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目的探讨34例老年性白内障患者术后的黄斑变化。方法对我院34例无脉络膜新生血管膜形成且合并轻中度黄斑变性的老年性白内障患者的临床资料进行回顾性分析。结果 55.6%的患者术后6个月的最佳矫正视力有了提高,新生血管发生率为2.8%,视物变形和视物发暗的发生率分别为13.9%和25%。结论对于没有脉络膜新生血管膜的早期AMD患者,为患眼置入蓝光滤过的人工晶状体,白内障手术显然能够改善其视觉功能和生活质量。
Objective To investigate the postoperative macular changes in 34 cases of senile cataract patients. Methods The clinical data of 34 patients with age-related cataract without choroidal neovascularization and with mild to moderate macular degeneration were retrospectively analyzed. Results 55.6% of the patients had the best corrected visual acuity 6 months after operation. The incidence of neovascularization was 2.8%, and the incidence of visual distortion and dark matter were 13.9% and 25% respectively. Conclusions For early AMD patients without choroidal neovascularization, cataract surgery is clearly able to improve visual function and quality of life for patients with blue-filtered IOLs.