新型折叠式多焦点人工晶状体植入38眼  

Newly-designed foldable multifocal intraocular lens for 38 eyes

作　　者：张素华[1] 钱军[1] 王瑞姝[1] 马静[1] 

机构地区：[1]中国山西省眼科医院白内障中心,030002

出　　处：《国际眼科杂志》2003年第4期68-70,共3页International Eye Science

摘　　要：目的观察白内障超声乳化新型折叠式多焦点人工晶状体植入术的临床效果。方法随机选取老年性白内障共69例(73眼),分为2组。M组:38眼,植入AllerganArrnySA-40NTM多焦点人工晶状体。S组:35眼,植入AllerganSI-40NB单焦点人工晶状体。所有病例均由同一术者行3.0mm透明角膜切口超声乳化白内障摘除联合推注式折叠型人工晶状体植入术,术后定期随访远、近视力,最佳远、近视力球镜矫正度数,角膜曲率,并发症等指标。结果两组患者之间的远视力无显著性差异;近视力有显著性差异,M组的近视力明显优于S组的近视力。两组患者3月最佳远视力球镜矫正,无显著性差异;最佳近视力球镜矫正,有显著性差异。S组的患者视近需要配带花镜。两组病例术后的角膜曲率与术前相比无统计学差异,两组之间的并发症无明显差别。结论ArrnySA-40NTM多焦点人工晶状体可为患者提供良好的远、近视力,有47%的患者无需配戴花镜,降低了患者对眼镜的依赖性,功能明显优于单焦点人工晶状体,是目前较为理想的人工晶状体,值得临床推广应用。Aim To observe the clinical result of implantation of a newly-designe d reflective multifocal posterior chamber lens after phacoemulcification. Method s A total of 69 cases (73 eyes) were randomly chosen and devided into two group s. Group M (38 eyes) was implanted Allergan Arrny SA-40NTM multifocal lens and G roup S (35 eyes) Allergan SI-40NB monofocal lens. 3.0mm clear corneal incision, phacoemulcification and implantation of foldable lens using injectors were perfo rmed in all cases by one surgeon. Distance vision, near vision, power of better corrected near vision, corneal curvature and complication were obtained during f ollow-up. Results There was no significant difference between the two groups in distance vision, pre-and postoperative corneal curvature or complications but in near vision (P <0.05). Near vision in Group M improved more significantly tha n that in Group S. Conclusion Implantation of Allergan Arrny SA-40NTM multifoca l intraocular lens can provide better distance and near vision and less spectacl e dependency.

关 键 词：多焦点人工晶状体植入术 超声乳化 白内障 折叠式 手术 

分 类 号：R779.66[医药卫生—眼科]