Symfony连续视程人工晶状体预留不同度数对白内障患者术后视力及视觉质量的影响  

Effect of Symfony extended range of focus intraocular lens on postoperative visual acuity and visual quality of cataract patients

作　　者：林宜 杜洋 邹贺[1] 张辉[1] LIN Yi;DU Yang;ZOU He;ZHANG Hui(Ophthalmology Center,the Second Norman Bethune Hospital of Jilin University,Changchun 130000,Jilin Province,China)

机构地区：[1]吉林大学白求恩第二医院眼科中心,吉林省长春市130000

出　　处：《眼科新进展》2024年第12期981-985,共5页Recent Advances in Ophthalmology

基　　金：吉林省科技厅基础处面上项目(编号:YDZJ202301ZYTS038);吉林省科技厅人才专项项目(编号:20240601019RC)。

摘　　要：目的比较植入不同预留度数的TECNIS Symfony ZXR00人工晶状体(IOL)的患者术后视力和视觉质量。方法回顾性研究。纳入2022年3月至2023年2月在吉林大学白求恩第二医院眼科中心白内障科接受手术治疗的白内障患者72例(72眼)。其中男37例,女35例。分为两组:A组(IOL预留度数为0~-0.30 D)38例,B组(IOL预留度数为-0.50~-0.75 D)34例。评估术后3个月两组患者的裸眼远视力、最佳矫正远视力、裸眼中视力、裸眼近视力(UNVA)、离焦曲线、调制传递函数值、总高阶像差、球差、彗差、三叶草差、视功能指数量表、摘镜率以及不良光学干扰现象。结果术后3个月,A组患者的裸眼远视力优于B组,差异有统计学意义(P<0.05);两组患者的最佳矫正远视力和裸眼中视力差异均无统计学意义(均为P>0.05);B组患者的UNVA优于A组,差异有统计学意义(P<0.05)。离焦在0 D和-2.0 D的屈光度上,两组患者的视力差异均有统计学意义(均为P<0.05),在其余屈光度范围内视力差异均无统计学意义(均为P>0.05)。术后3个月,两组患者的调制传递函数值、总高阶像差、球差、彗差、三叶草差和不良光学干扰现象发生率的差异均无统计学意义(均为P>0.05)。术后3个月,B组患者的视功能指数量表评分高于A组,A组患者的近距离视物摘镜率低于B组,但A组远距离视物摘镜率高于B组,差异均有统计学意义(均为P<0.05)。结论预留部分近视的患者拥有更好的UNVA以及更高的满意度。Objective To compare the postoperative visual acuity and visual quality of patients implanted with TECNIS Symfony ZXR00 intraocular lenses(IOLs)with different reserved diopters.Methods In this retrospective study,72 cataract patients(72 eyes)who underwent surgery at the Cataract Department,Ophthalmology Center,The Second Norman Bethune Hospital of Jilin University from March 2022 to February 2023 were included.The cohort consisted of 37 males and 35 females.Patients were divided into two groups:Group A(reserved diopters of 0 D to-0.30 D,38 eyes)and Group B(reserved diopters of-0.50 D to-0.75 D,34 eyes).The uncorrected distance visual acuity,best corrected distance visual acuity,uncorrected intermediate visual acuity,uncorrected near visual acuity(UNVA),defocus curve,modulation transfer function(MTF)value,total higher order aberration(HOA),spherical aberration,coma aberration,trefoil aberration,Visual Function Index-14(VF-14),spectacle independence rate,and adverse optical disturbances were evaluated 3 months postoperatively.Results At 3 months postoperatively,patients in Group A exhibited significantly better uncorrected distance visual acuity compared to that in Group B(P<0.05).No statistically significant differences were observed in best corrected distance visual acuity or uncorrected intermediate visual acuity between the two groups(both P>0.05).Group B demonstrated significantly better UNVA than Group A(P<0.05).Significant differences in visual acuity were observed at diopters of 0 D and-2.0 D in both groups(all P<0.05).However,no significant differences in visual acuity were found in the remained ranges of diopters(all P>0.05).At 3 months after the surgery,no significant differences were found in MTF value,HOA,spherical aberration,coma aberration,trefoil aberration,or incidence of adverse optical disturbances between the two groups(all P>0.05).Additionally,at 3 months postoperatively,Group B had higher VF-14 scores and a greater near spectacle independence rate than Group A,but a lower distance spectacle in

关 键 词：白内障 景深延长型人工晶状体 离焦曲线 高阶像差 视觉质量 

分 类 号：R776.1[医药卫生—眼科]