an independent sample t test.Results All procedures were completed successfully by the same skilled doctor.Intraocular lenses were implanted in capsule completely,and no complications occurred.At 6 months after operation,patients'BCVA in group A (0.41 ± 0.30) and group B (0.77 ± 0.23) was significantly higher than that in group A (0.17 ±0.14) and group B (0.16 ±0.14) before operation,but there was no statistical difference between the two groups (all P ＞0.05);whereas there was no significant change in the IOP of group A and B at 6 months after operation (1 kPa =7.5 mmHg) and before operation [(14.22 ±6.00) mmHg vs.(15.70 ± 5.70) mmHg)] (all P ＞ 0.05).Moreover,corneal endothelial cell counts in group A [(1486 ±718) cells · mm-2] and B [(1246 ±516)cells · mm-2] were significantly smaller than those before operation [(2498 ±564)cells · mm-2 vs.[(2424 ± 640) cells · mm-2],with no significant difference (P=0.091).The postoperative diameter of the pupil in group A [(4.00 ±0.88) mm] and group B [(4.70 ± 1.57) mm] after operation was larger than that in group A [(2.30 ±0.35)mm] and group B [(1.94 ±0.50)mm] before operation,and there was no statistical difference between the two groups (all P ＞0.05).Conclusions OASIS iris expander can help to dilate and hold pupils and does not affect the postoperative visual acuity and intraocular pressure in mlcrocoria cataract phacoemulsification.The postoperative pupils become larger,and it is necessary to pay attention to protect corneal endothelial cell during usage of OASIS iris expander.关键词
白内障/小瞳孔/瞳孔扩张器Key words
cataract/small pupil/OASIS iris expander分类
医药卫生引用本文复制引用
王进达,张景尚,熊瑛,李婧,李晓霞,赵晶,朱谷雨,万修华..小瞳孔白内障超声乳化手术中应用OASIS瞳孔扩张器的疗效观察[J].眼科新进展,2018,38(2):161-163,167,4.基金项目
国家自然科学基金面上项目(编号:30471861、81470635) （编号:30471861、81470635）
北京市科技新星项目(编号:H020821380190、Z131102000413025) （编号:H020821380190、Z131102000413025）
国务院妇女儿童工作委员会课题(编号:2014108) （编号:2014108）
北京市眼科研究所引领计划(编号:201515)National Natural Science Foundation of China (No:30471861,81470635) （编号:201515）
Beijing Science and Technology New Star (No:H020821380190,Z131102000413025) （No:H020821380190,Z131102000413025）
National Working Committee on Children and Women Under State Council (No:2014108) （No:2014108）
Beijing Eye Research Institute (No:201515) （No:201515）
