Efficacy of phacoemulsification combined with intraocular lens implantation for senile cataract with corneal astigmatism

AIM:To evaluate the clinical efficacy of phacoemulsification combined with intraocular lens(IOL)implantation for senile cataract patients with corneal astigmatism.<p>METHODS:Using the random number table method were enrolled 64 cases(84 eyes)with senile cataract at Eye Center of our hospital,...

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Main Authors: Yong-Xiao Dong, Li Huang, Xiao-Rong Guan, Yan Ma, Wen-Tao Han, Jin Zhao, Ju-Ying Lü
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2015-11-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2015/11/201511023.pdf
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author Yong-Xiao Dong
Li Huang
Xiao-Rong Guan
Yan Ma
Wen-Tao Han
Jin Zhao
Ju-Ying Lü
author_facet Yong-Xiao Dong
Li Huang
Xiao-Rong Guan
Yan Ma
Wen-Tao Han
Jin Zhao
Ju-Ying Lü
author_sort Yong-Xiao Dong
collection DOAJ
description AIM:To evaluate the clinical efficacy of phacoemulsification combined with intraocular lens(IOL)implantation for senile cataract patients with corneal astigmatism.<p>METHODS:Using the random number table method were enrolled 64 cases(84 eyes)with senile cataract at Eye Center of our hospital, which were divided into the astigmatism IOL group(42 eyes of 33 cases)and the spherical IOL group(42 eyes of 31 cases). The astigmatism IOL group was treated with phacoemulsification with intraocular lens implantation, and the spherical IOL group was treated with conventional temporal clarity cornea incision phacoemulsification and spherical intraocular lens implantation combined with limbal relaxing incisions on steep axial position. Distribution of vision at 3mo pre- and post-operation, astigmatism, the changes of spherical and cylindrical lens indicators(curvature, axial, non-mydriatic refraction spherical, non-mydriatic refraction cylindrical, astigmatism axial)were observed between two groups. <p>RESULTS:Uncorrected visual acuity of the astigmatism IOL group and the spherical IOL group were follow up to 3mo post-operation, the visual acuity was significantly improved(<i>P</i><0.05)than that in pre-operation groups. Compared with the spherical IOL group of uncorrected visual acuity after operation, distribution of vision in the astigmatism IOL group was superior than that in the spherical IOL group(<i>Z</i>=-2.172,<i>P</i>=0.030<0.05). Compared with pre-operation groups, the corneal astigmatism was decreased in the astigmatism IOL group and the spherical IOL group at 3mo post-opearation, with statistically significant differences(<i>P</i><0.05). Non-mydriatic refraction spherical and non-mydriatic refraction cylindrical were decreased after operation(<i>P</i><0.05), astigmatism axial had no statistically significant differences compared with pre-operation(<i>P</i>>0.05). Non-mydriatic refraction spherical and non-mydriatic refraction cylindrical of the astigmatism IOL group were significant lower than than in the spherical IOL group at 3mo post-operation(<i>P</i><0.05). <p>CONCLUSION:Phacoemulsification combined with intraocular lens implantation for senile cataract with corneal astigmatism have a good clinical effect.
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spelling doaj.art-3a3a8e2d65434967bd72942b4a018fc02022-12-22T01:11:52ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232015-11-0115111923192610.3980/j.issn.1672-5123.2015.11.23Efficacy of phacoemulsification combined with intraocular lens implantation for senile cataract with corneal astigmatismYong-Xiao Dong0Li Huang1Xiao-Rong Guan2Yan Ma3Wen-Tao Han4Jin Zhao5Ju-Ying Lü6Department of Ophthalmology, the first People's Hospital of Xianyang,Xianyang 712000, Shaanxi Province, ChinaDepartment of Ophthalmology, the first People's Hospital of Xianyang,Xianyang 712000, Shaanxi Province, ChinaDepartment of Ophthalmology, the first People's Hospital of Xianyang,Xianyang 712000, Shaanxi Province, ChinaDepartment of Ophthalmology, the first People's Hospital of Xianyang,Xianyang 712000, Shaanxi Province, ChinaDepartment of Ophthalmology, the first People's Hospital of Xianyang,Xianyang 712000, Shaanxi Province, ChinaDepartment of Ophthalmology, the first People's Hospital of Xianyang,Xianyang 712000, Shaanxi Province, ChinaDepartment of Ophthalmology, the first People's Hospital of Xianyang,Xianyang 712000, Shaanxi Province, ChinaAIM:To evaluate the clinical efficacy of phacoemulsification combined with intraocular lens(IOL)implantation for senile cataract patients with corneal astigmatism.<p>METHODS:Using the random number table method were enrolled 64 cases(84 eyes)with senile cataract at Eye Center of our hospital, which were divided into the astigmatism IOL group(42 eyes of 33 cases)and the spherical IOL group(42 eyes of 31 cases). The astigmatism IOL group was treated with phacoemulsification with intraocular lens implantation, and the spherical IOL group was treated with conventional temporal clarity cornea incision phacoemulsification and spherical intraocular lens implantation combined with limbal relaxing incisions on steep axial position. Distribution of vision at 3mo pre- and post-operation, astigmatism, the changes of spherical and cylindrical lens indicators(curvature, axial, non-mydriatic refraction spherical, non-mydriatic refraction cylindrical, astigmatism axial)were observed between two groups. <p>RESULTS:Uncorrected visual acuity of the astigmatism IOL group and the spherical IOL group were follow up to 3mo post-operation, the visual acuity was significantly improved(<i>P</i><0.05)than that in pre-operation groups. Compared with the spherical IOL group of uncorrected visual acuity after operation, distribution of vision in the astigmatism IOL group was superior than that in the spherical IOL group(<i>Z</i>=-2.172,<i>P</i>=0.030<0.05). Compared with pre-operation groups, the corneal astigmatism was decreased in the astigmatism IOL group and the spherical IOL group at 3mo post-opearation, with statistically significant differences(<i>P</i><0.05). Non-mydriatic refraction spherical and non-mydriatic refraction cylindrical were decreased after operation(<i>P</i><0.05), astigmatism axial had no statistically significant differences compared with pre-operation(<i>P</i>>0.05). Non-mydriatic refraction spherical and non-mydriatic refraction cylindrical of the astigmatism IOL group were significant lower than than in the spherical IOL group at 3mo post-operation(<i>P</i><0.05). <p>CONCLUSION:Phacoemulsification combined with intraocular lens implantation for senile cataract with corneal astigmatism have a good clinical effect.http://ies.ijo.cn/cn_publish/2015/11/201511023.pdfsenile cataract with corneal astigmatismphacoemulsification limbal relaxing incisionsastigmatism intraocular lens implantationclinical efficacy
spellingShingle Yong-Xiao Dong
Li Huang
Xiao-Rong Guan
Yan Ma
Wen-Tao Han
Jin Zhao
Ju-Ying Lü
Efficacy of phacoemulsification combined with intraocular lens implantation for senile cataract with corneal astigmatism
Guoji Yanke Zazhi
senile cataract with corneal astigmatism
phacoemulsification limbal relaxing incisions
astigmatism intraocular lens implantation
clinical efficacy
title Efficacy of phacoemulsification combined with intraocular lens implantation for senile cataract with corneal astigmatism
title_full Efficacy of phacoemulsification combined with intraocular lens implantation for senile cataract with corneal astigmatism
title_fullStr Efficacy of phacoemulsification combined with intraocular lens implantation for senile cataract with corneal astigmatism
title_full_unstemmed Efficacy of phacoemulsification combined with intraocular lens implantation for senile cataract with corneal astigmatism
title_short Efficacy of phacoemulsification combined with intraocular lens implantation for senile cataract with corneal astigmatism
title_sort efficacy of phacoemulsification combined with intraocular lens implantation for senile cataract with corneal astigmatism
topic senile cataract with corneal astigmatism
phacoemulsification limbal relaxing incisions
astigmatism intraocular lens implantation
clinical efficacy
url http://ies.ijo.cn/cn_publish/2015/11/201511023.pdf
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