比较毛细血管激光胶囊术后胶囊和眼内晶状体碎片的参数,在白内障高近视患者中手工连续曲线胶囊瘤。这是一项前瞻性连续的非随机化比较队列研究。轴向长度> 26.0mm的选定患者分为飞秒激光胶囊术(FS)组和手动连续曲线胶囊瘤(CCC)组。五种经验丰富的术乳化外科医生进行了所有手术。记录了术中并发症和术后前段摄影。在手术后1周,1个月和2年测量,在手术后1周,1个月和2年来测量眼镜镜片,胶囊,圆形和胶囊重叠。在参数的组分差之间使用独立样品 - 最终或Mann-Whitney -Test,方差试验分析,Pearson Chi-Square测试和Spearman等级相关试验。该研究包括142只眼(108名患者),FS组中的68只眼,CCC组中74只眼。在手术后1周,1个月和2年后,CCC组的胶囊面积显着大于FS组(<0.05),而在圆形值中没有略有显着差异。FS组的完整重叠比显着高于CCC组(0.05)。 In patients with an anterior chamber depth >3 mm, the capsule-intraocular lens (IOL) overlap of the CCC group was less than that of the FS group at all measured timepoints after surgery ( < 0.05). Meanwhile, the IOL decentration in the CCC group was significantly greater than that of the FS group in those patients at 2 years after surgery ( < 0.05). In high myopic patients with cataracts, with anterior chamber depth more than 3 mm, femtosecond laser capsulotomy can achieve better capsulorrhexis sizing and centering. Due to more precise capsulotomy and a better capsule-IOL overlap in the FS group, femtosecond laser capsulotomy resulted in better long-term centration of the IOL.
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PubMed.