单眼和双眼三焦点IOL植入术后视觉相关生活质量的比较  

Comparison of vision-related quality of life between monocular and binocular trifocal IOL implantation

作　　者：张蓓[1] 周栋[1] 江一[1] 邓国华[1] Bei Zhang;Dong Zhou;Yi Jiang;Guo-Hua Deng(Department of Ophthalmology, the Third People's Hospital of Changzhou, Changzhou 213000, Jiangsu Province, China)

机构地区：[1]中国江苏省常州市第三人民医院眼科,213000

出　　处：《国际眼科杂志》2021年第2期291-294,共4页International Eye Science

基　　金：常州市科技项目(No.CE20175039);常州市卫健委科技项目(No.QN201941)。

摘　　要：目的:对比分析双眼三焦点IOL(AT LISA tri 839MP IOL)植入与一眼植入AT LISA tri 839MP IOL而另一眼植入非球面单焦点IOL患者术后视觉相关生活质量。方法:前瞻性临床研究。收集2018-05/2019-08在我院行白内障超声乳化联合三焦点AT LISA tri 839MP IOL植入的患者45例,按是否双眼植入AT LISA tri 839MP IOL分为两组,双眼植入者24例纳入双眼三焦点组;一眼植入AT LISA tri 839MP IOL而另一眼植入非球面单焦点IOL者21例纳入单眼三焦点组。术后3mo,检测两组患者裸眼视力及等效球镜度,并通过中国版视功能指数量表(VF-14-CN)评价视觉相关生活质量,评估日常生活脱镜率及满意度。结果:术后3mo,双眼三焦点组和单眼三焦点组患者双眼裸眼远、中、近视力均无明显差异(P>0.05),两组患者VF-14-CN问卷得分(96.2±0.50、92.43±1.32分)、日常生活脱镜率(96%、90%)及患者主观满意度(96%、95%)均无差异(P>0.05)。结论:双眼植入AT LISA tri 839MP IOL和一眼植入AT LISA tri 839MP IOL而另一眼植入非球面单焦点IOL的患者术后均具有良好的双眼裸眼远、中、近视力,术后视觉相关生活质量、脱镜率、满意度无明显差异。对一眼不适合植入三焦点IOL或既往一眼已植入非球面单焦点IOL的患者,可考虑另一眼行三焦点IOL植入以满足患者双眼全程视力的要求。AIM:To compare the visual related quality of life between patients who underwent binocular and unilateral AT LISA tri 839MP intraocular lens(IOL)implantation.METHODS:A prospective observational study.Forty-five patients with cataract phacoemulsification combined with IOL implantation were collected in our hospital from may 2018 to August 2019 were collected.According to whether trifocal intraocular lens(AT LISA tri 839MP)was implanted in both eyes,it was divided into two groups.For bilateral group(24 people),patients accepted AT LISA tri 839MP IOL in both eyes.For unilateral group(21 people),patients accepted AT LISA tri 839MP IOL in one eye and an aspheric monofocal IOL in the other eye.After follow-up 3mo,the binocular uncorrected distant,intermediate and near visual acuity(bUCDVA,bUCIVA,bUCNVA),visual function questionnaire,daily life degroscopy rate and satisfaction degree of the two groups were compared and analyzed.RESULTS:Three months after operation,there was no significant difference in bUCDVA,bUCIVA,bUCNVA between two groups(P>0.05).And also,there were no significant difference in VF-14-CN questionnaire score(96.2±0.50,92.43±1.32),degroscopy rate(96%,90%)and satisfaction(96%,95%)between the two groups(P>0.05).CONCLUSION:Patients who accepted AT LISA tri 839MP IOL in both eyes and who accepted AT LISA tri 839MP IOL in one eye and an aspheric monofocal IOL in the other eye,share excellent bUCDVA,bUCIVA,bUCNVA.There was no significant difference in postoperative vision-related QoL,spectacle independency and satisfaction between the two groups.For patients who are not suitable for the implantation of trifocal IOL at one eye or who have had the aspheric single-focus IOL implanted at the previous eye,trifocal IOL implantation at another eye can be considered to meet the requirements of the whole binocular vision.

关 键 词：视力 白内障 三焦点人工晶状体 视觉相关生活质量 

分 类 号：R47[医药卫生—护理学]