Barisić Ante, Dekaris Iva, Gabrić Nikica, Bohac Maja, Romac Ivana, Mravicić Ivana, Lazić Ratimir
Eye Clinic Svjetlost, Zagreb, Croatia.
Coll Antropol. 2008 Oct;32 Suppl 2:27-31.
Multifocal intraocular lenses (MFIOL) enable good near and far vision after cataract surgery. Excellent results with cataract patients encouraged ophthalmologists to implant MFIOL after clear lens extraction (CLE). There are two types of MFIOL: diffractive and refractive. In our prospective study we compared clinical outcomes after CLE and bilateral implantation of diffractive (Tecnis Multifocal), (N=100 eyes, 50 patients) and refractive (ReZoom), (N=100 eyes, 50 patients) MFIOL to patients with presbyopia and hyperopia. Near and distant uncorrected visual acuity (UCVA), spectacle dependency, subjective satisfaction and visual disturbances were measured and compared between two groups. Patients achieved good near and distant UCVA in both groups. "Tecnis" group had better near UCVA (statistically not significant) and less night time visual disturbances. "ReZoom" group reported less problems with intermediate vision. Diffractive and refractive MFIOL enable high rate of spectacle independency to presbyopic hyperopic patients with low rate of side-effects. Refractive MFIOL provide better intermediate vision and diffractive slightly better near vision and less haloes and glare.
多焦点人工晶状体（MFIOL）可使白内障手术后获得良好的近视力和远视力。白内障患者取得的出色效果促使眼科医生在透明晶状体摘除术（CLE）后植入MFIOL。MFIOL有两种类型：衍射型和折射型。在我们的前瞻性研究中，我们将CLE及双侧植入衍射型（Tecnis多焦点）（N = 100只眼，50例患者）和折射型（ReZoom）（N = 100只眼，50例患者）MFIOL后的临床结果与老花眼和远视患者进行了比较。测量并比较了两组患者的近视力和远视力未矫正视力（UCVA）、对眼镜的依赖程度、主观满意度和视觉干扰情况。两组患者均获得了良好的近视力和远视力UCVA。“Tecnis”组的近视力UCVA更好（无统计学意义），夜间视觉干扰更少。“ReZoom”组报告的中视力问题更少。衍射型和折射型MFIOL可使老花眼远视患者的眼镜依赖率很高，且副作用发生率很低。折射型MFIOL提供更好的中视力，衍射型MFIOL的近视力略好，光晕和眩光较少。
