多焦点人工晶状体植入术后早期全程视力和拟调节力的临床观察  

Full range of vision and pseudoaccommodation in early stage after multifocal intraocular lens implantation

作　　者：吴杰[1] 朱磊[1] 

机构地区：[1]西安交通大学医学院附属三二0一医院眼科,陕西省汉中市723000

出　　处：《眼科新进展》2017年第6期572-575,共4页Recent Advances in Ophthalmology

摘　　要：目的对比AcrySof多焦点人工晶状体和单焦点人工晶状体植入术后的早期临床疗效及拟调节力。方法选取行白内障超声乳化摘出并人工晶状体植入术的年龄相关性白内障患者138例158眼,根据植入的人工晶状体不同,分为观察组和对照组。观察组60例73眼,植入AcrySof ReSTOR SN6AD1多焦点人工晶状体;对照组78例85眼,植入AcrySof Natural单焦点人工晶状体,比较术后1周、1个月和3个月两组患者的裸眼及最佳矫正远、中、近视力,并对比术后3个月时两组患者的拟调节力和生活质量调查评分。结果术后1周、1个月和3个月两组患者均能获得满意的远视力,观察组裸眼中视力分别为0.49±0.19、0.72±0.21、0.77±0.23,对照组分别为0.24±0.21、0.27±0.22、0.28±0.24,两组比较差异均有统计学意义(均为P<0.05);裸眼近视力观察组分别为0.47±0.20、0.70±0.22、0.80±0.24,对照组分别为0.21±0.23、0.23±0.19、0.26±0.18,两组比较差异均有统计学意义(均为P<0.05);两组患者的裸眼远视力及最佳矫正远、中、近视力比较差异均无统计学意义(均为P>0.05)。术后3个月,观察组的视远拟调节力和视近拟调节力分别为(2.56±0.82)D、(3.19±1.13)D,对照组分别为(0.87±0.57)D、(1.03±0.59)D,两组比较差异均有统计学意义(均为P<0.05)。观察组患者VF-14量表评分和视近时戴镜评分分别为(92.21±4.22)分、(4.23±0.85)分,对照组分别为(71.23±3.96)分、(2.01±0.71)分,两组比较差异均有统计学意义(均为P<0.05)。结论多焦点人工晶状体能够帮助患者获得全程视力,解决单焦点人工晶状体视中、视近的不足,改善拟调节力,提高患者的生活视觉质量。Objective To evaluate the clinical effectiveness and pseudoaccom- modation in the early stage after AcrySof ReSTOR multifocal intraocular lens（IOL） and monofocal IOL implantation. Methods A total of 138 patients （ 158 eyes） with age-re- lated cataract underwent phacoemulsification and IOL implantation were chosen, 73 eyes of 60 patients with a multifoeal IOL implantation as observation group and 85 eyes of 78 patients with monofocal IOL implantation as control group. The uncorrected visual acuity, best corrected visual acuity was evaluated at 1 week, 1 month, and 3 months af- ter operation, pseudoaecommodation and quality of life was evaluated at 3 months after operation. Results The patients of both observation group and control group were a- ble to obtain a satisfactory distance vision at 1 week, l month, and 3 months. The uncor- rected intermediate visual acuity of observation group were 0.49 ± 0. 19,0.72 ± 0.21, 0. 77±0.23,which of control group were 0.24 ±0.21,0.27 ± 0.22,0.28 ± 0.24, there were statistical differences between two groups （ all P 〈 0.05 ）. The uncorrected near visual acuity of obselvation group were 0.47 ± 0.20,0.70 ±0.22,0.80 ±0.24, which of control group were 0.21 ± 0.23,0.23 ± 0. 19,0.26 ±0. 18, there were statistical differ- ences between two groups （ all P 〈 0.05 ）. There was no significant difference in the un- corrected near visual acuity, best corrected distance, intermediate and near visual acuity between observation group and control group （ all P 〉 0.05 ）. At 3 months, the distance and near pseudoaccommodation of observation group were （2.56 ± 0.82 ）D, （ 3. 19 ±1. 13） D,which of control group were （0.87 ±0.57）D, （ 1.03 ±0.59） D,there were sta- tistical differences between two groups （all P 〈 0.05 ）. At 3 months,VF-14 scale score and wearing glasses as near score of observation group were 92.21 ±4.22,4.23 ±0.85, which of control group were 71.23 ±3.95,2.01 ± 0.71, there were statistical differences between two group

关 键 词：白内障超声乳化 多焦点人工晶状体 单焦点人工晶状体 拟调节力 

分 类 号：R776.1[医药卫生—眼科]