白内障患者单眼视设计双眼植入单焦点人工晶体术后视觉质量  

Visual quality in cataract patients with bilateral monofocal intraocular lenses monovision

作　　者：马志成 薛颖[2] 饶惠英[2] Ma Zhicheng;Xue Ying;Rao Huiying(Shengli Clinical Medicine College of Fujian Medical University,Fuzhou 350001,China;Department of Ophthalmology,Fujian Provincial Hospital,Fuzhou 350001,China)

机构地区：[1]福建医科大学省立临床医学院,福州350001 [2]福建省立医院眼科,福州350001

出　　处：《创伤与急诊电子杂志》2023年第2期62-66,共5页Journal of Trauma and Emergency(Electronic Version)

基　　金：福建省自然科学基金卫生联合面上项目(2019J01507)。

摘　　要：目的探究在白内障手术中利用单眼视设计双眼植入单焦点人工晶状体(intraocular lens implantation,IOL)后患者的视觉质量。方法本研究为前瞻性非随机对照试验。选取2019年4月至2021年9月于福建省立医院诊断为双眼年龄相关性白内障患者100例(200眼),分为单眼视组(主导眼屈光度设计为﹣0.5~0D,非主导眼设计为﹣2.0~﹣1.5D)及常规组(双眼均设计为﹣0.5~0D)各50例(100眼),双眼均植入AMO Tecnis ZCB00单焦点人工晶状体。比较两组患者术后3个月时的双眼裸眼视力(视力均以logMAR形式表示)、远立体视功能、基于视觉活动问卷改良的视功能调查量表评分、脱镜率。结果双眼裸眼远距离视力,单眼视组为0.071±0.057(logMAR),与常规组0.061±0.053(logMAR)相近,差异无统计学意义(t=0.947,P>0.05)。双眼裸眼67cm中间距离视力,单眼视组为0.307±0.126(logMAR),优于常规组为0.612±0.129(logMAR),差异有统计学意义(t=﹣11.964,P<0.05)。双眼裸眼近距离视力,单眼视组为0.345±0.118(logMAR),优于常规组为0.670±0.137(logMAR),差异有统计学意义(t=﹣12.710,P<0.05)。远立体视功能,单眼视组中心凹立体视、黄斑立体、周边立体视、立体盲所占百分比为12%、26%、46%、16%,常规组中心凹立体视、黄斑立体、周边立体视、立体盲所占百分比为60%、30%、4%、6%,常规组远立体视功能优于单眼视组,差异有统计学意义(Z=﹣5.576,P<0.05)。视功能调查量表评分,单眼视组总分(77.231±3.261)分高于常规组[(72.616±4.588)分],两组差异有统计学意义(t=5.797,P<0.05);在与视力相关日常活动得分中,单眼视组(83.498±5.453)分高于常规组[(57.998±5.822)分],差异有统计学意义(t=22.602,P<0.05);立体视方面则是常规组(81.334±27.896)分较单眼视组[(44.666±29.823)分]更佳,差异有统计学意义(t=﹣6.349,P<0.05);周边视野得分、感觉适应得分,两组差异无统计学意义(P>0.05)。单眼视组脱镜率为82%,高�Objective To investigate the visual quality in patients who had pseudophakic monovision achieved by monofocal intraocular lens(IOL)implantation after bilateral cataract surgery.Method A prospective non-randomized controlled study was conducted on 100 age-related cataract patients(200 eyes).They were enrolled in Fujian Provincial Hospital from April 2019 to September 2021 and received cataract surgery.All cases were divided into two groups:monovision group(n=50)and conventional group(n=50).All the patients enrolled were implanted with the same type of IOL(AMO Tecnis ZCB00).In the monovision group,the target refraction range for the dominant eye was﹣0.5D to 0D,and﹣2.0D to﹣1.5D for the non-dominant eye.In the conventional group,the target refraction range for both eyes was﹣0.5D to 0D.In the postoperative 3rd month,the binocular uncorrected distance visual acuity,uncorrected intermediate visual acuity,uncorrected near visual acuity,refraction state,distance stereopsis,score of visual function questionnaire which was derived from the Vision Activities Questionnaire and proportion of spectacle independence were compared between two groups.The measured decimal values of visual acuity were converted to the logarithm of the minimum angle of resolution(logMAR)scale.Result Mean binocular uncorrected distance visual acuity in monovision group(0.071±0.057)was similar to that in conventional group(0.061±0.053,t=0.947,P>0.05).Mean binocular uncorrected intermediate visual acuity in monovision group(0.307±0.126)was significantly better than that in conventional group(0.612±0.129,t=﹣11.964,P<0.05).Mean binocular uncorrected near visual acuity in monovision group(0.345±0.118)was significantly better than that in conventional group(0.670±0.137,t=﹣12.710,P<0.05).The distance stereopsis acuity in conventional group was significantly better than that in conventional group(Z=﹣5.576,P<0.05).The total score of visual function questionnaire in monovision group(77.231±3.261)was significantly higher than that in convent

关 键 词：单眼视 白内障 晶状体超声乳化术 人工晶状体 视功能 

分 类 号：R779.66[医药卫生—眼科]