多焦点和单焦点人工晶体植入术后视觉质量的对比研究

发布时间：2018-03-17 00:27

本文选题：多焦点人工晶体　切入点：单焦点人工晶体　出处：《中南大学》2013年博士论文　论文类型：学位论文

【摘要】：目的：观察并比较Acri.LISA366D多焦点非球面人工晶体和Akreos Adapt AO单焦点非球面人工晶体植入术后的视觉质量。方法：行白内障超声乳化吸除联合人工晶体植入术的患者18例(28只眼)分为两组,其中Acri.LISA366D组8例(13只眼),术中植入Acri.LISA366D多焦点非球面人工晶体,Akreos Adapt AO组10例(15只眼),术中植入Akreos Adapt AO单焦点非球面人工晶体。术后3月检查患者的裸眼远视力(5m)、最佳矫正远视力、裸眼中距离视力(100cm和60cm)、裸眼近视力(30cm),明、暗环境中不同空间频率(0.8,1.5,3,6,12,20周/度,cpd)下的对比敏感度,以及关于脱镜率、满意度和不良视觉症状等的问卷调查。采用SPSS19.0统计软件对结果进行统计分析。结果：(1)裸眼远视力Acri.LISA366D组为0.72±0.26, Akreos Adapt AO组为0.84+0.28；最佳矫正远视力Acri.LISA366D组为1.09±0.25, Akreos Adapt AO组为1.10+0.20,差异均无统计学意义(P0.05)。(2)裸眼100cm中距离视力：Acri.LISA366D组为0.94±0.32, Akreos Adapt AO组为0.73+0.33,差异无统计学意义(P0.05)；裸眼60cm中距离视力：Acri.LISA366D组为0.81+0.40,Akreos Adapt AO组为0.52±0.18,差异有统计学意义(P0.05)。(3)裸眼近视力：Acri.LISA366D组为0.62±0.22,Akreos Adapt AO组为0.31±0.14,差异有统计学意义(P0.05)。(4)在暗环境中的6cpd空间频率,Acri.LISA366D组的对比敏感度为16.313.80,Akreos Adapt AO组为18.47+1.73,差异有统计学意义(P0.05)。在明暗环境的其他空间频率二者的对比敏感度差异无统计学意义(P0.05)。(5)在视近脱镜率方面,Acri.LISA366D组为85%,Akreos Adapt AO组为33%,差异有统计学意义(P0.05)。在视近满意度上Acri.LISA366D组(8.0±1.4)优于Akreos Adapt AO组(6.0±1.5),差异有统计学意义(P0.05)。Acri.LISA366D组、Akreos Adapt AO组光晕现象的发生率分别为46%、20%,差异无统计学意义(P0.05)。两组均无眩光发生。结论：(1) Acri.LISA366D多焦点非球面人工晶体和Akreos Adapt AO单焦点非球面人工晶体都能使患者获得良好的裸眼远视力和最佳矫正远视力。(2) Acri.LISA366D多焦点非球面人工晶体比Akreos Adapt AO单焦点非球面人工晶体能为患者提供更佳的裸眼60cm中距离视力和裸眼近视力。(3)在暗环境中的6cpd空间频率,Akreos AdaptAO单焦点非球面人工晶体的对比敏感度优于Acri.LISA366D多焦点非球面人工晶体。(4) Acri.LISA366D多焦点非球面人工晶体的视近脱镜率和视近满意度均高于Akreos Adapt AO单焦点非球面人工晶体。
[Abstract]:Objective: to observe and compare the visual quality of Acri.LISA366D multi-focus aspheric intraocular lens and Akreos Adapt AO single focus aspheric intraocular lens implantation. Methods: eighteen patients (28 eyes) who underwent phacoemulsification and intraocular lens implantation were divided into two groups. In the Acri.LISA366D group, 13 eyes were implanted with Acri.LISA366D multi-focus aspheric intraocular lens (Acri.LISA366D) and 15 eyes were implanted with Akreos Adapt AO single focus aspheric intraocular lens (Akreos Adapt AO single focus intraocular lens) during the operation. The open eye distant visual acuity of the patients was 5 mm after operation on March, and the best corrected distant visual acuity was obtained. The distance between naked eyes and visual acuity was 100 cm and 60 cm, and the uncorrected visual acuity was 30 cm / min. The contrast sensitivity of different spatial frequencies (0. 8 ~ 1. 5 ~ 3 ~ 1. 5 ~ 3 ~ 12 ~ 12 ~ 20 weeks / d ~ (cpdd)) and the rate of removal of endoscopy in naked eyes were measured. The results were analyzed by SPSS19.0 software. Results the distance visual acuity was 0.72 卤0.26 in Acri.LISA366D group, 0.84 0.28 in Akreos Adapt AO group, 1.09 卤0.25 in Acri.LISA366D group and 1.100.20 in Akreos Adapt AO group. The distance visual acuity of 0: Acri.LISA366D group (0.81 0.40) Akreos Adapt AO group was 0.52 卤0.18, the difference was statistically significant (P < 0.05). The uncorrected near visual acuity was 0.62 卤0.22 Akreos Adapt AO group (0.62 卤0.22 Akreos Adapt AO group, 0.31 卤0.14). The spatial frequency of 6cpd spatial frequency of Acri.LISA366D group in dark environment was 0.31 卤0.14. The contrast sensitivity was 16.313.80 Adapt Adapt AO (18.47 1.73), the difference was statistically significant (P 0.05). There was no significant difference in contrast sensitivity between other spatial frequencies in light and dark environment. There was no significant difference in contrast sensitivity between the two groups (P < 0.05). There was no significant difference between the two groups (Acri.LISA366D group was 85Akreos Adapt AO group, the difference was 33%) in the near-optic detachable rate of Acri.LISA366D group and 85Akreos Adapt AO group (P < 0.05). There was significant difference between Acri.LISA366D group (8.0 卤1.4) and Akreos Adapt AO group (6.0 卤1.5), and the incidence of halo in AISA366D group was 46 ~ 20, no significant difference was found between the two groups (P0.05. Acri.LISA366D). There was no significant difference between the two groups (P 0.05). Conclusion both Acri.LISA366D multi-focus aspheric intraocular lens and Akreos Adapt AO single-focus aspheric intraocular lens can obtain better open eye far vision and best corrected far visual acuity. 2) Acri.LISA366D polyfocal aspheric intraocular lens is better than Akreos Adapt AO single focus IOL. Point aspherical intraocular lens can provide patients with better distance visual acuity of 60cm uncorrected eyes and near-visual acuity of naked eyes.) in dark environment, 6cpd spatial frequency and the contrast sensitivity of Akreos AdaptAO single focus aspheric intraocular lens is better than that of Acri.LISA366D multi-focus aspherical intraocular lens. The Acri.LISA366D multi-focus aspheric intraocular lens has higher near-detachable rate and satisfactory degree than Akreos Adapt AO single-focus aspheric intraocular lens.
【学位授予单位】：中南大学
【学位级别】：博士
【学位授予年份】：2013
【分类号】：R779.6

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