飞秒激光白内障手术联合PanOptix三焦点人工晶状体植入术的疗效

Clinical efficacy of femtosecond laser-assisted cataract surgery combined with PanOptix trifocal intraocular lens implantation

目的:观察飞秒激光白内障手术联合PanOptix三焦点人工晶状体植入术的临床疗效。方法:回顾性研究。选取2020-08/2021-08于我院行飞秒激光白内障手术联合PanOptix三焦点人工晶状体植入术的白内障患者22例26眼,随访至术后3mo,观察手术前后远中近视力、像差、斯特里尔比值(SR)及调制传递函数截止频率(MTF-cutoff)变化情况,绘制术后1mo离焦曲线,评估术后3mo患者视觉质量和满意度。结果:术后1d,1wk,1、3mo,纳入患者远中近视力均优于0.1(LogMAR),与术前相比显著改善(均P<0.01)。术后1mo离焦曲线在+0.5~-3.0D之间曲线过渡平缓,视力均优于0.63(小数视力)。术后1d,1wk全眼总像差、球差均明显低于术前,SR、MTF-cutoff均明显高于术前(均P<0.05)。术后3mo,纳入患者看远中近距离时均无需戴镜,整体满意度高,视觉质量良好。结论:飞秒激光白内障手术联合PanOptix三焦点人工晶状体植入术可使患者获得舒适满意的全程视力。

AIM:To evaluate the clinical efficacy of femtosecond laser-assisted cataract surgery combined with PanOptix trifocal intraocular lens implantation.METHODS:The retrospective study enrolled 22 cases(26 eyes)of cataract patients who underwent femtosecond laser-assisted cataract surgery combined with PanOptix trifocal intraocular lens implantation from August 2020 to August 2021.Follow-up to 3mo after surgery,the changes of far,intermediate and near visual acuity,aberration,Strehl ratio(SR)and modulation transfer function cutoff(MTF-cutoff)frequency were compared.Defocus curve at 1mo postoperatively was made,and the visual quality and satisfaction were evaluated after 3mo of surgery.RESULTS:The visual acuity of all patients was better than 0.1(LogMAR)at the far,intermediate and near distance at 1d,1wk,1 and 3mo postoperatively,and it was significantly improved compared with those before surgery(all P<0.01).The defocus curve transitioned smoothly between+0.5 and-3.0D at 1mo after surgery,and visual acuity was better than 0.63.The total aberration and spherical aberration in the whole eye were significantly lower after surgery than before,and the SR and MTF-cutoff were significantly improved at 1d and 1wk after surgery(all P<0.05).With high satisfaction and good visual quality,patients could watch at far,intermediate and near distance without wearing glasses at 3mo after surgery.CONCLUSION:Femtosecond laser-assisted cataract surgery combined with PanOptix trifocal intraocular lens implantation gave patients a comfortable and satisfactory full-course vision.