两衍射多焦点人工晶状体的光学性能与视觉质量对比研究

发布时间：2018-05-19 00:26

本文选题：白内障 + 多焦点人工晶状体　；参考：《眼科新进展》2017年05期

【摘要】：目的比较白内障手术患者植入Tecnis ZMB00及Acry Sof Re STOR SN6AD1多焦点人工晶状体(multifocal intraocularlens,MIOL)后光学性能与视觉质量。方法选取2012年3月至2015年7月于我院眼科择期进行白内障手术治疗的患者120例(130眼)。所有患者均采用MIOL植入,并根据MIOL类型分为A组(Tecnis ZMB00组)、B组(AcrySof ReSTOR SN6AD1组),测定患者手术前后裸眼远视力(uncorrect distant visual acuity,UCDVA)、裸眼近视力(uncorrect near visual acuity,UCNVA)、裸眼中距离视力(uncorrecta intermediate vision,UCIVA)、最佳矫正远视力(best correct distant visual acuity,BCDVA)、最佳矫正近视力(best correct near visual acuity,BCNVA),均绘制离焦曲线,作对比敏感度分析,并采用术后视功能与生存质量调查表(VF-14)评定患者术后视觉质量。结果术后1周、1个月、3个月A组UCNVA、UCIVA、BCNVA恢复情况均优于B组(均为P0.05),术后1周、3个月A组UCDVA恢复情况均优于B组,术后3个月等效球镜屈光度低于B组(P0.05)。A组暗视、明视炫光、暗视炫光不同频率下对比敏感度均高于B组(均为P0.05);A组术后3个月VF-14评分低于B组(P0.05);A组在0.0 D与-2.5 D形成2个波峰,-2.0~-2.5 D形成平台期,B组仅在0.0 D与-3.0 D形成2个波峰。结论白内障手术患者植入Tecnis ZMB00 MIOL可改善患者术眼裸眼视力,提升对比敏感度,改善患者术后视功能及生活质量。
[Abstract]:Objective to compare the optical and visual quality after implantation of Tecnis ZMB00 and Acry Sof Re STOR SN6AD1 multifocal intraocular lens (multifocal Intraocularlens, MIOL) in patients with cataract surgery. Methods 120 patients (130 eyes) were selected from March 2012 to July 2015 in our department of ophthalmology for cataract surgery. All patients were used MIOL. They were divided into group A (group Tecnis ZMB00) and group B (group AcrySof ReSTOR SN6AD1) according to the type of MIOL, and the naked eye distant vision before and after operation (uncorrect distant visual acuity), naked eye near vision, naked eye distance vision, and the best correction of far vision. Est correct distant visual acuity, BCDVA), the best correction of near vision (best correct near visual acuity, BCNVA), draw the defocus curve, contrast sensitivity analysis, and use the postoperative visual function and quality of life questionnaire to assess the postoperative visual quality of patients. Results 1 weeks, 1 months, 3 months after the operation, restore the situation. All the conditions were better than the B group (P0.05). The UCDVA recovery in group A 1 weeks after the operation was better than that in the B group. The equivalent photometry at 3 months after the operation was lower than the B group (P0.05).A group dark vision, and the contrast sensitivity at different frequencies at different frequencies was higher than that of the B group (all P0.05), while the A group was lower than the group of P0.05 in the 3 months after the operation. 0 2 peaks were formed, -2.0~-2.5 D formed a platform period, and group B only formed 2 peaks at 0 D and -3.0 D. Conclusion the implantation of Tecnis ZMB00 MIOL in cataract surgery patients can improve the visual acuity of the open eyes of the patients, improve the contrast sensitivity, improve the visual function and the quality of life of the patients after operation.
【作者单位】：河北省眼科医院;
【分类号】：R779.66

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