摘要
目的:对比分析单眼植入三焦点、多焦点及连续视程人工晶状体(IOL)术后短期的视力、视觉干扰现象及脱镜率。方法:回顾性分析2019-03/2022-12行超声乳化白内障吸除联合IOL植入术的白内障患者67例67眼。35例35眼植入Symfony连续视程IOL;21例21眼植入AcrySof IQ ReSTOR+3D多焦点IOL;11例11眼植入AcrySof IQ PanOptix三焦点IOL。记录术前及术后3 mo裸眼远视力(UDVA)、中视力(UIVA)、近视力(UNVA),术后3 mo离焦曲线、视觉干扰现象及脱镜率。结果:术后3 mo,三组间UDVA无差异(P>0.05);Symfony组及PanOptix组UIVA优于ReSTOR组(均P<0.01);ReSTOR组及PanOptix组UNVA优于Symfony组(均P<0.01)。离焦曲线显示,在中视力区间(-1.00--1.50 D),Symfony组视力优于ReSTOR组(P<0.05);在近视力区间(-2.50--3.50 D),ReSTOR组视力优于Symfony组(P<0.05);PanOptix组在近视力区间(-2.00--3.50 D)的视力优于Symfony组(P<0.05),同时在中视力区间(-1.00--2.00 D)的视力优于ReSTOR组(P<0.05)。三组间眩光或光晕的发生率及双眼相互干扰现象发生率均无差异(P>0.05)。PanOptix组和ReSTOR组脱镜率比Symfony组高(P<0.0167)。结论:与Symfony连续视程IOL和ReSTOR多焦点IOL相比,PanOptix三焦点IOL能够兼顾远中近视力,眩光和光晕发生率不高,脱镜率较高;单眼植入老视矫正型IOL仍需慎重。
AIM:To compare the short-term postoperative visual acuity,visual disturbance phenomena,and spectacle independence rate in patients who underwent monocular implantation with trifocal,multifocal,or extended range of vision intraocular lens(IOL).METHODS:A retrospective analysis was conducted on 67 cataract patients(67 eyes)who underwent phacoemulsification cataract extraction combined with IOL implantation from March 2019 to December 2022.A total of 35 cases(35 eyes)received Symfony extended range of vision IOL implantation,21 cases(21 eyes)received AcrySof IQ ReSTOR+3D multifocal IOL,and 11 cases(11 eyes)received AcrySof IQ PanOptix trifocal IOL.The preoperative uncorrected distance visual acuity(UDVA),uncorrected intermediate visual acuity(UIVA),and uncorrected near visual acuity(UNVA)and 3 mo postoperatively were documented.Moreover,defocus curves,visual disturbance phenomena,and spectacle independence rates were recorded at 3 mo postoperatively.RESULTS:At 3 mo postoperatively,no statistically significant differences were observed in UDVA among the three groups(P>0.05).A comparison of UIVA showed superior results in the Symfony and PanOptix groups compared to the ReSTOR group(all P<0.01).The UNVA of both the ReSTOR and PanOptix groups outperformed the Symfony group(all P<0.01).The defocus curves indicated that in the intermediate vision range(-1.00 to-1.50 D),the Symfony group exhibited better performance than the ReSTOR group(P<0.05);while in the near vision range(-2.50 to-3.50 D),the ReSTOR group was superior to the Symfony group(P<0.05).The PanOptix group demonstrated superior visual acuity in the near vision range(-2.00 to-3.50 D)compared to the Symfony group(P<0.05)and was also superior in the intermediate vision range(-1.00 to-2.00 D)compared to the ReSTOR group(P<0.05).No significant differences were observed in the incidence of glare or halo and binocular interference phenomena among the three groups(P>0.05).The PanOptix and ReSTOR groups exhibited a higher spectacle independence rate compared to the Symfony group(P<0.0167).CONCLUSION:Compared to Symfony extended range of vision IOL and ReSTOR multifocal IOL,PanOptix trifocal IOL offers a balanced approach to distance,intermediate,and near visual acuity,without a high incidence of glare and halo,and with a higher spectacle independence rate.Caution is still advised when considering monocular implantation with presbyopia-correcting IOLs.
作者
张岩
吴元奇
吴佳恒
张民军
Zhang Yan;Wu Yuanqi;Wu Jiaheng;Zhang Minjun(Jiaxing Aier Eye Hospital,Jiaxing 314000,Zhejiang Province,China;Huzhou Aier Eye Hospital,Huzhou 313000,Zhejiang Province,China)
出处
《国际眼科杂志》
2024年第1期106-110,共5页
International Eye Science
基金
嘉兴市科技计划项目(No.2022AY30006)。
关键词
人工晶状体(IOL)
连续视程
多焦点人工晶状体
三焦点人工晶状体
离焦曲线
视觉干扰
脱镜率
intraocular lens(IOL)
extended range of vision
multifocal intraocular lens
trifocal intraocular lens
defocus curve
visual disturbance
spectacle independence
作者简介
张岩,男,毕业于郑州大学,硕士,副主任医师,副院长,研究方向:白内障、青光眼;通讯作者:张岩.147965722@qq.com。
