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[变迹衍射多焦点人工晶状体植入术后视觉质量的观察]

[The observation of visual quality after the implantation of apodized diffractive multifocal intraocular lens].

作者信息

Zhang Wanqi, Sun Kang, Xie Junyi, Luo Shuke, Lu Qiang, Hong Jianwei, Huang Yujuan

机构信息

Ophthalmic Center, Foshan Second People's Hospital, Foshan 528000, China.

出版信息

Yan Ke Xue Bao. 2007 Jun;23(2):79-83.

Abstract

OBJECTIVE

To obverse visual acuity, visual symptom and the rate of spectacle independence after implantation of a multifocal intraocular lens (MIOL) in patients with age related cataract.

METHODS

Sixty patients (68 eyes) with age-related cataract were enrolled in two groups. ReSTOR SA60D3 MIOL and Natural SN60AT monofocal intraocular lens were specially implanted after phacoemulsification. Uncorrected distance visual acuity (UCDVA), best-corrected distance visual acuity (BCDVA), uncorrected near visual acuity (UCNVA), best-corrected near visual acuity (BCNVA), distance-corrected near vision acuity (DCNVA), visual symptom and the rate of spectacle independence were observed.

RESULTS

UCDVA and BCDVA in multifocal group were not statistically different from those in monofocal group (P > 0.05). UCNVA and DCNVA were statistically better in multifocal group than in monofocal group (P < 0.05). The multifocal group has higher rate of spectacle independence than the monofocal group (73.3% versus 13.3%) (P < 0.05) when reading. The visual symptom such as glare and halo were more serious in multifocal group than in monofocal group (P < 0.05).

CONCLUSIONS

Acrysof ReSTOR apodized diffractive multifocal intraocular lens may provide an excellent distance and near visual acuity, and decrease the dependence of spectacle.

摘要

目的

观察年龄相关性白内障患者植入多焦点人工晶状体(MIOL)后的视力、视觉症状及脱镜率。

方法

将60例(68眼)年龄相关性白内障患者分为两组。白内障超声乳化术后分别植入ReSTOR SA60D3多焦点人工晶状体和Natural SN60AT单焦点人工晶状体。观察裸眼远视力(UCDVA)、最佳矫正远视力(BCDVA)、裸眼近视力(UCNVA)、最佳矫正近视力(BCNVA)、远距矫正近视力(DCNVA)、视觉症状及脱镜率。

结果

多焦点组的UCDVA和BCDVA与单焦点组相比差异无统计学意义(P>0.05)。多焦点组的UCNVA和DCNVA在统计学上优于单焦点组(P<0.05)。阅读时,多焦点组的脱镜率高于单焦点组(73.3%对13.3%)(P<0.05)。多焦点组的眩光和光晕等视觉症状比单焦点组更严重(P<0.05)。

结论

Acrysof ReSTOR变迹衍射多焦点人工晶状体可提供良好的远近视力,并降低对眼镜的依赖。

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