EFFECT OF INCISION SIZE ON EARLY POSTOPERATIVE VISUAL REHABILITATION AFTER CATARACT-SURGERY AND INTRAOCULAR-LENS IMPLANTATION

被引:36
作者
ELMAGHRABY, A
ANWAR, M
ELSAYYAD, F
MATHEEN, M
MARZOUKY, A
GAZAYERLI, E
SALAH, T
BALLEW, C
机构
[1] El-Maghraby Eye Hospital, Jeddah
[2] Center for Clinical Research, Chicago, Illinois
关键词
FOLDABLE INTRAOCULAR LENS; OVAL OPTIC INTRAOCULAR LENS; POLY(METHYL METHACRYLATE); SILICONE; SMALL INCISION CATARACT SURGERY; SURGICALLY INDUCED ASTIGMATISM;
D O I
10.1016/S0886-3350(13)80613-X
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
One hundred fifty-one unilateral cataract patients were randomly assigned to receive either a one-piece Staar AA-4203 silicone intraocular lens inserted through a 3.5 mm incision, an Ioptex 5 mm x 6 mm oval optic lens inserted through a 5.5 mm incision, or an AMO three-piece modified C-loop 6.0 round optic poly(methyl methacrylate) lens inserted through a 6.5 mm incision. Follow-up was 97% at two days postoperatively and 84% at one week and two months postoperatively. At one week postoperatively, 62% of 3.5 mm incision cases had uncorrected visual acuity of 20/40 or better compared with 33% of 5.5 mm (P < .01) and 43% of 6.5 mm incision cases. At two months postoperatively, 85% of 3.5 mm incision cases had uncorrected visual acuity of 20/40 or better compared with 64% of 6.5 mm (P <.05) and 71 % of 5.5 mm incision cases. The 3.5 mm incision cases had significantly less total keratometric cylinder than other cases at all postoperative examinations (P less-than-or-equal-to .001) and less surgically induced cylinder at two days and one week postoperatively (P less-than-or-equal-to .02). The 5.5 mm and 6.5 mm incision cases did not differ significantly in visual acuity or astigmatism at any examination.
引用
收藏
页码:494 / 498
页数:5
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