白内障人工晶状体植入术后多维立体视评估  

Evaluation of multidimensional stereoscopic vision after intraocular lens implantation in patients with cataract

作　　者：龙潭[1] 马挺[1] 梁厚成[1] 

机构地区：[1]西安市第一医院眼科,710002

出　　处：《中华眼外伤职业眼病杂志》2014年第10期725-729,共5页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的 比较双眼白内障患者单眼及双眼不同类型人工晶状体（IOL）植入术后多维立体视的变化。方法 回顾性分析双眼白内障摘出联合IOL植入术患者的数据。比较不同类型IOL植入术后各阶立体视的差异，并比较单眼术后和双眼术后各阶立体视的变化。对影响各阶立体视的因素进行Logistic回归分析。结果 双眼白内障患者在行双眼手术后比单眼手术后各阶立体视均有改善，差异具有统计学意义。单眼术后立体视与患者年龄和双眼间最佳矫正视力（BCVA）差相关，年龄越小、双眼间BCVA差值越小，则立体视越好。IOL的不同类型对立体视无显著影响。结论 不同类型IOL植入术后均可获得良好的立体视，且差异无统计学意义。由于不同患者对立体视的需求不同，在单眼术后可依据双眼BCVA差值选择另眼手术的时机。Objective To compare the multidimensional stereoscopic vision in cataract patients after monocular and binocular implantation of intraocular lens （ IOL ） of different type. Methods Data of binocular cataract patients who received cataract extraction and IOL implantation were retrospectivly analyzed. The efficacy of different types of IOL on muhidimensional stereoscopic vision was compared postoperatively. The changes of multidimensional stereoscopic vision after monocular and binocular cataract surgery were compared. And the factors influencing multidimensional stereoscopic vision were analyzed with Logistic regression analysis. Results Patients with binocular IOL achieved better multidimensional stereoscopic vision than patients with monocular IOL. After monocular implantation of IOL, the muhidimensional stereoscopic vision was correlated with age and the difference of best corrected visual acuity （BCVA） between the two eyes. The patients with younger age and smaller difference of BCVA between the two eyes had better stereoscopic vision. There was no statistic significance of difference between different types of IOL on multidimensional stereoscopic vision. Conclusion Implantation of IOL for cataract can improve stereoscopic vision with various type of IOL. Due to the needs in stereoscopic vision of patients, the surgery time for the other eye after monocular IOL implantation may be chosen according to the BCVA difference between the two eyes.

关 键 词：白内障 晶状体 人工 立体视 多维 

分 类 号：R779.66[医药卫生—眼科]