Vissum Corporation-Instituto Oftalmológico de Alicante, Avenida de Denia s/n, Edificio Vissum, 03016 Alicante, Spain.
J Cataract Refract Surg. 2011 Apr;37(4):638-48. doi: 10.1016/j.jcrs.2010.10.056.
To compare vision-related quality of life using the National Eye Institute Visual Function Questionnaire (NEI VFQ-25) in patients with 1 of 3 types of intraocular lenses (IOLs) and to correlate it with postoperative visual outcomes.
Vissum Corporation-Instituto Oftalmológico de Alicante, Alicante, Spain.
Comparative case series.
This study comprised eyes having cataract surgery with bilateral implantation of a monofocal IOL (Group A), apodized multifocal IOL (Group B), or full diffractive multifocal IOL (Group C). Distance and near visual acuities, contrast sensitivity, and quality of life were evaluated preoperatively and postoperatively.
The study enrolled 106 eyes (53 patients; age range 49 to 80 years). All groups had significant improvement in uncorrected and corrected distance visual acuities postoperatively (P ≤.05). Near vision outcomes were significantly better in Groups B and C (P ≤.01). Groups B and C had significantly less difficulty in some near tasks, such as reading the newspaper (A-B, P=.02; A-C, P=.02) or reading bills (A-B, P=.04; A-C, P=.004). Group C also had significantly less difficulty driving at night than Group B (P<.01). Near visual acuity and contrast sensitivity were significantly correlated with difficulty in near visual tasks in Groups B and C. Night-driving difficulty correlated significantly with contrast sensitivity in Group B.
Patients with multifocal IOLs could perform several daily tasks at near and intermediate distances, with less night-driving limitation with the full diffractive IOL than with apodized multifocal and monofocal IOLs.
No author has a financial or proprietary interest in any material or method mentioned.
使用国家眼科研究所视觉功能问卷（NEI VFQ-25）比较 3 种类型的人工晶状体（IOL）患者的视力相关生活质量，并将其与术后视力结果相关联。
Vissum Corporation-Instituto Oftalmológico de Alicante，西班牙阿利坎特。
比较病例系列。
本研究包括接受白内障手术并双侧植入单焦点 IOL（A 组）、渐变多焦点 IOL（B 组）或全衍射多焦点 IOL（C 组）的患者。在术前和术后评估距离和近视力、对比敏感度和生活质量。
该研究纳入了 106 只眼（53 例患者；年龄 49 至 80 岁）。所有组术后未矫正和矫正距离视力均显著提高（P≤.05）。B 组和 C 组近视力结果明显更好（P≤.01）。B 组和 C 组在一些近距任务中，如阅读报纸（A-B，P=.02；A-C，P=.02）或阅读账单（A-B，P=.04；A-C，P=.004），难度明显降低。C 组夜间驾驶难度也明显低于 B 组（P<.01）。B 组和 C 组的近视力和对比敏感度与近视力任务的难度显著相关。B 组夜间驾驶困难与对比敏感度显著相关。
多焦点 IOL 患者在近距和中距可完成多项日常任务，与渐变多焦点和单焦点 IOL 相比，全衍射多焦点 IOL 夜间驾驶限制更小。
没有作者在任何材料或方法上有财务或专有利益。
