区域折射型多焦点人工晶状体植入术的早期临床效果观察

Observation on early clinical efficacy of regional refractive multifocal intraocular lens implantation

目的:观察区域折射型多焦点人工晶状体植入术的早期临床效果。方法:回顾性分析河南大学淮河医院2018年3月至2019年11月行白内障手术者70例(79只眼)的临床资料。其中植入Oculentis区域折射型多焦点人工晶状体34例(37只眼)为观察组,同一时期植入Rayner单焦点非球面人工晶状体36例(42只眼)为对照组。术后随访3个月,对比两组术后早期视力、屈光状态、离焦曲线、高阶像差、对比敏感度、阅读戴镜率和术后满意度。结果:术后3个月,两组裸眼远视力差异无统计学意义(Z=-0.813,P>0.05),裸眼近视力观察组优于对照组(Z=-7.454,P<0.05)。术后眼的屈光状态(等效球镜度)两组间差异无统计学意义(Z=-0.025,P>0.05)。观察组离焦曲线有2个波峰,且较对照组下降平缓。总高阶像差、彗差和三叶草差异有统计学意义(P<0.05)。对比敏感度差异无统计学意义(P>0.05)。阅读戴镜率:对照组为100%(42/42),观察组为2.70%(1/37)。术后满意度分析观察组优于对照组(Z=-3.309,P<0.05)。结论:Oculentis区域折射型多焦点人工晶状体植入术可获得较好的远、近视力,可以改善视觉质量,患者满意度高。

Objective To observe the early clinical efficacy of Oculentis regional refractive multifocal intraocular lens implantation.Methods The clinical data of 79 eyes of 70 patients from Mar.2018 to Nov.2019 in Huaihe Hospital of Henan University were retrospectively analyzed.Thirty-seven eyes of 34 cases received Oculentis regional refractive multifocal intraocular lens as the observation group.At the same time,42 eyes of 36 cases received Rayner single-focal aspherical intraocular lens as the control group.The follow-up time was 3 months.The early visual acuity,refractive state,defocusing curve,higher order aberration,reading glasses wearing rate and the satisfaction after implantation between the two groups were compared.Results There was no significant difference in uncorrected distance vision between the two groups(Z=-0.813,P>0.05),but the uncorrected near vision of the observation group was better than that of the control group(Z=-7.454,P<0.05).There was no significant difference in refractive state(spherical equivalent)between the two groups(Z=-0.025,P>0.05).There were two wave peaks in the observation group and the wave decreased slowly compared with the control group.The total higher order aberration,coma aberration,and trefoil were significantly different between the two groups(P<0.05).There was no significant difference of contrast sensitivity between the two groups(P>0.05).The rate of reading glasses wearing was 100%(42/42)in the control group and 2.7%(1/37)in the observation group.There was significant difference of the satisfaction after operation between the two groups(Z=-3.309,P<0.05).Conclusion Oculentis regional refractive multifocal intraocular lens implantation can obtain better vision in the early stage and improve the quality of vision.