早期白内障超声乳化吸除术及人工晶状体植入术后视觉质量评价

Evaluation of the visual function index in patients with cataract in early stage after phacoemulsification and intraocular lens implantation

目的:评价早期白内障超声乳化吸除术及人工晶状体植入术后的视觉质量。方法:连续选取入院治疗的白内障患者120例,按照术前最佳矫正视力分为三组(A组:最佳矫正视力<4.0;B组:最佳矫正视力4.0～<4.5;C组:最佳矫正视力≥4.5,分别记录手术前及手术后1mo的矫正视力,并于手术前后分别进行VF-14问卷调查,记录VF-14评分。结果:三组患者的术前及术后矫正视力和VF-14评分差异均有明显的统计学意义(P<0.01),A组和B组,A组和C组的术前及术后VF-14评分差异有明显统计学意义,B组和C组的术前及术后VF-14评分差异无明显统计学意义。三组患者的术前矫正视力与VF-14评分呈明显正相关(rs=0.703,P<0.01);三组患者的术后矫正视力与VF-14评分呈明显正相关(rs=0.878,P<0.01)。结论:早期行白内障超声乳化吸除术及人工晶状体植入术能够明显提高术后视觉质量,从而改善生活质量。

AIM：To evaluate the visual function（VF） index in patients with cataract in early stage after phacoemulsification and intraocular lens implantation.METHODS：A total of one hundred and twenty patients were surveyed by VF-14 index and all the patients were divided into 3 groups according to the best-corrected visual acuity（BCVA） before the surgery（Group A：BCVA4.0;Group B：BCVA between 4.0-4.5;Group C：BCVA ≥4.5）.The BCVA and VF-14 score were recorded just before and one month after cataract surgery.RESULTS：The BCVA before and after the surgery and VF-14 score showed significant difference among the three groups（P0.01）.There was significant difference in VF-14 score between Group A and Group B（P0.01）.The significant difference was also found between Group A and Group C（P0.01）.However,there was no significant difference between Group B and Group C.A positive correlation was found between the BCVA and VF-14 score before surgery in three groups（rs=0.703,P0.01）.After surgery,a positive correlation was found between the BCVA and VF-14 score in three groups（rs=0.878,P0.01）.CONCLUSION：Phacoemulsification and intraocular lens implantation for patients with cataract in early stage can improve the visual function quality of the patients,and thus improve their life quality.