多焦点人工晶状体和单焦点非球面人工晶状体植入术后患者视功能及生存质量比较

发布时间：2018-06-19 07:01

本文选题：白内障 + 单焦点非球面人工晶状体　；参考：《眼科新进展》2014年11期

【摘要】：目的比较植入多焦点人工晶状体(intraocular lens,IOL)和单焦点非球面IOL对单纯白内障患者术后视功能及生存质量的影响。方法采用前瞻性和回顾性调查研究,共纳入72例(144眼)老年性白内障患者,均行超声乳化联合IOL植入术,其中20例植入折叠式多焦点IOL(多焦点IOL组),52例植入折叠式单焦点非球面IOL(单焦点IOL组),问卷调查并比较患者术前和术后6个月的视功能及生存质量。结果术后两组患者总体视功能及生存质量之间的差异均无统计学意义(均为P0.05),但较术前均有提高,差异均有统计学意义(均为P0.05)。在活动能力、社会交际能力和心理健康方面,单焦点非球面IOL植入后却表现出较为明显的优势,差异均有统计学意义(均为P0.05);多焦点IOL的术后脱镜率明显高于单焦点非球面IOL(P0.05);而在术后视功能、生存质量的其他具体方面(与视力有关的日常活动限制、周边视野、感觉适应、立体觉和自理能力),两组之间的差异均无统计学意义(均为P0.05)。结论单焦点IOL和多焦点IOL在改变视功能和生存质量方面总体效果相同,但多焦点IOL在患者脱镜方面有明显优势,而单焦晶状体在价格上表现出比较明显的优势。
[Abstract]:Objective to compare the effects of intraocular lens implantation (IOL) and single focus aspherical IOL (IOL) on visual function and quality of life (QOL) in patients with simple cataract. Methods A prospective and retrospective study was carried out in 72 patients with senile cataract. Phacoemulsification combined with IOL implantation was performed. Twenty patients with foldable multi-focus IOL (multi-focus IOL group) and 52 patients with foldable single-focus aspheric IOL (single-focus IOL group) were investigated by questionnaire and compared their visual function and quality of life (QOL) before and 6 months after operation. Results there was no significant difference in overall visual function and quality of life between the two groups (P 0.05), but the difference was significantly higher than that before operation (P 0.05). In the aspect of activity ability, social communication ability and mental health, single focus aspheric IOL showed obvious advantages after implantation. The difference was statistically significant (all P 0.05); the rate of removal of endoscopy in multi-focus IOL was significantly higher than that in single-focus aspherical IOL (P 0.05), but in other specific aspects of postoperative visual function and quality of life (visual acuity related to daily activities, peripheral visual field, sensory adaptation, etc.) There was no significant difference between the two groups in stereosthesia and self-care ability (P 0.05). Conclusion single focus IOL and multi focus IOL have the same overall effect in changing visual function and quality of life, but multi focus IOL has obvious advantage in removing lens, while single focus IOL has obvious advantage in price.
【作者单位】：武汉大学中南医院眼科;
【分类号】：R779.66

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