景深延长型人工晶状体植入后患者屈光状态准确性评估  

Accuracy assessment of refractive status in patients implanted with extended depth of focus intraocular lens

作　　者：于春霞 方晓玲 薛文文 陈梦 贲申煜 陶津华 王于蓝[1] Yu Chunxia;Fang Xiaoling;Xue Wenwen;Chen Meng;Ben Shenyu;Tao Jinhua;Wang Yulan(Shanghai Eye Diseases Prevention&Treatment Center.Tongji Eye Hospital,Tongji University.National Clinical Research Center for Eye Diseases.Shanghai Engineering Research Center of Precise Diagnosis and Treatment of Eye Diseases,Shanghai 200336,China)

机构地区：[1]中国上海市眼病防治中心/同济大学附属眼科医院/国家眼部疾病临床医学研究中心/上海市眼科疾病精准诊疗工程技术研究中心,200336

出　　处：《国际眼科杂志》2024年第11期1821-1825,共5页International Eye Science

基　　金：上海市眼病防治中心院内临床研究培育课题(No.21LC01003,21LC01007)。

摘　　要：目的:使用电脑验光和OPD-ScanⅢ自动验光检查白内障患者植入景深延长型人工晶状体术后屈光状态。方法:回顾性病例观察研究。收集2022-05/2023-05于上海市眼病防治中心行白内障超声乳化吸除术并植入TECNIS Symfony ZXR00人工晶状体(IOL)患者61例76眼。所有患者术后同一天行电脑验光、OPD-ScanⅢ自动验光和综合验光仪主觉验光检查。结果:电脑验光球镜、等效球镜与综合验光仪主觉验光球镜、等效球镜比较均有差异(均P<0.01),球镜、等效球镜差异值分别为-0.67±0.37 D和-0.75±0.35 D,与综合验光仪主觉验光相比,电脑验光球镜、等效球镜均偏近视;电脑验光柱镜与综合验光仪主觉验光柱镜有差异(P<0.01),二者差异绝对值较小(0.21±0.24 D)。电脑验光球镜、柱镜、等效球镜与综合验光仪主觉验光球镜、柱镜、等效球镜均正相关(r=0.7994、0.7929、0.8118,均P<0.01)。OPD-ScanⅢ自动验光球镜、柱镜、等效球镜与综合验光仪主觉验光比较均有差异(P<0.01),球镜、柱镜、等效球镜差异绝对值(0.63±0.36、0.35±0.26和0.53±0.36 D)较小。OPD-ScanⅢ自动验光球镜、柱镜、等效球镜与主觉验光球镜、柱镜、等效球镜均正相关(r=0.4410、0.4982、0.5224,均P<0.01)。结论:景深延长型IOL植入术后电脑验光、OPD-ScanⅢ自动验光与综合验光仪主觉验光一致性较好,电脑验光球镜和等效球镜平均差异较大,但均呈现近视偏差,柱镜差异小;OPD-ScanⅢ自动验光与主觉验光平均差异较小,但差异方向不稳定,有时为近视偏差,有时为远视偏差。AIM:To evaluate the refractive status through computer refractometer and OPD-ScanⅢauto refractometer in cataract patients after extended depth of focus(EDOF)intraocular lens implantation.METHODS:Retrospective observational study.A total of 61 cases(76 eyes)that received phacomulsification and implanted with TECNIS Symfony ZXR00 intraocular lens in Shanghai Eye Diseases Prevention&Treatment Center from May 2022 to May 2023 were collected.Measurements from the computer refractometer,OPD-ScanⅢauto refractometer,and subjective refraction,were taken from all patients on the same day postoperatively.RESULTS:There were statistical significant difference in sphere(S)and spherical equivalent(SE)readings from the computer refractometer and subjective refraction(all P<0.01),with mean differences of-0.67±0.37 D and-0.75±0.35 D,respectively,and the's and SE obtained from computer refractometer more incline to myopia than those from subjective refraction;there were statistical significant difference in computer refractometer and subjective refraction(P<0.01),with a relative small absolute difference(0.21±0.24 D).The S,cylinder(C)and SE of computer refractometer(S,C,SE)were positively correlated with subjective refraction(r=0.7994,0.7929,and 0.8118,respectively,all P<0.01).Additionally,there were statistical significant differences in S,C and SE of OPD-ScanⅢand subjective refraction(P<0.01),and the absolute differences of's(0.63±0.36 D),C(0.35±0.26 D)and SE(0.53±0.36 D)were small.Furthermore,the S,C and SE of OPD-ScanⅢwere positively correlated with subjective refraction(r=0.4410,0.4982,0.5224,all P<0.01).CONCLUSION:In patients who received implantation of EDOF lenses,the consistency of computer refractometer,OPD-ScanⅢauto refractometer and subjective refraction was good.The average difference of the's and SE obtained via computer refractometer was large,but both exhibited a myopic shift relative to those derived from subjective refraction,and the C values demonstrated minimal discrepancy.Furthermore,the differe

关 键 词：连续视程人工晶状体 白内障 OPD-ScanⅢ 电脑验光 主觉验光 

分 类 号：R779.6[医药卫生—眼科]