患儿男,8岁。因双眼视力下降1年,于2023年8月4日到济南爱尔眼科医院就诊。既往身体健康,否认其他全身系统性疾病史。眼科检查:右眼、左眼裸眼视力分别为0.5、0.6,最佳矫正视力(BCVA)均为1.0。右眼、左眼眼压分别为15、16 mm Hg(1 mm Hg=...
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患儿男,8岁。因双眼视力下降1年,于2023年8月4日到济南爱尔眼科医院就诊。既往身体健康,否认其他全身系统性疾病史。眼科检查:右眼、左眼裸眼视力分别为0.5、0.6,最佳矫正视力(BCVA)均为1.0。右眼、左眼眼压分别为15、16 mm Hg(1 mm Hg=0.133 kPa)。双眼眼前节和眼底检查均未见明显异常。给予患者最佳视力最大正镜度数配镜。患儿于2023年9月于外院行低强度红光重复照射(RLRL)治疗连续8个月。患儿2024年5月12日于我院复查。
目的:观察PanOptix三焦点人工晶状体(TFNT00)植入术后的视觉质量与立体视觉。方法:前瞻性临床研究。选取2022-11/2024-04在济南明水眼科医院行白内障超声乳化联合TFNT00植入的白内障患者36例50眼,随访至术后3 mo,观察术后裸眼远视力(UCDVA)、裸眼中距离视力(UCIVA)、裸眼近距离视力(UCNVA)、客观散射指数(OSI)、调制传递函数截至频率(MTF-cut-off)、斯特列尔比(SR)及100%、20%、9%对比度视力(CVA)等指标;使用双目视力仪采集患者远用立体视锐度及近用立体视锐度;绘制术后离焦曲线;使用中文版VF-14视功能指数量表评价视觉质量与满意度。结果:患者UCDVA、UCIVA、UCNVA在术后不同时间比较有差异(均P<0.05)。术后离焦曲线在+0.5--3.0 D之间曲线过渡平缓;术后3 mo OSI值明显低于术前(P<0.01),MTF-cut-off、SR、100%CVA、20%CVA、9%CVA均明显高于术前(均P<0.01)。术前34例患者远近立体视锐度异常,双眼手术患者术后远立体视锐度均正常,12例近用立体视锐度正常;单眼手术患者中13例远用立体视锐度正常,11例近用立体视锐度正常,双眼手术患者远近立体视锐度明显优于单眼手术患者。结论:PanOptix三焦点人工晶状体可以为患者提供良好的全程视力,双眼植入的患者立体视觉优于单眼植入的患者,患者术后整体视觉质量及满意度较高。
目的:评价角膜绷带镜防治糖尿病患者白内障超声乳化术后干眼的安全性及有效性。方法:将2023-08月至2024-02月在济南普瑞眼科医院行PHACO + IOL植入术的40例(40眼)白内障合并2型糖尿病的患者,分为实验(佩戴绷带镜)组和对照组,平均每组20眼,将眼前节结构及炎症表现、最佳矫正视力(BCVA)、干眼症状评估量表值(SPEED)、眼表疾病指数值(OSDI)及非侵入性首次泪膜破裂时间(NIFBUT)作为2组术后评价指标。结果:术后2组患者均未眼前节炎症反应及眼前节结构改变等并发症。2组术后BCVA总体比较及不同时间点BCVA总体比较差异均具有统计学(F组别 = 0.635, P = 0.430, F时间 = 35.231, P F组别 = 42.615, P F时间 = 41.453, P F组别 = 42.615, P F时间 = 41.453, P F组别 = 2.241, P = 0.035),NIFBUT在不同时间点间总体比较,对照组与实验(BCL)组差异无统计学意义(F时间 = 1.462, P Objective: To evaluate the safety and effectiveness of wearing corneal banding lenses in preventing dry eye after phacoemulsification surgery for patients with diabetes mellitus and cataracts. Methods: A total of 40 cases (40 eyes) of patients with cataracts and type 2 diabetes mellitus who underwent PHACO + IOL implantation surgery at Jinan Puri Eye Hospital from August 2023 to February 2024 were divided into an experimental group (wearing banding lenses) and a control group, with an average of 20 eyes per group. The evaluation indicators for the two groups at postoperative time were anterior segment structure and inflammatory manifestations, best corrected visual acuity (BCVA), dry eye symptom assessment scale (SPEED) values, ocular surface disease index (OSDI) values, and non-invasive first tear film rupture time (NIFBUT). Results: After surgery, there were no complications such as anterior segment inflammatory response and anterior segment structural changes in both groups of patients. Postoperative BCVA values and differences at different time points in both groups showed statistically significant differences (Fgroup = 0.635, P = 0.430, Ftime = 35.231, P Fgroup = 42.615, P Ftime = 41.453, P Fgroup = 42.615, P Ftime = 41.453, P Fgroup = 2.241, P = 0.035), but no statistically significant differences between the control group and the experimental (BCL) group at different time points (Ftime = 1.462, P < 0.235). Conclusion: Wearing corneal banding lenses after cataract surgery in patients with diabetes mellit
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