Acrysof IQ Restor多焦点Toric人工晶状体植入术后临床效果观察  

The clinical effects of implantation of Acrysof IQ Restor multifocal Toric lens

作　　者：陈潇[1] 苟甫伟 陈茂盛[1] 

机构地区：[1]重庆爱尔眼科医院,重庆400020

出　　处：《Eye Science》2016年第2期98-102,共5页眼科学报（英文版）

摘　　要：目的:评价白内障患者超声乳化术中植入Acrysof IQ Restor多焦点Toric人工晶体矫正术前规则角膜散光的早期临床效果、安全性,以及术后人工晶状体眼的视功能状态。方法:搜集自2013年至今在我院行白内障超声乳化术并植入Acrysof IQ Restor多焦点Toric人工晶状体的白内障患者18例(23眼)进行分析,术前患者散光均大于1.0 D。术后随访3个月,分别观察术后1周、1个月以及3个月的裸眼远视力,最佳矫正远视力以及裸眼近视力,术前散光以及术后3个月时残余散光、等效球镜度数和人工晶状体的旋转度。结果:术后3个月患者裸眼远视力0.89±0.21,最佳矫正远视力0.95±0.38,等效球镜为-0.5^+0.25D,裸眼近视力为0.82±0.19。术后3个月验光全眼散光为(0.38±0.15)D,较术前散光(1.79±0.43)D有明显降低(P<0.05)。术后3个月人工晶状体的轴位平均偏离(3.48±1.21)°。结论:Acrysof IQ Restor多焦点Toric人工晶状体为白内障患者提供了良好的术后全程视力和视觉质量,并校正了术前角膜散光,实现了患者高度满意率和脱镜率,可预测性好,并有良好的旋转稳定性。Objective： To evaluate the early clinical effects and safety of phacoemulsification with implantation of Acrysof IQ_Restor Toric lens, and investigate the vision quantity of the patients with implantation of Acrysof IQ Restor Toric lens. Methods： We retrospectively analyzed 18 cases （23 eyes） of corneal astigmatism ≥1.0 diopter treated by phacoemulsification with implantation ofAcrysof IQ Restor Toric lens. Patients were followed up for 3 months. The patients were observed with uncorrected distance visual acuity （UCVA）, best corrected distance visual acuity （BCVA）, uncorrected near visual acuity （UNVA）, astigmatism before and after surgery, spherical equivalent refraction, and rational stability of the IOL. Results： At 3 months after the surgery, UCVA was 0.89±0.21, BCVA was 0.95±0.38, spherical equivalent refraction was -0.5-＋0.25 D, UNVA was 0.82±0.19. Overall astigmatism was（0.38-＋0.15） diopter, less than the astigmatism before surgery （1.79±0.43） Diopter （P〈0.05）. At 3 months the mean IOL axis rotation was （3.48± 1.21 ）°. Conclusion： Acrysof IQ.Restor multifocal Toric lens provides excellent overall vision and visual quality for cataract patients, corrects corneal astigmatism with rotational stability, increases the rate of satisfactory and removal of lens, and also has good predictability and rotary stability.

关 键 词：多焦点散光晶体 全程视力 角膜散光 

分 类 号：R779.66[医药卫生—眼科]