摘要
·AIM:Toevaluateandcompareaspherictoricintraocularlens(IOL)implantationandasphericmonofocalIOLimplantationwithlimbalrelaxingincisions(LRI)tomanagelowcornealastigmatism(1.0-2.0D)incataractsurgery.·METHODS:Aprospectiverandomizedcomparativeclinicalstudywasperformed.Therewererandomlyrecruited102eyes(102patients)withcataractsassociatedwithcornealastigmatismanddividedintotwogroups.ThefirstgroupreceivedtoricIOLimplantationandthesecondonemonofocalIOLimplantationwithperipheralcornealrelaxingincisions.Outcomesconsideredwere:visualacuity,postoperativeresidualastigmatism,endothelialcellcount,theneedforspectacles,andpatientsatisfaction.Todeterminethepostoperativetoricaxis,allpatientswhounderwentthetoricIOLimplantationwerefurtherevaluatedusinganOPDScanIII(NidekCo,Japan).Follow-uplasted6mo.·RESULTS:Themeanuncorrecteddistancevisualacuity(UCVA)andthebestcorrectedvisualacuity(BCVA)demonstratedstatisticallysignificantimprovementaftersurgeryinbothgroups.Attheendofthefollow-uptheUCVAwasstatisticallybetterinthepatientswithtoricIOLimplantscomparedtothosepatientswhounderwentimplantationofmonofocalIOLplusLRI.Themeanresidualrefractiveastigmatismwasof0.4DforthetoricIOLgroupand1.1DfortheLRIgroup(P<0.01).Nodifferencewasobservedinthepostoperativeendothelialcellcountbetweenthetwogroups.·CONCLUSION:Thetwosurgicalproceduresdemonstratedasignificantdecreaseinrefractiveastigmatism.ToricIOLimplantationwasmoreeffectiveandpredictablecomparedtothelimbalrelaxingincision.
出版日期
2015年04月14日（中国期刊网平台首次上网日期，不代表论文的发表时间）
