白内障手术后使用疏水和亲水丙烯酸人工晶状体的眼像差：对比研究。

Ocular aberrations after cataract surgery with hydrophobic and hydrophilic acrylic intraocular lenses: comparative study.

作者信息

Rohart Charlotte, Lemarinel Béatrice, Thanh Hoang-Xuan, Gatinel Damien

机构信息

Fondation Ophtalmologique Adolphe de Rothschild, Ophthalmology Department, Paris, France.

出版信息

J Cataract Refract Surg. 2006 Jul;32(7):1201-5. doi: 10.1016/j.jcrs.2006.01.099.

DOI:10.1016/j.jcrs.2006.01.099

PMID:16857510

Abstract

PURPOSE

To compare tilt and some higher-order aberrations (HOAs) in patients who had cataract surgery and implantation of 2 types of acrylic intraocular lens (IOL), the hydrophobic MA60AC (Alcon) or the hydrophilic XLSTABI (Ioltech).

SETTING

Fondation Ophtalmologique Adolphe de Rothschild, Department of Pr Hoang-Xuan, Paris, France.

METHODS

Sixty eyes were included in this study. Eyes in group 1 (n = 30) received the acrylic hydrophobic MA60AC IOL, and eyes in group 2 (n = 30) received the acrylic hydrophilic XLSTABI IOL. Optical aberrations were measured with Nidek OPD-Scan at least 1 month after cataract surgery for a 6.0 mm pupil diameter using a 6th-order Zernike polynomials decomposition.

RESULTS

In group 1, the mean root-mean-square (RMS) coefficient for the total higher aberration was 0.86 microm +/- 0.38 (SD). The mean RMS of the tilt, coma, trefoil, tetrafoil, spherical aberration, and secondary astigmatism was 0.81 +/- 0.45 microm, 0.38 +/- 0.30 microm, 0.55 +/- 0.18 microm, 0.13 +/- 0.23 microm, 0.30 +/- 0.13 microm, and 0.17 +/- 0.21 microm, respectively. In group 2, the mean RMS coefficient for the total higher aberration was 0.72 +/- 0.31 microm. The mean RMS of the tilt, coma, trefoil, tetrafoil, spherical aberration, and secondary astigmatism was 0.55 +/- 0.30 microm, 0.24 +/- 0.19 microm, 0.50 +/- 0.23 microm, 0.07 +/- 0.22 microm, 0.32 +/- 0.13 microm, and 0.14 +/- 0.14 microm, respectively. There was a statistical difference in aberrations between the 2 groups for the tilt and the coma aberrations (P<.05). There were more aberrations in the MA60AC IOL group.

CONCLUSIONS

The design of the IOL influenced ocular aberrations after cataract surgery. There were more tilt and coma aberrations in the MA60AC IOL group.

摘要

目的

比较接受白内障手术并植入两种丙烯酸人工晶状体（IOL）的患者的倾斜度和一些高阶像差（HOA），这两种人工晶状体分别是疏水的MA60AC（爱尔康）和亲水的XLSTABI（依视泰克）。

设置

法国巴黎阿道夫·德·罗斯柴尔德眼科基金会，Pr Hoang-Xuan科室。

方法

本研究纳入60只眼。第1组（n = 30）的眼睛植入丙烯酸疏水MA60AC人工晶状体，第2组（n = 30）的眼睛植入丙烯酸亲水XLSTABI人工晶状体。白内障手术后至少1个月，使用尼德克OPD-Scan，采用六阶泽尼克多项式分解法，在瞳孔直径为6.0 mm时测量光学像差。

结果

第1组中，总高阶像差的均方根（RMS）系数为0.86微米±0.38（标准差）。倾斜度、彗差、三叶草像差、四叶草像差、球差和继发性散光的平均RMS分别为0.81±0.45微米、0.38±0.30微米、0.55±0.18微米、0.13±0.23微米、0.30±0.13微米和0.17±0.21微米。第2组中，总高阶像差的平均RMS系数为0.72±0.31微米。倾斜度、彗差、三叶草像差、四叶草像差、球差和继发性散光的平均RMS分别为0.55±0.30微米、0.24±0.19微米、0.50±0.23微米、0.07±0.22微米、0.32±0.13微米和0.14±0.14微米。两组之间在倾斜度和彗差像差方面存在统计学差异（P<0.05）。MA60AC人工晶状体组的像差更多。