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单焦点人工晶状体眼患者在正常和暗光条件下不戴镜和戴镜时的阅读表现。

Reading performance of monofocal pseudophakic patients with and without glasses under normal and dim light conditions.

机构信息

From the Austrian Academy of Ophthalmology (W. Radner, S. Radner, Raunig) and the Department of Phoniatrics (Diendorfer), Medical University of Vienna, Vienna, Austria.

From the Austrian Academy of Ophthalmology (W. Radner, S. Radner, Raunig) and the Department of Phoniatrics (Diendorfer), Medical University of Vienna, Vienna, Austria.

出版信息

J Cataract Refract Surg. 2014 Mar;40(3):369-75. doi: 10.1016/j.jcrs.2013.08.054. Epub 2014 Jan 17.

DOI:10.1016/j.jcrs.2013.08.054
PMID:24440101
Abstract

PURPOSE

To evaluate reading performance of patients with monofocal intraocular lenses (IOLs) (Acrysof SN60WF) with or without reading glasses under bright and dim light conditions.

SETTING

Austrian Academy of Ophthalmology, Vienna, Austria.

DESIGN

Evaluation of a diagnostic test or technology.

METHODS

In pseudophakic patients, the spherical refractive error was limited to between +0.50 diopter (D) and -0.75 D with astigmatism of 0.75 D (mean spherical equivalent: right eye, -0.08 ± 0.43 [SD]; left eye, -0.15 ± 0.35). Near addition was +2.75 D. Reading performance was assessed binocularly with or without reading glasses at an illumination of 100 candelas (cd)/m(2) and 4 cd/m(2) using the Radner Reading Charts.

RESULTS

In the 25 patients evaluated, binocularly, the mean corrected distance visual acuity was -0.07 ± 0.06 logMAR and the mean uncorrected distance visual acuity was 0.01 ± 0.11 logMAR. The mean reading acuity with reading glasses was 0.02 ± 0.10 logRAD at 100 cd/m(2) and 0.12 ± 0.14 logRAD at 4 cd/m(2). Without reading glasses, it was 0.44 ± 0.13 logRAD and 0.56 ± 0.16 logRAD, respectively (P < .05). Without reading glasses and at 100 cd/m(2), 40% of patients read 0.4 logRAD at more than 80 words per minute (wpm), 68% exceeded this limit at 0.5 logRAD, and 92% exceeded it at 0.6 logRAD. The mean reading speed at 0.5 logRAD was 134.76 ± 48.22 wpm; with reading glasses it was 167.65 ± 32.77 wpm (P < .05).

CONCLUSION

A considerable percentage of patients with monofocal IOLs read newspaper print size without glasses under good light conditions.

摘要

目的

评估单焦点人工晶状体(IOL)(Acrysof SN60WF)患者在明亮和昏暗光线下戴或不戴阅读镜的阅读表现。

地点

奥地利维也纳眼科科学院。

设计

诊断测试或技术的评估。

方法

在无晶状体患者中,球镜屈光度限制在+0.50 屈光度(D)至-0.75 D 之间,散光为 0.75 D(平均等效球镜:右眼-0.08±0.43[标准差];左眼-0.15±0.35)。近附加为+2.75 D。在 100 坎德拉(cd)/平方米和 4 cd/m²的照明下,使用 Radner 阅读图表双眼评估阅读表现。

结果

在 25 名评估的患者中,双眼平均矫正远视力为-0.07±0.06 logMAR,未矫正远视力为 0.01±0.11 logMAR。在 100 cd/m²时,戴阅读镜的平均阅读视力为 0.02±0.10 logRAD,在 4 cd/m²时为 0.12±0.14 logRAD。不戴阅读镜时,分别为 0.44±0.13 logRAD 和 0.56±0.16 logRAD(P<.05)。不戴阅读镜,在 100 cd/m²时,40%的患者每分钟阅读 80 字以上可达到 0.4 logRAD,68%的患者超过 0.5 logRAD,92%的患者超过 0.6 logRAD。0.5 logRAD 时的平均阅读速度为 134.76±48.22 wpm;戴阅读镜时为 167.65±32.77 wpm(P<.05)。

结论

相当一部分单焦点 IOL 患者在良好的光线下不戴眼镜可以阅读报纸印刷字体。

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