多焦点人工晶体植入术在年龄相关性白内障中的临床应用  

Clinical application of multifocal intraocular lens implantation in age-related cataracts

作　　者：曹泽刚 黄芬霞 李仁芳 CAO Zegang;HUANG Fenxia;LI Renfang(Department of Ophthalmology,Heyuan People’s Hospital,Guangdong,Heyuan 517001,China)

机构地区：[1]广东省河源市人民医院眼科,广东河源517001

出　　处：《中国医药科学》2024年第8期164-167,183,共5页China Medicine And Pharmacy

基　　金：广东省河源市科技计划项目(200715181501935)。

摘　　要：目的探讨多焦点人工晶体(MIOL)植入术对年龄相关性白内障(ARC)患者的有效性和安全性。方法通过临床前瞻性分组比较研究,选择2020年8月至2021年8月在河源市人民医院就诊且符合ARC诊断患者100例,参考随机数表法分为试验组和对照组,试验组患者行白内障超声乳化摘除联合多焦点人工晶体植入术,对照组行白内障超声乳化摘除联合单晶体植入术,比较两组患者术后1周、1个月、3个月的裸眼远视力(UDVA)、裸眼中视力(UIVA)、裸眼近视力(UNVA)、最佳矫正近视力、最佳矫正远视力及术后3个月视觉质量情况。结果与术后1周比较,两组术后3个月UNVA、UIVA、UDVA、最佳矫正远视力、最佳矫正近视力改善明显,差异有统计学意义(P<0.05)。与对照组比较,术后1周、1个月、3个月试验组UNVA、UIVA、最佳矫正远视力、最佳矫正近视力改善更优,差异有统计学意义(P<0.05);与对照组比较,术后3个月试验组近视力维度、中视力维度、脱镜率维度更优,差异有统计学意义(P<0.05)。结论多焦点人工晶体植入术不仅可使ARC患者获得良好的远中近视力,且提高了脱镜率,术后主观视觉质量良好。Objective To investigate the effectiveness and safety of multifocal intraocular lens(MIOL)implantation in patients with age-related cataracts(ARC).Methods A clinical prospective grouping comparison study was conducted,with 100 patients selected,who met the requirements of the ARC diagnosis and were treated at our hospital’s Outpatient Department from August 2020 to August 2021.They were divided into an experimental group and a control group using a random number table method.The experimental group was treated with cataract phacoemulsification combined with multifocal intraocular lens implantation,while the con trol group was treated with cataract phacoemulsification combined with monofocal intraocular lens implantation.The comparison was made between the two groups at 1 week,1 month and 3 months after surgery in the following aspects:uncorrected distant visual acuity(UDVA),uncorrected intermediate visual acuity(UIVA),uncorrected near visual acuity(UNVA),optimal corrected near visual acuity and optimal corrected distant visual acuity.In addition,visual quality at 3 months after surgery was also compared between the two groups.Results The UNVA,UIVA,UDVA,optimal corrected distant visual acuity,and optimal corrected near visual acuity of the two groups of patients at 3 months after surgery were significantly improved compared to those at 1 week after surgery in the same group,with statistically significant differences(P<0.05).One week after surgery,the experimental group had significantly better UNVA,UIVA,optimal corrected distant visual acuity,and optimal corrected near visual acuity than the control group,with statistically significant differences(P<0.05).One month after surgery,the experimental group had significantly better UNVA,UIVA,optimal corrected distant visual acuity,and optimal corrected near visual acuity than the control group,with statistically significant differences(P<0.05).Three months after surgery,the experimental group had significantly better UNVA,UIVA,optimal corrected distant visual acuity,an

关 键 词：多焦点人工晶体 年龄相关性白内障 超声乳化摘除术 视力 脱镜率 

分 类 号：R779.66[医药卫生—眼科]