Assessment of Optical Quality in Patients Underwent Cataract Surgery through Different Orientations of Clear Corneal Incision by Dual Channel Optical Quality Analysis System
CHEN Jian;LUO Ling-hui;DUAN Guo-ping
First Affiliated Hospital of Hunan Normal University and Department of Ophthalmology, Changsha 410005, China
Abstract:【Objective】 To compare the changes of optical quality in patients underwent cataract surgery with different orientations of clear corneal incision by dual channel optical quality analysis system(OQAS).【Methods】Sixty-four patients with age-related cataract in our hospital from January to May 2016 were divided into two groups according to the location of the transparent corneal incision;the Group A was treated with clear corneal incision located at the temporal side of the eyes, while the Group B was treated with a clear corneal incision at the top of the cornea, which was located around 12 clock.The objective scattering index ( OSI) values and OQAS values ( OV100%、OV20% and OV9% ) of the two groups were compared. 【Results】 (1)The uncorrected visual acuity and corrected visual acuity of all patients were increased gradually from 1d to 1 week after operation, and the visual acuity and corrected visual acuity of the Group A were higher than those of the Group B at the same time point after operation , the difference was significant (P<0.05); (2) The OSI values of the two groups of patients were higher than those before operation at 1d and 1 week after operation, and there was statistical significance in each time point(P<0.05). The OSI value of the Group A was significantly lower than that of the Group B at 1 D and 1 week after operation, with statistical significance (P<0.05);The OV9% values of the two groups of patients at each time point were higher than those before the operation at 1d, 1 week,1 month and 3 months, all of which had statistical significant(P<0.05) .The OV9% values of the Group A at each time point were significantly lower than those in the Group B, the difference was statistically significant (P<0.05). 【Conclusion】 The application of clear corneal incision located at the temporal side of the eye in cataract surgery may acquires less intraocular scattering than that of clear corneal incision at the top of the cornea with a faster vision recovery and better optical quality.Yet,the long-term effect needs to be further studied.
陈健;罗玲慧;段国平. 双通道视觉质量分析系统评估不同方位切口白内障术后的视觉质量[J]. 医学临床研究, 2017, 34(2): 279-282,284.
CHEN Jian;LUO Ling-hui;DUAN Guo-ping. Assessment of Optical Quality in Patients Underwent Cataract Surgery through Different Orientations of Clear Corneal Incision by Dual Channel Optical Quality Analysis System. JOURNAL OF CLINICAL RESEARCH, 2017, 34(2): 279-282,284.
[1] Ye C,Ng PK,Jhanji V.Optical quality assessment in normal and forme fruste keratoconus eyes with a double-pass system: a comparison and variability study[J].Br J Ophthalmol,2014,98( 11) : 1478-1483. [2] 乔利亚, 蔡啸谷,万修华,等.应用双通道客观视觉质量分析系统与光线追踪波阵面像差系统分析正常人眼调制传递函数[J].中华眼科杂志,2015,51(1):20-25. [3] Romero MJ,Arjona M,Luque SO,et al.Grading nuclear,cortical and posterior subcapsular cataracts using an objective scatter index measured with a double-pass system[J].Br J Ophthalmol,2012,96(9):1204-1210. [4] Jung HG,Lim TH.The recovery of optical quality after laser vision correction[J].Korean J Ophthalmol,2013,27( 4) : 249-255. [5] Kamiya K,Umeda K,Kobashi H,et al.Effect of aging on optical quality and intraocular scattering using the double-pass instrument[J].Curr Eye Res,2012,37( 10) : 884-888. [6] Guirao A, Redondo M, Geraghty E, et al. Corneal optical aberrations and retinal image quality in patients in whom monofocal intraocular lenses were implanted[J].Arch Ophthalmol,2002,120(9): 1143-1151. [7] Vilaseca M, Arjona M, Pujol J, et al. Optical quality of foldable monofocal intraocular lenses before and after injection: comparative evaluation using a double-pass system[J].J Cataract Refract Surg, 2009,35(8): 1415-1423. [8] Debois A, Nochez Y, Bezo C, et al.Refractive precision and objective quality of vision after toric lens implantation in cataract surgery[J].Fr Ophtalmol,2012, 35(8): 580-586. [9] Kamiya K, Umeda K, Kobashi H, et al. Effect of aging on optical quality and intraocular scattering using the double-pass instrument[J].Curr Eye Res,2012,37(10):884-888. [10] Santhiago MR, Netto MV, Barreto JJ, et al. Optical quality in eyes implanted with aspheric and spherical intraocular lenses assessed by NIDEK OPD-Scan: a randomized,bilateral, clinical trial[J].J Refract Surg,2011,27(4): 287-292.