飞秒激光辅助白内障手术联合TECNIS Symfony人工晶状体植入术后视觉质量的临床观察  

Clinical Observation of Visual Quality After Femtosecond Laser Assisted Cataract Surgery Combined with TECNIS Symfony Intraocular Lens Implantation

作　　者：郭琳[1] 李海燕[1] 李长乐 马波[1] GUO Lin;LI Haiyan;LI Changle(Xi'an People's Hospital(Xi'an Fourth Hospital),Shaanxi Xi'an 710004,China)

机构地区：[1]陕西省西安市人民医院/陕西省西安市第四医院眼科,陕西西安710004

出　　处：《河北医学》2022年第1期112-116,共5页Hebei Medicine

基　　金：陕西省社会发展科技攻关项目,(编号:2016SF-091)。

摘　　要：目的:研究飞秒激光辅助白内障手术(FLACS)联合TECNIS Symfony人工晶状体(IOL)植入术后视觉质量的临床效果。方法:选择本院2018年8月至2020年10月诊治的148例(148眼)白内障患者,均给予FLACS联合IOL治疗。通过简单随机分组法将患者分为研究组和对照组,各74例,其中研究组采用TECNIS Symfony IOL,对照组采用传统球面单焦点IOL。比较两组患者治疗前后视力、对比敏感度(CS)、波前像差、角膜屈光力和散光力变化,并评估患者术后视觉质量。结果:两组患者裸眼远视力、矫正视力、不同角度CS、总低阶像差以及远视满意度比较均无显著差异(P>0.05),但研究组裸眼中视力、裸眼近视力、近视满意度、中视满意度、阅读脱镜率以及VF-14评分均显著高于对照组,总像差以及总高阶像差均显著低于对照组(P<0.05);两组患者总屈光力较术前显著降低,总散光力较术前显著升高(P<0.05),但两组患者术前、术后比较均无统计学意义(P>0.05)。结论:FLACS联合TECNIS Symfony IOL植入术,可较好的满足白内障患者视力需求,提供优质的视觉质量。Objective:To study the visual quality after femtosecond laser-assisted cataract surgery(FLACS)combined with TECNIS Symfony intraocular lens(IOL)implantation.Methods:A total of 148 patients(148 eyes)with cataract who underwent FLACS combined with IOL implantation in the hospital between August 2018 and October 2020 were selected and divided into study group and control group by simple random grouping method with 74 patients in each group.Patients in the study group were treated with TECNIS Symfony IOL,while patients in the control group were treated with traditional spherical monofocal IOL.Changes in visual acuity,contrast sensitivity(CS),wavefront aberration,corneal refractive power and astigmatism before and after treatment were compared between the two groups,and visual quality after surgery was evaluated.Results:There was no significant difference in uncorrected distant visual acuity,corrected visual acuity,CS from different angles,total low order aberrations and satisfaction with distant vision between the two groups(P>0.05).However,the uncorrected middle and near visual acuity,satisfaction with near vision and middle vision,spectacles-independent rate while reading and VF-14 score of the study group were significantly higher than those of the control group.The overall aberrations and overall high-order aberrations were significantly lower than those of the control group(P<0.05).After surgery,overall refractive power of the two groups was significantly reduced,and the overall astigmatism was significantly increased(P<0.05),but the comparison between the two groups before and after the operation showed no statistical significance(P>0.05).Conclusion:FLACS combined with TECNIS Symfony IOL implantation can better meet the vision needs of patients with cataract and provide them with high visual quality.

关 键 词：飞秒激光 白内障手术 TECNIS Symfony 人工晶状体植入术 视觉质量 

分 类 号：R779.6[医药卫生—眼科]