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頁籤選單縮合
題名 | 鞏膜扣壓術後眼軸長度及屈光的變化=Axial Length and Refractive Change After Scleral Buckling Surgery |
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作者 | 蔡世豪; 吳佩昌; 蔡明勳; 林淑妍; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 37:1 1998.03[民87.03] |
頁次 | 頁17-21 |
分類號 | 416.746 |
關鍵詞 | 鞏膜扣壓術; 眼軸長度; 屈光狀態; 裂孔性網膜剝離; Retinal detachment; Axial length; Refraction; Scleral buckling; Scleral encircling; |
語文 | 中文(Chinese) |
中文摘要 | 鞏膜扣壓手術常命引起眼球外形幾何學上的變化,往往造成眼軸長度及屈光狀態 的改變。 我們收集了三十三個裂孔性視綱膜剝離且黃斑中心尚未剝離的病例作一前瞻性的研究, 來評估在鞏膜扣壓手術後所造成眼軸長度及屈光狀態的改變。經過術後六個月追蹤,在鞏膜 扣壓術後,所有的病人眼軸增長平均為0.41mm(P<0.01),屈光度的變化平均為 -0.32D(p<0.01)。對於環箍組,所產的眼軸增長平均0.74mm(P<0.01),屈光度的變化平均為 -2.79D(P<0.01)。對於非環箍組所產生的眼軸增長平均為0.14mm(P=0.11),屈光度的變化平 均為-0.09D(P=0.39)。 環箍術後的病例會比沒有環箍的病例造成更明顯的眼軸增長(P<0.01)和近視的增加 (P<0.01)。 |
英文摘要 | Scieral buckling surgery frequently induces geometrical change of eyeball contour, so the axial length and refraction may also be changed. We prospectively collected 33 cases of rhegmatogenous retinal detachment with fovea attached to evaluate the change of axial length and refraction after scleral buckling. The follow up peroid was at least 6 months. For all cases after scleral buckles, it caused an average increase of axial length as 0.41 mm (p<0.01) and refractive change of -0.32D (p<0.01). For encircling buckles subgroup, it caused an average increase of axial length as 0.74 mm (p<0.01) and refractive change of -2.79D (p<0.01). For non-encircling buckles subgroup, it caused an average increase of axial length as 0.14mm (p=0.11) and refractive change of -0.09D (p=0.39). Eyes with encircling buckles have significant more change in axial length (p<0.01) and myopia shifting (p<0.01) than eyes without encircling buckles. |
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