白内障合并近视患者行双眼单焦点人工晶体植入术后视力满意度的影响因素分析

Study on satisfaction of visual outcome with bilateral implantation of monofocal intraocular lens in patient with cataract and myopia

目的了解合并近视白内障患者行双眼白内障超声乳化吸除联合单焦点人工晶体植入术后的视力满意度,分析影响患者术后视力满意度的因素。方法回顾性分析自2020年7月1日至2021年6月31日于安徽省立医院行“双眼白内障超声乳化吸除联合单焦点人工晶体植入术”的白内障合并近视患者的病历资料。邀请术后患者复查视力等眼部情况、填写VF-14视功能指数量表,并调查患者术后视力满意度。采用单因素分析方法,找出潜在的影响因素,P<0.05有统计学意义。结果本次研究共49位患者,男性21人,女性28人。16%的患者对术后视力完全满意,55.1%的患者比较满意,24.4%的患者一般满意,4.0%的患者对术后视力不太满意,没有患者表示完全不满意。共十一项潜在的影响术后视力满意度的因素纳入研究,各满意组组间单因素分析显示,患者的性别、年龄、术前及术后用眼距离偏好、眼轴长度、术后时间、术后双眼验光球镜差值、术后双眼裸眼远视力、术后双眼裸眼近视力九项检验结果P>0.05,组间差异无统计学意义。患者的文化水平(χ^(2)=11.848,P=0.03)与术后戴镜(χ^(2)=9.161,P=0.01)对术后视力满意度有影响,两者有统计学意义(P<0.05)。结论患者的文化水平和术后戴镜情况显著影响患者术后视力满意度,低文化水平和高术后脱镜率与高术后视力满意度相关。

Objetive To investigate the satisfaction of visual outcome in patient with cataract and myopia after phacoemulsification combined bilateral mono-focal IOL implantation,and to find the influencing factors of satisfaction of patients.Methods A retrospective case-control study was conducted to examine the medical records of cataract patients with myopia who underwent phacoemulsification combined with bilateral mono-focal IOL implantation in Anhui Provincial Hospital from July 1,2020 to June 31,2021.We also invited patients to recheck their eyes and fill out Visual Function Index-14(VF-14)to evaluate the subjective visual quality of life,and investigated patients with postoperative vision satisfaction.Univariate analysis was used to find the potential influencing factors.P value less than 0.05 was considered statistically significant.Results In this study,a total of 49 patients were included,21 males and 28 females.16%of the patients were completely satisfied with the postoperative visual acuity,55.1%of the patients were more satisfactory,24.4%of the patients were commonly satisfied,4.0%of the patients were less satisfied,and no patients were completely dissatisfied.Eleven potential influencing factors were included in this study.Univariate analysis showed that after the comparison among the different satisfaction group,we found that there was no significant difference in nine influencing factors(P>0.05),including the patients’gender,age,preoperative and postoperative preferences of visual distance,the length of eye axis,postoperative time,postoperative difference power of binocular spherical diopter,postoperative difference value of binocular optometry,postoperative binocular uncorrected distance visual acuity,postoperative binocular uncorrected near visual acuity.Educational background(χ^(2)=11.848,P=0.03)and postoperative spectacle independence(χ^(2)=9.161,P=0.01)indicated a statistically significant difference(P<0.05).Conclusion Patients’educational background and postoperative spectacle independence significantly influenced patients’postoperative satisfaction with their visual outcome.Poor educational background and high postoperative spectacle independence were associated with high postoperative satisfaction of visual outcome.