ReESTOR多焦点人工晶状体临床应用的初步报告  

Early clinical application of RESTOR multifocal intraocular lens implantation

作　　者：郭晶晶[1] 孙康[1] 罗书科[1] 陆强[1] 

机构地区：[1]广东省佛山市第二人民医院眼科中心,528000

出　　处：《临床眼科杂志》2009年第2期140-142,共3页Journal of Clinical Ophthalmology

摘　　要：目的评价ReSTOR多焦点人工晶状体(MIOL)植入后人工晶状体眼的视功能状态。方法收集在我院行白内障超声乳化摘除联合ReSTOR MIOL(SN60D3)植入术病例28例(30只眼)作为实验组,随机选择同期26例(30只眼)植入单焦点人工晶状体(SN60AT)作为对照组,观察术后裸眼远、近视力,最佳矫正远、近视力,最佳远视力矫正时近视力,术后并发症及脱镜率。结果两组患者术后裸眼远视力、最佳矫正远视力和最佳矫正近视力差异无显著性(P>0.05);术后第3个月裸眼远视力≥0.05者多焦组和单焦组均达94.65%,多焦组术后裸眼近视力和最佳矫正远视力下近视力明显优于单焦点组(P<0.05);术后第3个月裸眼近视力≥0.05者,多焦组为71.28%,单焦组为5.12%,而最佳视远矫正时近视力≥0.5,多焦组为>71.28%,单焦为13.98%。结论Re-STOR多焦点人工晶状体提供良好远、近视力,能有效地提高白内障患者术后的视觉质量。Objective To evaluate the visual outcomes in patients after the implantation of ReSTOR muhifecal intraecular lens（MIOL）. Methods After phacocmulsification, ReSTOR MIOL（ SN60D3 ） was inserted into the eye in 28 eases （30 eyes, test group ） ; single-focal intraocular lens （ SIOL, SN60AT ） was inserted into the eye in 26 eases （ 30 eyes, control group）. Measurements were taken at 1 week and 3 months postoperatively,including uncorrected distance visual acuity （ UCDVA）, best-corrected distance visual acuity （ BCDVA ）, uncorrected near visual acuity （ UCNVA ）, distance-corrected near visual acuity （ DCNVA ）, operative complications, independence on spectacles. Results UCDVA and BCDVA in the muhifecal group were not statistically different from the monofocal group （ P 〉 0.05 ）. The proportion of patients that achieved a UCDVA of 0.5 or better was 94.65% in both groups at 3 months postoperatively. UCNVA and DCNVA were statistically better in the muhifocal group compared to the monofocal group （ P 〈 0. 05 ）. A higer proportion in the multifocal group achieved 0.5 or better uncorrected near visual acuity and 0.5 or better best distance-corrected near visual acuity than in the monofacal group （71.28% versus 5.12% ,71.28% versus 13.98% ）. Conclusion The ReSTOR multifocal intraocular lens may proved excellent distance and near visual acutiy and improvde quality of life for patiens after phacocmulsification.

关 键 词：白内障超声乳化摘除术 多焦点 单焦点 人工晶状体 

分 类 号：R779.66[医药卫生—眼科]