OPD-ScanⅢ型像差分析仪评估高度近视合并白内障患者植入三焦点IOL术后视觉质量  

Clinical application of OPD-ScanⅢaberration analyzer in evaluating the implantation of trifocal intraocular lens in patients with high myopia complicated with cataract

作　　者：赵抒羽[1] 何锦贤[1] 吴燕纯 梁先军 Shu-Yu Zhao;Jin-Xian He;Yan-Chun Wu;Xian-Jun Liang(Foshan Aier Eye Hospital,Foshan 528000,Guangdong Province,China;Aier School of Ophthalmology,Central South University,Changsha 410015,Hunan Province,China)

机构地区：[1]佛山爱尔眼科医院,中国广东省佛山市528000 [2]中南大学爱尔眼科学院,中国湖南省长沙市410015

出　　处：《国际眼科杂志》2022年第2期318-321,共4页International Eye Science

基　　金：广东省佛山市科技计划项目课题(No.2018AB000381)。

摘　　要：目的:应用OPD-ScanⅢ型像差分析仪评估高度近视合并白内障患者植入三焦点人工晶状体(IOL)术后视觉质量。方法:选取2018-06/2020-12在佛山爱尔眼科医院接受飞秒激光辅助白内障超声乳化手术联合植入三焦点IOL的高度近视白内障患者32例38眼,比较术前,术后1wk,3mo裸眼远视力(UCDVA)、中距离视力(UCIVA)、近距离视力(UCNVA);术前,术后1wk,3mo进行OPD-ScanⅢ型像差分析仪检查。结果:术前,术后1wk,3mo UCDVA、UCIVA、UCNVA比较均有差异(P<0.05),术后3mo人工晶状体偏心距为0.12(0.08~0.15)mm,轴位为(212.68±90.45)°。术前,术后1wk,3mo球差比较有差异(P<0.05)。术前,术后1wk,3mo斯特列尔比(SR)、调制传递函数(MTF)曲线中4mm面积比(AR)比较均有差异(P<0.001)。术后1wk,3mo SR比术前提升,术后1wk,3mo AR比术前提升(均P<0.001)。术后3mo SR与球差、三叶草呈负相关(rs=-0.420、-0.418,均P<0.01);术后3mo AR与三叶草呈负相关(rs=-0.400,P<0.05)。结论:高度近视合并白内障患者植入三焦点IOL术后全程视力提高,OPD-ScanⅢ型像差分析仪结果显示术后IOL居中性良好,视觉质量良好。AIM:To evaluate the visual quality of patients with high myopia complicated with cataract after implantation of trifocal intraocular lens by OPD-ScanⅢaberration analyzer.METHODS:Totally 32 patients(38 eyes)with high myopia complicated with cataract who underwent femtosecond laser assisted cataract phacoemulsification combined with trifocal intraocular lens implantation in Foshan Aier Eye Hospital from June 2018 to December 2020 were selected.Uncorrected distance visual acuity(UCDVA),uncorrected intermediate visual acuity(UCIVA)and uncorrected near visual acuity(UCNVA)were compared before,and 1wk,3mo after surgery;OPD-ScanⅢaberration analyzer measured objective visual quality before,and 1wk and 3mo after surgery.RESULTS:There were significant differences in UCDVA,UCIVA and UCNVA before,and 1wk,3mo after operation(P<0.05).The average orientation and centration distance was 0.12(0.08-0.15)mm and the average axial was(212.68±90.45)°in 3mo postoperative.There were significant differences in spherical aberration(P<0.05),Strehl ratio(SR)and area ratio(AR)before,and 1wk,3mo after operation(P<0.001).In comparison,SR at 1wk and 3mo postoperative was higher than that before operation,whereas AR in 1wk and 3mo postoperative were both higher than that before operation(all P<0.001).There was a negative correlation between SR and spherical aberration at 3mo postoperative(rs=-0.420,P<0.01);There was a negative correlation between SR and trefoil at 3mo postoperative(rs=-0.418,P<0.01);There was a negative correlation between AR and trefoil at 3mo postoperative(rs=-0.400,P<0.05).CONCLUSION:Femtosecond laser assisted cataract surgery combined with trifocal intraocular lens implantation can provide a comfortable and natural full-range vision.The orientation and centricity of trifocal intraocular lens using OPD-ScanⅢhas shown that there was a good reliability and consistency.The vision quality using OPD-ScanⅢis satisfactory.

关 键 词：三焦点 人工晶状体(IOL) 高度近视 白内障 OPD-ScanⅢ型像差分析仪 

分 类 号：R47[医药卫生—护理学]