AcrySof ReSTOR及Tecnis ZMB00多焦点人工晶状体植入术后视觉质量的比较  

Comparison of postoperative visual quality between Acry Sof Re STOR and Tecnis ZMB00 multifocal intraocular lens implantation

作　　者：付书华[1] 刘菲[1] 张倩[1] 仇晶晶[1] 游志鹏[1] 

机构地区：[1]南昌大学第二附属医院眼科,江西省南昌市330006

出　　处：《眼科新进展》2015年第6期572-575,共4页Recent Advances in Ophthalmology

摘　　要：目的比较植入AcryS of ReS TOR及Tecnis ZMB00多焦点人工晶状体(multifocal intraocular lens,MIOL)术后患者的视觉质量。方法回顾性病例对照分析2012年1月至2013年6月期间在我院眼科行白内障超声乳化联合MIOL植入术的患者32例(43眼),根据植入的MIOL不同分为两组,分别为植入AcryS of ReS TOR+4 D MIOL的A组,17例(22眼);植入Tecnis ZMB00+4 D MIOL的T组,15例(21眼)。术后随访3个月,使用标准对数视力表测量裸眼远视力(5 m)及Colenbrander MixedContrast视力测试卡测量中距离视力(66 cm)及近视力(40 cm)。术后3个月时测量明视、暗视和眩光状态时不同空间频率下的对比敏感度,同时对患者视觉干扰、满意度及脱镜率进行问卷调查。结果术后3个月,两组间裸眼远视力、中距离视力及近视力差异均无统计学意义(均为P>0.05)。两组在明视及明视眩光状态时3 c·d-1、6 c·d-1、12 c·d-1、18 c·d-1空间频率下的对比敏感度差异均无统计学意义(均为P>0.05);暗视及暗视眩光状态下时,T组在6 c·d-1、12 c·d-1、18 c·d-1空间频率下对比敏感度要优于A组,差异均有统计学意义(均为P<0.05),在低空间频率(3 c·d-1)下两组间差异均无统计学意义(均为P>0.05)。问卷调查示两组患者术后均极少出现影响正常生活的视觉干扰现象,术后满意度差异不明显。结论 AcryS of ReS TOR+4 D阶梯渐进衍射型MIOL及Tecnis ZMB00+4 D全光学面衍射型MIOL均能为白内障患者提供满意的全程视力,尽管在暗视及暗视状态下眩光时的高空间频率下Tecnis ZMB00 MIOL对比敏感度要优于AcryS of ReS TOR MIOL,但对于绝大多数患者日常生活质量无明显影响。Objective To compare the postoperative visual quality between AcrySof ReSTOR and Tecnis ZMB00 multifocal intraocular lens （MIOL） implantation. Methods Retrospective case-control analysis of cataract phacomulsification with MI- OL implantation in the second affiliated hospital of Nancha^g University during January 2012 to June 2013 were carried out. Thirty-two patients （43 eyes） were divided into two groups,17 cases （22 eyes） were implanted AcrySof ReSTOR ＋4 D MIOL, 15 cases （21 eyes） were implanted Tecnis ZMB00 ＋ 4 D MIOL. After 3 months, the far vision （ 5 m） were measured with the standard logarithmic visual acuity chart, the middle distance vi- sion （55 cm） and near vision （40 cm） were measured with Colenbrander Mixed Con- trast vision test card. The Takaci-CGT-1000 contrast sensitivity test instrument was used to measure the contrast sensitivity under bright, dark and glare condition, the question- naire survey （visual interference, satisfaction and rate of taking off the glasses） were performed,the data were statistically analyzed.Results After 3 months, there was no statistical difference in the far vision, middle distance vision and near vision between the two groups. Under bright and bright glare state, there was no significant difference in contrast sensitivity under different spatial frequency （3 c· d-1 ,6 c· d-1 ,12 c· d-1 ,18 c · d-1） ;Under scotopic and scotopic glare state,the contrast sensitivity in the Tecnis ZMB00 group under the high spatial frequency （6 c · d-1 ,12 c · d-1 ,18 c · d-1 ） were better than those in the AcrySof ReSTOR group, there were statistical differences （ all P 〈 O. 05 ）, but under the low spatial frequency （3 c ~ d - ~ ）, there was no statistical difference between the two groups （ all P 〉 O. 05 ）. Questionnaire survey indicated that there were rare visual interference phenomenon to affect normal life after surgery in the two groups. Conelusion Both of AcrySof ReSTOR MIOL and Tecnis ZMB00 MIOL can provide sat

关 键 词：多焦点人工晶状体 对比敏感度 视觉质量 

分 类 号：R776.1[医药卫生—眼科]