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Posterior capsule opacification after implantation with different AcrySof foldable intraocular lenses

苗林, 曹西友, 殷汝桂, 朱鸿, 宋鹤翔

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Abstract

目的:观察两种设计不同的AcrySof丙烯酸酯折叠式人工晶体(intraocular lens,IOL)对晶状体后囊膜混浊(posterior capsuleopacification,PCO)的影响.方法:114例(114只眼)随机分为两组(1)试验组:59例(59眼),植入一体式AcrySof折叠式IOL.(2)对照组:55例(55眼),植入三体式AcrySof折叠式IOL.术后半年散大瞳孔观察Soemmering环和PCO情况.结果:瞳孔区PCO,试验组4只眼(6.8%),混浊多为轻微皱褶.对照组11只眼(20%),试验组PCO明显少于对照组,差异有显著意义(P<0.05).两组术后Soemmering环边界均清晰而试验组更加明显,且襻周也形成明显的细胞增殖区.结论:一体式AcrySof折叠IOL具有独特设计的襻使晶状体后囊膜皱褶大为减少,远期Pcp明显下降.

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目的:观察两种设计不同的AcrySof丙烯酸酯折叠式人工晶体(intraocular lens,IOL)对晶状体后囊膜混浊(posterior capsuleopacification,PCO)的影响.方法:114例(114只眼)随机分为两组(1)试验组:59例(59眼),植入一体式AcrySof折叠式IOL.(2)对照组:55例(55眼),植入三体式AcrySof折叠式IOL.术后半年散大瞳孔观察Soemmering环和PCO情况.结果:瞳孔区PCO,试验组4只眼(6.8%),混浊多为轻微皱褶.对照组11只眼(20%),试验组PCO明显少于对照组,差异有显著意义(P<0.05).两组术后Soemmering环边界均清晰而试验组更加明显,且襻周也形成明显的细胞增殖区.结论:一体式AcrySof折叠IOL具有独特设计的襻使晶状体后囊膜皱褶大为减少,远期Pcp明显下降.

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Available abstract

目的:观察两种设计不同的AcrySof丙烯酸酯折叠式人工晶体(intraocular lens,IOL)对晶状体后囊膜混浊(posterior capsuleopacification,PCO)的影响.方法:114例(114只眼)随机分为两组(1)试验组:59例(59眼),植入一体式AcrySof折叠式IOL.(2)对照组:55例(55眼),植入三体式AcrySof折叠式IOL.术后半年散大瞳孔观察Soemmering环和PCO情况.结果:瞳孔区PCO,试验组4只眼(6.8%),混浊多为轻微皱褶.对照组11只眼(20%),试验组PCO明显少于对照组,差异有显著意义(P<0.05).两组术后Soemmering环边界均清晰而试验组更加明显,且襻周也形成明显的细胞增殖区.结论:一体式AcrySof折叠IOL具有独特设计的襻使晶状体后囊膜皱褶大为减少,远期Pcp明显下降.

Key concepts: Intraocular lenses, Posterior capsule opacification, Medicine, Ophthalmology, Optometry, Intraocular lens, Capsule, Phacoemulsification

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