Objective To compare the surgically induced astigmatism after femtosecond laser surgery and phacoemulsification in patients with cataract.Methods A total of 100 patients with cataract (100 eyes) were divided into an experimental group (n=50) and a control group (n=50).The experimental group received femtosecond laser surgery,while the control group received traditional phacoemulsification surgery with clear corneal incision at 10 the o’clock position.Uncorrected visual acuity (UCVA),best corrected visual acuity (BCVA),astigmatism,corneal thickness,and surgically induced astigmatism (SIA) were compared between the two groups before and after surgery.Results The UCVA in the two groups 1 day,1 week,1 month,and 3 months after surgery was improved compared with the indicator before surgery (P<0.05),but had no statistical differences between the two groups (P>0.05).The BCVA in the two groups were not statistically different 1 day,1 week,and 3 months after surgery (P>0.05),but 1 month after surgery,the BCVA in the control group was better than that in the experimental group (P<0.05).The astigmatism,corneal thickness,and SIA before surgery and 3 months after surgery were not different between the two groups (P>0.05).Conclusion Although both femtosecond laser surgery and phacoemulsification result in better UCVA at the early period after surgery,but the former effect is faster.
HE Mansha
,
WU Zheming
,
CHEN Yun
,
CHEN Haisong
,
XIAO Shulun
. Comparison of astigmatism after femtosecond laser surgery and phacoemulsification in patients with cataract[J]. Surgical Research and New Technique, 2018
, 7(4)
: 260
-262
.
DOI: 10.3969/j.issn.2095-378X.2018.04.011
[1] 秦艳,秦伟.白内障手术同时矫正散光的研究进展[J].局解手术学杂志,2017,16(12):909-913.
[2] 方兴,兰长骏,廖萱.飞秒激光在白内障手术中的应用[J].眼科新进展,2016,27(2):197-200.
[3] 王静,王涵,马立威,等.LenSx飞秒激光辅助白内障手术安全性和有效性的临床研究[J].国际眼科杂志,2016,17(10):1858-1861.
[4] Wilczynski M,Supady E,Wierzchowski T,et al.The effect of corneal tunnel length in patients after standard phacoemulsification through a 2.75 mm incision on surgically induced astigmatism,corneal thickness and endothelial cell density [J].Klin Oczna,2016,117(4):236-242.
[5] 袁媛,彭华琮.飞秒激光辅助白内障手术与传统超声乳化白内障手术对眼高阶相差影响的对比研究[J].临床眼科杂志,2018,26(2):97-101.
[6] Kohnen T,Schwarz L,Remy M,et al.Short-term complications of femtosecond laser-assisted laser in situ keratomileusis cuts:Review of 1210 consecutive cases [J].J Cataract Refract Surg,2016,42(12):1797-1803.
[7] 李维娜,李超,梁碧玲,等.飞秒激光辅助白内障手术的术源性散光研究[J].中国实用眼科杂志,2017,35(6):588-590.