关键词: IOL calculation MGD Meibomian gland dysfunction TPS Thermal Pulsation System cataract cataract surgery intraocular lens power

Mesh : Humans Meibomian Gland Dysfunction / surgery Astigmatism / complications surgery Meibomian Glands Lenses, Intraocular Cataract / complications therapy Phacoemulsification

来  源:   DOI:10.3390/medicina59040658   PDF(Pubmed)

Abstract:
In patients with eye surface disorders such as dry eye syndrome or Meibomian gland dysfunction (MGD) it is necessary to improve the tear film condition in order to obtain visual system measurements before cataract surgery. The aim of the project was to analyze the Thermal Pulsation System (TPS) impact on the visual system parameters used in cataract surgery qualification. The study included six patients (11 eyes) with MGD diagnosis. All patients were treated with TPS. The obtained results were compared and used to calculate the power and type of the intraocular lens (IOL). As a treatment result, the power of astigmatism has changed in 64% of the eyes. Planned surgical treatment type has changed in 27% of cases. TPS also affected the cylinder axis in three eyes, which was 27% of cases. Based on the calculations, power of the recommended IOL has changed in five eyes (46%). Stabilization of visual system parameters after TPS allowed to improve the accuracy of the results. It also ensured the proper astigmatism treating method during cataract surgery and allowed selection of the proper IOL power and type.
摘要:
在患有干眼症或睑板腺功能障碍(MGD)等眼表疾病的患者中,有必要改善泪膜状况,以便在白内障手术前获得视觉系统测量值。该项目的目的是分析热脉动系统(TPS)对白内障手术鉴定中使用的视觉系统参数的影响。该研究包括6例MGD诊断患者(11只眼)。所有患者均接受TPS治疗。将获得的结果进行比较,并用于计算人工晶状体(IOL)的屈光度和类型。作为治疗的结果,64%的眼睛散光能力发生了变化。27%的病例计划的手术治疗类型发生了变化。TPS也影响了三只眼睛的圆柱轴,占病例的27%。根据计算,推荐IOL的功率在五只眼(46%)发生了变化。TPS后视觉系统参数的稳定可以提高结果的准确性。它还确保了白内障手术期间适当的散光治疗方法,并允许选择适当的IOL屈光力和类型。
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