不同区域折射多焦人工晶状体植入术后视觉质量比较  

Comparison of visual outcomes after different regional refraction multifocal intraocular lens implantation

作　　者：屈思萌[1] 陈琛[1] 林珊 邸红莲 李莉[1] 王玉芬[1] 韦秋红 QU Simeng;CHEN Shen;LIN Shan;DI Honglan;LI Li;WANG Yufen;WEI Qiuhong(Department of Ophthalmology,Baoding First Central Hospital of Hebei,Baoding 071000,China)

机构地区：[1]河北省保定市第一中心医院东院眼一科,河北保定071000

出　　处：《现代仪器与医疗》2018年第5期90-92,126,共4页Modern Instruments & Medical Treatment

摘　　要：目的:比较3种多焦人工晶状体(MIOL)植入治疗白内障的效果及其对患者视觉质量的影响。方法:105例单眼白内障患者随机分为SBL-3组、SN6AD1组、ZMB00组,各35例,均给予白内障超声乳化摘除联合区域折射MIOL植入治疗,按照患者组别选择对应MIOL。比较3组患者术后裸眼视力变化,并应用对比敏感度、对比度视力、视觉质量满意度评价患者视觉质量。结果 :3组患者术后不良反应发生率比较,差异无统计学意义(P> 0.05)。术后3个月,3组患者裸眼远/中/近视力均较术前改善,SBL-3组术后3个月裸眼中/近视力优于SN6AD1组、ZMB00组,差异有统计学意义(P <0.05)。SBL-3组在明光、明光眩光下4种空间频率(3、6、12、18 c/d)的对比敏感度均高于SN6AD1组、ZMB00组,在暗光、暗光眩光下3种空间频率(3、6、12c/d)的对比敏感度高于SN6AD1组、ZMB00组,差异有统计学意义(P <0.05)。术后3个月,SBL-3组对比度为20%、9%的对比度视力优于SN6AD1组、ZMB00组,差异有统计学意义(P <0.05)。术后3个月,SBL-3组近距离阅读、夜间视力及总体满意度均高于SN6AD1组、ZMB00组,差异有统计学意义(P <0.05)。结论 :区域折射MIOL能够在有效改善白内障患者视力的基础上,显著提高患者对比敏感度、对比度视力,对于患者术后视觉质量的改善有着积极作用。Objective： This study objective was to compare the effect of three kinds of multifocal artificial lens （MIOL） implantation on cataract and their effect on visual outcomes. Methods： One hundred and three patients with monocular cataract were randomly divided into SBL-3 group, SN6AD1 group and ZMB00 group, with 35 cases each. All patients were treated with phacoemulsifcation and regional refraction MIOL implantation, and the corresponding MIOL was selected according to the patient group. The visual acuity changes of the three groups were compared, and the visual outcome was evaluated by contrast sensitivity, contrast visual acuity and visual outcome satisfaction. Results： There was no signifcant difference in the incidence of postoperative adverse reactions among the 3 groups （P〉0.05）. At 3 months after surgery, the remote/middle/near vision of the naked eye improved in the 3 groups compared with that before surgery, and the near vision of the naked eye in the SBL-3 group was better than that of the SN6AD1 group and the ZMB00 group at 3 months after surgery, with statistically signifcant differences （P〈0.05）. The contrast sensitivity of four spatial frequencies （3, 6, 12, 18 c/d） of SBL-3 group was higher than those of SN6AD1 group and ZMB00 group under light and light glare, and that of three spatial frequencies （3, 6, 12 c/d） under dark and dark glare was higher than those of SN6AD1 group and ZMB00 group, with statistically signifcant difference （P〈0.05）. 3 months after surgery, the contrast vision of SBL-3 group was 20% and 9%, which was better than those of SN6AD1 group and ZMB00 group, and the difference was statistically signifcant （P〈0.05）. 3 months after the operation, SBL-3 group’s close reading, night vision and overall satisfaction were higher than SN6AD1 group and ZMB00 group, with statistically signifcant differences （P〈0.05）. Conclusions： regional refraction MIOL can signifcantly improve the contrast sensitivity and contrast visual acuity of patients

关 键 词：区域折射多焦人工晶状体 晶状体植入术 白内障 视觉质量 

分 类 号：R77[医药卫生—眼科]