高度近视眼白内障超声乳化吸除单焦点与多焦点人工晶状体植入术后视觉质量的研究  

Visual quality outcomes of monofocal versus multifocal intraocular lens implantation in high myopia

作　　者：张晓城 陈茂盛[1] 

机构地区：[1]爱尔眼科集团重庆爱尔眼科医院,重庆400000

出　　处：《临床眼科杂志》2013年第4期301-303,共3页Journal of Clinical Ophthalmology

摘　　要：目的评估高度近视眼白内障超声乳化吸除单焦点折叠人工晶状体与多焦点阶梯渐进衍谢型折叠人工晶状体植入术后对患者视觉质量的影响。方法采用非随机对照研究。2010年1月到2011年7月诊断为高度近视伴白内障(眼轴长度≥26 mm)的患者87例(108只眼),男45例(57只眼),女40例(51只眼)。年龄46～81岁,平均(68.44±5.27)。验光球镜(-5.25～-10.25)D,平均(-6.25±-0.25)D,柱镜(-1.25～2.00)D,平均(-1.25±-0.25)D。植入单焦点折叠(Alcon SN60AT)48例(52只眼)与多焦点折叠(Alcon SN6AD1)人工晶状体例39例(56只眼),记录两组患者手术后1、3个月的裸眼远、近视力、最佳矫正远视力(BCVA)、散光、角膜地形图形态、对比敏感度调查及日常生活质量调查问卷。结果观察组与对照组术后1个月的裸眼视力上差异具有统计学意义(P<0.05),在BCVA、角膜地形图及对比敏感度的差异无统计学意义(P>0.05〉;术后3个月在远、近视力、散光、日常生活等方面多焦人工晶状体患者较单焦人工晶状体差异具有统计学意义(P<0.05);调查问卷显示多焦人工晶状为患者提供了满意的远、近视力。结论与单焦点人工晶状体相比较,多焦点人工晶状体可给高度近视伴白内障患者术后提供更好的近视力,阅读脱竟率较高,具有较好的日常视觉功能。Objective To assess the visual quality outcomes of monofocal versus multifocal intraocular lens（IOS） implantation in high myopia patients.Methods This was a non-randomized controlled study.Eighty-seven patients（108 eyes） diagnosed with high myopia cataract（axial length ≥26 mm） were recruited in the study from January 2010 to July 2011.Forty-five were males（57 eyes） and 40 were females（51 eyes）.Average age was 68.44 ＋ 5.27.Spherical refractory error ranged from-5.25 D to-10.25 D,with an average of-6.25 ±-0.25 D;cylindrical error ranged from 1.25 D to 2.00 D,with an average of-1.25 ±-0.25 D.Monofocal foldable lenses（Alcon SN60AT） were implaned in 52 patients and multifocal foldable lenses（Alcon SN6AD1） were implanted in 56 patients.Uncorrected distance and near visual acuity（UCVA）,best corrected visual acuity（BCVA）,astigmatism,corneal topography,contrast sensitivity and questionnaire of daily life quality were obtained at 1 and 3 months after the surgery.Results Postoperative uncorrected visual acuity was significantly different between the two groups at 1 month（P 0.05）;but no significant differences in BCVA,corneal topography,or contrast sensitivity were found.At 3 months after the surgery,far and near visual acuity,degree of astigmatism,contrast sensitivity,and daily life quality were significantly improved in patients implanted with multifocal IOS（P 0.05）.Conclusion Compared with monofocal lenses,multifocal IOL provides faster recovery,better near vision,higher percentage of spectacle independence and satisfactory visual function.

关 键 词：超声乳化白内障吸出术 高度近视 视觉质量 

分 类 号：R779.66[医药卫生—眼科]