Phacoemulsification combined with capsular tension ring and intraocular lens implantation in the treatment of high myopia with cataract
AIM: To observe the efficacy of phacoemulsification combined with capsular tension ring and intraocular lens implantation in the treatment of high myopia with cataract.METHODS: Retrospective study. A total of 82 cases(82 eyes)of high myopia complicated with cataract who admitted to the cataract depa...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2024-03-01
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| Series: | Guoji Yanke Zazhi |
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| Online Access: | http://ies.ijo.cn/cn_publish/2024/3/202403019.pdf |
| _version_ | 1797293932363644928 |
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| author | Meng Keqing Zhang Wulin Xu Yanhui Dong Wei Xu Jianfeng |
| author_facet | Meng Keqing Zhang Wulin Xu Yanhui Dong Wei Xu Jianfeng |
| author_sort | Meng Keqing |
| collection | DOAJ |
| description | AIM: To observe the efficacy of phacoemulsification combined with capsular tension ring and intraocular lens implantation in the treatment of high myopia with cataract.METHODS: Retrospective study. A total of 82 cases(82 eyes)of high myopia complicated with cataract who admitted to the cataract department of our hospital from December 2021 to April 2023 were selected as study objects, and they were divided into control group(n=39)and combination group(n=43)according to whether or not the capsular tension ring was used intraoperatively. Patients in the control group were treated with intraocular lens implantation alone, and those in the combination group were treated with phacoemulsification combined with capsular tension ring and intraocular lens implantation. The preoperative and postoperative best corrected visual acuity, central anterior chamber depth, trabecular ciliary process, visual quality and complications were compared.RESULTS: At 1 mo after surgery, the best corrected visual acuity(LogMAR)of both groups increased significantly(combination group: 0.64±0.28 vs 0.12±0.14; control group: 0.62±0.26 vs 0.23±0.25, both P<0.001). Central anterior chamber depth in both groups were higher than those before surgery(combination group: 2.57±0.56 vs 1.97±0.40 mm; control group: 2.22±0.45 vs 1.89±0.37 mm; both P<0.001), and the best corrected visual acuity and central anterior chamber depth of the combination group were significantly better than those of the control group(both P<0.05). The distance of trabecular ciliary process showed no statistical significance(combination group: 0.68±0.22 vs 0.74±0.20 mm; control group: 0.74±0.19 vs 0.78±0.17 mm, both P>0.05). The visual quality scores of the combination group were all higher than the control group at 1 mo after surgery [watching TV: 3.00±0.38 vs 2.22±0.46 points; reading books: 2.85±0.42 vs 2.21±0.44 points; night vision: 2.71±0.34 vs 2.37±0.41 points; fine operation: 2.82±0.38 vs 2.33±0.40 points, all P<0.001]. The incidence of complication in the combination group was significantly lower than that of the control group(33% vs 14%, P<0.05).CONCLUSION: Phacoemulsification combined with capsular tension ring and intraocular lens implantation can effectively promote the recovery of visual function, improve the structure of chamber angle, and reduce the incidence of complications in the treatment of patients with high myopia and cataract. |
| first_indexed | 2024-03-07T21:22:55Z |
| format | Article |
| id | doaj.art-6701783bc3bd4d589b11b02e8e4ab832 |
| institution | Directory Open Access Journal |
| issn | 1672-5123 |
| language | English |
| last_indexed | 2024-03-07T21:22:55Z |
| publishDate | 2024-03-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | Guoji Yanke Zazhi |
| spelling | doaj.art-6701783bc3bd4d589b11b02e8e4ab8322024-02-27T08:53:25ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232024-03-0124343243510.3980/j.issn.1672-5123.2024.3.19202403019Phacoemulsification combined with capsular tension ring and intraocular lens implantation in the treatment of high myopia with cataractMeng Keqing0Zhang Wulin1Xu Yanhui2Dong Wei3Xu Jianfeng4Hebei Eye Hospital;Hebei Key Laboratory of Ophthalmology;Hebei Clinical Medical Research Center of Eye Diseases, Xingtai 054001, Hebei Province, ChinaHebei Eye Hospital;Hebei Key Laboratory of Ophthalmology;Hebei Clinical Medical Research Center of Eye Diseases, Xingtai 054001, Hebei Province, ChinaHebei Eye Hospital;Hebei Key Laboratory of Ophthalmology;Hebei Clinical Medical Research Center of Eye Diseases, Xingtai 054001, Hebei Province, ChinaHebei Eye Hospital;Hebei Key Laboratory of Ophthalmology;Hebei Clinical Medical Research Center of Eye Diseases, Xingtai 054001, Hebei Province, ChinaHebei Eye Hospital;Hebei Key Laboratory of Ophthalmology;Hebei Clinical Medical Research Center of Eye Diseases, Xingtai 054001, Hebei Province, ChinaAIM: To observe the efficacy of phacoemulsification combined with capsular tension ring and intraocular lens implantation in the treatment of high myopia with cataract.METHODS: Retrospective study. A total of 82 cases(82 eyes)of high myopia complicated with cataract who admitted to the cataract department of our hospital from December 2021 to April 2023 were selected as study objects, and they were divided into control group(n=39)and combination group(n=43)according to whether or not the capsular tension ring was used intraoperatively. Patients in the control group were treated with intraocular lens implantation alone, and those in the combination group were treated with phacoemulsification combined with capsular tension ring and intraocular lens implantation. The preoperative and postoperative best corrected visual acuity, central anterior chamber depth, trabecular ciliary process, visual quality and complications were compared.RESULTS: At 1 mo after surgery, the best corrected visual acuity(LogMAR)of both groups increased significantly(combination group: 0.64±0.28 vs 0.12±0.14; control group: 0.62±0.26 vs 0.23±0.25, both P<0.001). Central anterior chamber depth in both groups were higher than those before surgery(combination group: 2.57±0.56 vs 1.97±0.40 mm; control group: 2.22±0.45 vs 1.89±0.37 mm; both P<0.001), and the best corrected visual acuity and central anterior chamber depth of the combination group were significantly better than those of the control group(both P<0.05). The distance of trabecular ciliary process showed no statistical significance(combination group: 0.68±0.22 vs 0.74±0.20 mm; control group: 0.74±0.19 vs 0.78±0.17 mm, both P>0.05). The visual quality scores of the combination group were all higher than the control group at 1 mo after surgery [watching TV: 3.00±0.38 vs 2.22±0.46 points; reading books: 2.85±0.42 vs 2.21±0.44 points; night vision: 2.71±0.34 vs 2.37±0.41 points; fine operation: 2.82±0.38 vs 2.33±0.40 points, all P<0.001]. The incidence of complication in the combination group was significantly lower than that of the control group(33% vs 14%, P<0.05).CONCLUSION: Phacoemulsification combined with capsular tension ring and intraocular lens implantation can effectively promote the recovery of visual function, improve the structure of chamber angle, and reduce the incidence of complications in the treatment of patients with high myopia and cataract.http://ies.ijo.cn/cn_publish/2024/3/202403019.pdfphacoemulsificationcapsular tension ringintraocular lens implantationhigh myopia |
| spellingShingle | Meng Keqing Zhang Wulin Xu Yanhui Dong Wei Xu Jianfeng Phacoemulsification combined with capsular tension ring and intraocular lens implantation in the treatment of high myopia with cataract Guoji Yanke Zazhi phacoemulsification capsular tension ring intraocular lens implantation high myopia |
| title | Phacoemulsification combined with capsular tension ring and intraocular lens implantation in the treatment of high myopia with cataract |
| title_full | Phacoemulsification combined with capsular tension ring and intraocular lens implantation in the treatment of high myopia with cataract |
| title_fullStr | Phacoemulsification combined with capsular tension ring and intraocular lens implantation in the treatment of high myopia with cataract |
| title_full_unstemmed | Phacoemulsification combined with capsular tension ring and intraocular lens implantation in the treatment of high myopia with cataract |
| title_short | Phacoemulsification combined with capsular tension ring and intraocular lens implantation in the treatment of high myopia with cataract |
| title_sort | phacoemulsification combined with capsular tension ring and intraocular lens implantation in the treatment of high myopia with cataract |
| topic | phacoemulsification capsular tension ring intraocular lens implantation high myopia |
| url | http://ies.ijo.cn/cn_publish/2024/3/202403019.pdf |
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