Wolter-Roessler M, Küchle M
Gemeinschaftspraxis für Augenheilkunde, Lauf an der Pegnitz.
Klin Monbl Augenheilkd. 2010 Aug;227(8):653-6. doi: 10.1055/s-0029-1245266. Epub 2010 Aug 12.
A prospective study was carried out to evaluate postoperative visual acuity and patients satisfaction after implantation of a multifocal add-on IOL.
In 50 eyes of 25 patients operated by two surgeons "group A (MK) = 15 patients; group B (MWR) = 10 patients" with age-related cataract after "normal" cataract surgery, sulcus-fixated multifocal add-on IOLs (MS 714 PB Diff., Dr. Schmidt Intraocularlinsen, Sankt Augustin) were implanted. 12 weeks after surgery in both groups the following parameters were evaluated: far visual acuity; intermediate visual acuity (1 meter) and near visual acuity (33 centimeter). In addition, the patients satisfaction was measured in three steps (1 = excellent; 2 = satisfied; 3 = not satisfied) ermittelt. In group A also contrast sensitivity was measured using the Ginsberg box.
Surgery was performed in all cases without complications. No postoperative complications were observed. After 12 weeks the results in both groups were comparable. Median distance visual acuity was 0.05 +/- 0.02 (LogMar) uncorrected and 0 +/- 0.05 (LogMar) with correction. Intermediate visual acuity was 0.25 +/- 0.06 (LogMar) uncorrected (0.1 +/- 0.09 (LogMar) with correction. Near visual acuity was 0.2 +/- 0.07 (LogMar) and 0.15 +/- 0.02 (LogMar), respectively. Patients satisfaction was 80 - 90%.
Sulcus-fixated add-on IOLs are a useful addition to our refractive surgical armamentarium. The present results encourage us to use this method as a standard procedure.
开展了一项前瞻性研究，以评估多焦点附加型人工晶状体植入术后的视力及患者满意度。
25例患者的50只眼由两位外科医生进行手术（A组（MK）=15例患者；B组（MWR）=10例患者），这些患者在“常规”白内障手术后患有年龄相关性白内障，植入了沟内固定多焦点附加型人工晶状体（MS 714 PB Diff.，施密特眼内透镜博士公司，圣奥古斯丁）。两组患者术后12周评估以下参数：远视力；中视力（1米）和近视力（33厘米）。此外，通过三个步骤测定患者满意度（1=优秀；2=满意；3=不满意）。A组还使用金斯伯格箱测量对比敏感度。
所有病例手术均无并发症。未观察到术后并发症。12周后两组结果具有可比性。未矫正时，平均远距离视力为0.05±0.02（LogMar），矫正后为0±0.05（LogMar）。未矫正时中视力为0.25±0.06（LogMar）（矫正后为0.1±0.09（LogMar））。近视力分别为0.2±0.07（LogMar）和0.15±0.02（LogMar）。患者满意度为80 - 90%。
沟内固定附加型人工晶状体是我们屈光手术器械库中的一项有用补充。目前的结果鼓励我们将该方法用作标准术式。
