针对高度近视并发性白内障患者的人工晶体选择的多因素分析:从患者和医生的双重视角  

A Multifactorial Analysis of Intraocular Lens Selection in Patients with High Myopia and Cataracts:A Dual Perspective from Patients and Physicians

作　　者：孙敬文 刘妍 SUN Jingwen;LIU Yan(The Ophthalmology of 242 Hospital of Harbin,Harbin 150066,China)

机构地区：[1]哈尔滨市二四二医院眼科,哈尔滨150066

出　　处：《航空航天医学杂志》2024年第8期905-908,共4页Journal of Aerospace medicine

基　　金：黑龙江省卫生健康委科研课题编号:20220707020638。

摘　　要：目的本研究旨在从患者角度和医生角度探讨高度近视并发性白内障患者选择不同人工晶体的影响因素。方法研究对象为高度近视并发性白内障患者,术前统计患者基本信息并完成全面的术前检查。术后使用VF-14问卷记录患者的术后满意度。数据采用SPSS 26.0软件进行统计分析,重点分析影响患者和医生选择双焦点IOL与单焦点IOL的因素。结果结果显示,植入双焦点IOL的患者术后总体满意度和视近满意度显著优于植入单焦点IOL的患者(P<0.05)。患者选择双焦点IOL的主要原因包括年龄、工作性质和经济实力等因素(P<0.05)。而临床医生选择双焦点IOL的主要原因则是患者的术前矫正视力和患者自身的眼部情况等(P<0.05)。结论本研究结果表明,对于高度近视并发性白内障患者而言,植入双焦点IOL较单焦点IOL在术后满意度上具有显著优势。然而,双焦点IOL并不适用于所有患者。它更适用于年龄较小、工作生活对视近要求较高且具备一定经济实力的患者群体。未来,随着医疗技术的进步和政策的支持,双焦点IOL的应用范围有望进一步扩大,从而提升高度近视并发性白内障患者的整体术后满意度。Objective This study explores the factors influencing the selection of different intraocular lenses(IOLs)in patients with high myopia and cataracts from both the patients'and physicians'perspectives.Methods The study included patients with high myopia and cataracts.Preoperative data were collected,including basic patient information and comprehensive preoperative examination results.Postoperative satisfaction was assessed using the VF-14 questionnaire.Statistical analysis was conducted using SPSS 26.0 software,focusing on the factors affecting patients'and physicians'choices between dual-focus and single-focus IOLs.Results The results indicate that patients who received dual-focus IOLs reported significantly higher overall and near-vision satisfaction than those who received single-focus IOLs(P<0.05).Factors influencing patients'selection of dual-focus IOLs included age,job nature,and economic status(P<0.05).Physicians'choice of dual-focus IOLs was primarily based on the patient's preoperative corrected vision and specific ocular conditions(P<0.05).Conclusions The findings of this study demonstrate that dual-focus IOLs provide superior postoperative satisfaction compared to single-focus IOLs in patients with high myopia and cataracts.However,dual-focus IOLs are not suitable for all patients.They are particularly well-suited for younger individuals with higher near-vision demands and adequate economic resources.Future advancements in medical technology and supportive policies may broaden the application of dual-focus IOLs,thereby enhancing overall postoperative satisfaction for this patient group.

关 键 词：高度近视 白内障 双焦点IOL 术后满意度 

分 类 号：R779.66[医药卫生—眼科]