老年性白内障多焦点IOL同轴微切口植入的视觉质量观察

Visual quality after multiple focal intraocular lenses implantation through coaxial micro- incision in age-related cataract patients

目的:探讨老年性白内障多焦点人工晶状体(multiple focal intraocular lens,MIOL)同轴微切口植入的视觉效果。方法:回顾性非随机病例对照研究。选择2013-02/2014-08在湖州师范学院附属第一医院植入AcrySof ReSTOR人工晶状体的老年性白内障患者48例60眼为观察组,进行同轴微切口白内障超声乳化联合AcrySof ReSTOR人工晶状体植入。选择同期一般资料匹配的同轴微切口单焦点人工晶状体植入患者36例50眼为对照组。观察并比较两组患者术后裸眼远视力、裸眼近视力、日常用眼满意度。结果:两组患者人工晶状体均成功植入。观察组术后3mo裸眼远视力为0.75±0.25,裸眼近视力为0.70±0.18,日常用眼满意度为96%。对照组术后3mo裸眼远视力为0.79±0.36,裸眼近视力为0.31±0.11,日常用眼满意度为75%。两组患者术后3mo裸眼远视力比较,无统计学差异(P>0.05),术后3mo裸眼近视力、日常用眼满意度比较,有统计学差异(P<0.05)。结论:多焦点人工晶状体术后3mo裸眼近视力、日常用眼满意度优于单焦点人工晶状体。两组患者术后3mo裸眼远视力结果无差异。

AIM：To investigate the visual quality after multifocal artificial lenses（MIOLs） implantation through coaxial micro-incision in age-related cataract patients.METHODS：This was a retrospective non-random case control study.Forty-eight patients（60 eyes） with agerelated cataract who underwent coaxial micro-incision phacoemulsification and implantation of AcrySof ReSTOR intraocular lens from February 2013 to August 2014 in the First Affiliated Hospital of Huzhou University were selected as trial group.Thirty-six general information matched senile cataract patients（50 eyes） who underwent coaxial micro-incision phacoemulsification and implantation of monofocal intraocular lens were served as controls.The postoperative uncorrected distance visual acuity and uncorrected near visual acuity,daily visual satisfaction were observed and compared.RESULTS：Two groups were implanted with intraocular lens successfully.In trial group,at 3mo postoperatively uncorrected distance visual acuity was 0.75±0.25,uncorrected near visual acuity was 0.70 ±0.18.Patients＇ daily visual satisfaction was 96%.In control group,at3 mo postoperatively uncorrected distance visual acuity was 0.79 ±0.36,uncorrected near visual acuity was 0.31 ±0.11.Patients＇ daily visual satisfaction was 75%.There were statistically significant differences at 3mo postoperatively on uncorrected near visual acuity and daily visual satisfaction between the two groups（P〈 0.05）,but was no statistically significant difference on postoperative uncorrected distance visual acuity（P〉0.05）.CONCLUSION：The trial group（multifocal artificial lenses implantation） is superior to control group on uncorrected near visual acuity and daily visual satisfaction.Two groups have equal result on uncorrected distance visual acuity at 3mo postoperatively.