|
|
Clinic effects on comparison of femtosecond laser-assisted cataract surgery and conventionalphacoemulsification in patients with cataract |
XU Chang1, JIANG Yaqin2, SHI Yuan1, HUANG Xudong2 |
1 Postgraduate Department, Binzhou Medical University, Yantai 264003 P.R China; 2 Weifang Eye Hospital,Weifang Eye Institute |
|
|
Abstract Objective To study the visual quality of femtosecond laser-assisted cataract surgery and conventional phacoemulsification in patients with cataract.Methods In this case-control study,a total of 83 patients were randomly divided into study group (52 eyes) and control group (48 eyes).Postoperative 1 day,1 week,1 month measured 2 groups of patients the best corrected visual acuity (BCVA),iTrace visual function analyzer is used to measure the two naturally take group a high order aberration of the pupil diameter is 3 mm (total eye High order aberration,Spherical,coma,trefoil) and total higher-order aberration of the modulation transfer function (MTF).Data using the single factor analysis of variance.Results Two groups of BCVA 1 d after surgery,there were differences in postoperative 1 week, there was statistical significance,no obvious difference was found between postoperative BCVA of 1 month, no statistical significance.After 1 day,1 week,1 month experimental eyes naturally made full eye pupil diameter of 3 mm total eye High order aberration,Spherical,coma,trefoil was better than that of control group,with statistical significance,high-order aberration of MTF was better than that of control group,with statistical significance.After 1 day,1 week,1 month, all experimental surgery eye the mean total higher-order aberrations was lower than the control group,both groups showed a trend of decline over time,and both the mean gradually close to change over time.Postoperative 1 day,1 week,1 month experimental technique under the eye always higher-order aberrations of MTF average higher than that of control group,both groups showed a trend of increasing over time, and the average change over time approaching.Conclusion The femtosecond laser-assisted cataract surgery compared with the conventional phacoemulsification cataract surgery has better visual quality. The femtosecond laser-assisted cataract surgery has a great clinical effects which improve patients visual quality early.
|
Received: 04 September 2017
|
|
|
|
|
[1] Conrad-Hengerer I,Hengerer F H,Schultz T,et al. Effect of femtosecond laser fragmentation on effective phacoemulsification time in cataract surgery[J].J Refract Surg,2012,28(12):879-883. [2] Palanker D V,Blumenkranz M S,Andersen D,et al. Femtosecond laser-assisted cataract surgery with integrated optical coherence tomography[J].Sci Transl Med,2010,2(58):58-85. [3] Conrad-Hengerer I,Hengerer F H,Schultz T,et al.Effect of femtosecond laser fragmentation of the nucleus with different softening grid sizes on effective phaco time in cataract surgery[J].J Cataract Refract Surg,2012,38(11):1888-1894. [4] Nagy Z,Takacs A,Filkorn T,et al.Initial clinical evaluation of an intraocular femtosecond laser in cataract surgery[J].Journal of Refractive Surgery,2009,25(12):1053-1060. [5] Kranitz K,Mihaltz K,Sandor G L,et al.Intraocular lens tilt and decentration measured by Scheimpflug camera following manual or femtosecond laser-created continuous circular capsulotomy[J].J Refract Surg,2012,28(4):259-263. [6] Baumeister M,Bühren J, Kohnen T.Tilt and decentration of spherical and aspheric intraocular lenses:Effect on higher-order aberrations[J].Journal of Cataract & Refractive Surgery,2009,35(6):1006-1012. [7] Kohnen T.Femtosecond laser capsulotomy[J].Journal of Cataract & Refractive Surgery,2014, 40(12):1947-1948. [8] 李朝辉,叶子.飞秒激光辅助白内障摘除手术的利与弊[J].中华眼科杂志,2016,52(2):89-92. [9] Filkorn T,Kovacs I,Takacs A,et al.Comparison of IOL power calculation and refractive outcome after laser refractive cataract surgery with a femtosecond laser versus conventional phacoemulsification[J].J Refract Surg,2012,28(8):540-544. [10] Nagy Z Z,Kranitz K,Takacs A I,et al.Comparison of intraocular lens decentration parameters after femtosecond and manual capsulotomies[J].J Rfract Surg,2011,27(8):564-569. [11] Kranitz K,Takacs A,Mihaltz K,et al.Femtosecond laser capsulotomy and manual continuous curvilinear capsulorrhexis parameters and their effects on intraocular lens centration[J].J Refract Surg,2011,27(8):558-563. [12] Mierdel P,Kaemmerer M,Krinke H E,et al.Effects of photorefractive keratectomy and cataract surgery on ocular optical errors of higher order[J].Graefe's Archive for Clinical and Experimental Ophthalmology,1999,237(9):725-729. [13] 龚敏,刘谊,杨必.波前像差及对比敏感度在评价白内障术后视觉质量中的应用[J].国际眼科杂志,2013,13(5):912-914. [14] Kosaki R,Kozaki J,Maeda N.Higher-order aberrations in eye implanted with aspherical intraocular lenses[J].Nippon Ganka Gakkai Zasshi, 2013, 117(1):27-34. [15] Liang J,Grimm B,Goelz S,et al.Objective measurement of wave aberrations of the human eye with the use of a Hartmann-Shack wave-front sensor[J].J Opt Soc Am A Opt Image Sci Vis,1994,11(7):1949-1957. [16] 唐建,龚力力.白内障超声乳化人工晶状体植入术后眼高阶像差与视觉质量相关性分析[J].中国实用眼科杂志,2013,31(10):1324-1327. [17] Vilarrodona L,Barrett G D,Johnson B.High-order aberrations in pseudophakia with different intraocular lenses[J].J Cataract Refract Surg,2004,30(3):571-575. [18] Szigeti A,Kránitz K,Takacs A I,et al.Comparison of long-term visual outcome and IOL position with a single-optic accommodating IOL After 5.5-or 6.0-mm Femtosecond laser capsulotomy[J].J Refract Surg,2012,28(9):609-613. [19] 李博,张素华,张哲,等.2.2 mm透明角膜切口飞秒激光辅助白内障超声乳化手术术源性散光的临床研究[J].中华眼视光学与视觉科学杂志,2016,18(11):654-659. [20] 王飞,卢奕,蒋永祥,等.白内障超声乳化术切口对角膜高阶像差的影响[J].中国眼耳鼻喉科杂志,2008,8(3):154-156. [21] Chung S H,Mazur E.Surgical applications of femtosecond lasers[J].J Biophotonics,2009,2(10):557-572. [22] 曾凡超,司马晶,杨浩江,等.飞秒激光白内障手术术源性散光及术后角膜像差的变化研究[J].临床眼科杂志,2016,24(2):97-100. [23] 张佳,吕帆,贺极苍,等.波前像差与眼内压、中央角膜厚度的日波动规律及相关性[J].中华眼视光学与视觉科学杂志,2008,10(6):440-443. [24] Miháltz K,Knorz M C,Alió J L,et al.Internal aberrations and optical quality after femtosecond laser anterior capsulotomy in cataract surgery[J].J Refract Surg,2011,27(10):711-716. [25] Brown N A,Sparrow J M.Control of astigmatism in cataract surgery[J].Br J Ophthalmol,1988,72(7):487-493. [26] Alió J L,Abdou A A,Soria F,et al.Femtosecond laser cataract incision morphology and corneal higher-order aberration analysis[J].J Refract Surg,2013,29(9):590-595. [27] Mayer W J,Klaproth O K,Hengerer F H,et al.In vitro immunohistochemical and morphological observations of penetrating corneal incisions created by a femtosecond laser used for assisted intraocular lens surgery[J].J Cataract Refract Surg,2014,40(4):632-638. [28] Benito A,Pérez G M,Mirabet S,et al.Objective optical assessment of tear-film quality dynamics in normal and mildly symptomatic dry eyes[J].J Cataract Refract Surg,2011,37(8):1481-1487. [29] Santhiago M R,Netto M V,Barreto J Jr,et al.Optical quality in eyes implanted with aspheric and spherical intraocular lenses assessed by NIDEK OPD-Scan:a randomized,bilateral, clinical trial[J].J Refract Surg,2011,27(4):287-292. |
[1] |
XIE Yingbin, WANG Qi, KAO Huating, SONG Bin, WANG Kang. Application of optic capture in microphthalmos congenital cataract surgery[J]. 滨州医学院学报, 2018, 41(5): 354-358. |
[2] |
MA Jianli, WANG Jibing, ZHANG Min, JIANG Yaqin. Ahmed glaucoma valve implantation combined with 1.8mm-incision phacoemulsification for refractoryglaucoma coexisting cataract[J]. 滨州医学院学报, 2017, 40(5): 326-329. |
[3] |
. [J]. 滨州医学院学报, 2017, 40(5): 357-360. |
|
|
|
|