TECNIS Symfony连续视程人工晶体对白内障合并散光的包容性研究  

Effect of TECNIS Symfony Intraocular Lens on Cataract with Astigmatism

作　　者：王丽雯[1] 祝莹[1] 方石峰 WANG Li-wen;ZHU Ying;FANG Shi-feng(Department Ophthalmology,Dalian Third People's Hospital,Liaoning Dalian 116000)

机构地区：[1]大连市第三人民医院眼科,辽宁大连116000

出　　处：《中国医疗器械信息》2024年第15期142-145,170,共5页China Medical Device Information

摘　　要：目的:观察TECNIS Symfony连续视程人工晶体对白内障合并角膜散光的包容性。方法:回顾性收集2022年6月~2022年12月大连市第三人民医院收治的61例(61)眼白内障合并散光的患者资料,其中,顺规散光43.24%(26眼),逆规散光16.22%(10眼),斜轴散光40.54%(25眼),所有患者行白内障超声乳化摘出术联合TECNIS Symfony连续视程人工晶体植入手术,根据术前散光度数(CYL)大小分为两组。CYL≤0.75D为试验组,36例(36眼),0.75D<CYL≤1.50D为对照组,25例(25眼)。分别测量术后3个月的远视力、中视力、近视力及残余散光度数(ΔCYL);绘制术后3个月离焦曲线图;进行视功能指数量表(VF-14)问卷调查及患者满意度调查;采用iTrace视觉质量分析仪进行术前及术后3个月晶状体功能失调指数(DLI)评估。结果:两组患者术后3个月远视力、中视力、近视力相比无统计学差异(P>0.05);术后1周、1个月、3个月两组的ΔCYL相比无统计学差异(P>0.05);术后3个月离焦曲线,试验组在+1.50D~-3.00D跨度视力达0.6以上,在+0.75D~-2.00D出现宽平台期,视力达1.0;对照组在+1.25D~-2.75D跨度视力达0.6以上,在+0.750D~-1.75D出现宽平台期,视力达1.0;术后3个月VF-14问卷调查满意度得分均在90分以上;术后3个月脱镜率两组无统计学差异(P>0.05);两组术前及术后3个月的DLI相比无统计学差异(P>0.05);两组术后3个月DLI与术前相比均存在统计学差异(P<0.01)。结论:连续视程人工晶体包容临床中常见的屈光误差以及≤1.5D的散光,提升满意度及脱镜率,显著改善患者视力,提高患者视觉质量及生存质量。Objective:To observe the inclusiveness of TECNIS Symfony continuous visual path intraocular lens on cataract combined with astigmatism.Methods:The data of 61 patients(61 eyes)with cataract and astigmatism admitted to Dalian Third People's Hospital from June 2022 to December 2022 were retrospectively collected.All patients underwent phacoemulsification combined with TECNIS Symfony continuous visual range intraocular lens implantation,and divided into two groups according to the size of preoperative astigmatism(CYL).CYL≤0.75D was test group 36 cases(36 eyes),0.75D<CYL≤1.50D was control group,25 cases(25 eyes),of which 43.24%(26 eyes)were regular astigmatism;Reverse regular astigmatism 16.22%(10 eyes);Oblique axis astigmatism 40.54%(25 eyes).Distance vision,middle vision,near vision and residual astigmatism(ΔCYL)were measured at 3 months postoperatively;3 months postoperative defocus curve;VF-14 questionnaire survey and patient satisfaction survey;iTrace visual quality analyzer was used for preoperative and 3-month preoperative and postoperative Dysfunctional Lens Index(DLI)assessment.Results:There were no significant differences in distance vision,medium vision and near vision at 3 months after surgery(P>0.05);There was no significant difference between residual astigmatism(ΔCYL)and preoperative astigmatism(CYL)in the two groups 1 week,1 month and 3 months after surgery(P>0.05)in the postoperative groups,test group had a span visual acuity of more than 0.6 in+1.50D--3.00D,and a wide plateau in+0.75D--2.00D,with a visual acuity of 1.0;Control group had a visual acuity of more than 0.6 in+1.25D--2.75D span,and a visual acuity of+0.750D--1.75 days wide-plateau stage,visual acuity reached 1.0,The satisfaction scores of VF-14 questionnaire survey at 3 months after operation were all above 90 points.There was no significant difference between the two groups in the rate of lens removal at 3 months after operation(P>0.05),and there was no significant difference in Dysfunctional Lens Index(DLI)between the two groups b

关 键 词：TECNIS Symfony连续视程人工晶体 连续视程 残余散光 视觉质量 白内障 

分 类 号：R197.32[医药卫生—卫生事业管理]