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本文引用的文献

1
Increased Gait Speed After Cataract Surgery Confers Longer Predicted Survival.白内障手术后步态速度加快预示更长的预期生存期。
Asia Pac J Ophthalmol (Phila). 2014 Sep-Oct;3(5):267-70. doi: 10.1097/APO.0000000000000033.
2
Age-associated decline of muscle mass, grip strength and gait speed: a 4-year longitudinal study of 3018 community-dwelling older Chinese.肌肉质量、握力和步速与年龄相关的下降：对3018名居住在社区的中国老年人进行的4年纵向研究
Geriatr Gerontol Int. 2014 Feb;14 Suppl 1:76-84. doi: 10.1111/ggi.12213.
3
Visual impairment corrected via cataract surgery and 5-year survival in a prospective cohort.白内障手术后视力矫正和前瞻性队列研究 5 年生存率。
Am J Ophthalmol. 2014 Jan;157(1):163-170.e1. doi: 10.1016/j.ajo.2013.08.018. Epub 2013 Oct 22.
4
New light for old eyes: comparing melanopsin-mediated non-visual benefits of blue-light and UV-blocking intraocular lenses.新视角：比较蓝光和紫外线阻断型人工晶状体的 melanopsin 介导的非视觉益处。
Br J Ophthalmol. 2014 Jan;98(1):124-8. doi: 10.1136/bjophthalmol-2013-304024. Epub 2013 Oct 24.
5
The association between visual field defect severity and fear of falling in primary open-angle glaucoma.原发性开角型青光眼视野缺损严重程度与跌倒恐惧的关系。
Invest Ophthalmol Vis Sci. 2013 Nov 21;54(12):7739-45. doi: 10.1167/iovs.13-12079.
6
Blue-light-blocking intraocular lens implantation improves the sleep quality of cataract patients.植入蓝光阻断型人工晶状体可改善白内障患者的睡眠质量。
J Clin Sleep Med. 2013 Aug 15;9(8):741-5. doi: 10.5664/jcsm.2908.
7
Vision and falls: a multidisciplinary review of the contributions of visual impairment to falls among older adults.视力与跌倒：老年人视力障碍对跌倒影响的多学科综述。
Maturitas. 2013 May;75(1):22-8. doi: 10.1016/j.maturitas.2013.01.019. Epub 2013 Feb 19.
8
Change in vision, visual disability, and health after cataract surgery.白内障手术后的视力变化、视力残疾与健康状况
Optom Vis Sci. 2013 Apr;90(4):392-9. doi: 10.1097/OPX.0b013e3182843f16.
9
Long-term impact of earthquakes on sleep quality.地震对睡眠质量的长期影响。
PLoS One. 2013;8(2):e55936. doi: 10.1371/journal.pone.0055936. Epub 2013 Feb 13.
10
Functional improvement after one- and two-eye cataract surgery in the Salisbury Eye Evaluation.在 Salisbury 眼部评估中，单眼和双眼白内障手术后的功能改善。
Ophthalmology. 2013 May;120(5):949-55. doi: 10.1016/j.ophtha.2012.10.009. Epub 2013 Jan 26.

使用紫外线阻断人工晶状体的白内障手术对昼夜节律和步速的年轻化作用。

Rejuvenation effects of cataract surgery with ultraviolet blocking intra-ocular lens on circadian rhythm and gait speed.

作者信息

Ayaki Masahiko, Negishi Kazuno, Tsubota Kazuo

机构信息

Department of Ophthalmology, Keio University School of Medicine , Tokyo, Japan .

出版信息

Rejuvenation Res. 2014 Aug;17(4):359-65. doi: 10.1089/rej.2014.1550.

DOI:10.1089/rej.2014.1550
PMID:24701992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4142823/
Abstract

BACKGROUND

Previously, we reported improvements in sleep quality and gait speed after implantation of a yellow-colored, blue light-blocking intra-ocular lens (IOL). This study evaluated systemic health parameters for 7 months after cataract surgery with implantation of a clear, ultraviolet (UV)-blocking IOL.

METHODS

A total of consecutive 71 patients (average age 74.1 years) underwent cataract surgery with the implantation of a clear, UV-blocking IOL. Participants were evaluated using the Pittsburgh Sleep Quality Index (PSQI) and the National Eye Institute Visual Function Questionnaire (VFQ-25) before and at 2 and 7 months after surgery. Four-meter gait speed was also determined. The metabolic parameters of serum glycated hemoglobin (HbA1c), triglycerides (TGs), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C) were tested.

RESULTS

The pre-operative and post-operative (2 and 7 months after surgery) results were 66.4±16.5, 79.5±12.6, and 81.0±13.0 for VFQ-25 score, 5.7±3.5, 5.1±3.1, and 4.8±2.9 for PSQI, and 0.90±0.22, 0.91±0.22, and 0.92±0.22 meters/sec for gait speed. Significant improvements following surgery were noted in the VFQ-25 score for all cases and in the PSQI for poor sleepers (preoperative PSQI >5.5) (P<0.05, paired t-test). The gait speed and metabolic parameters showed no significant changes.

CONCLUSIONS

Cataract surgery with implantation of an UV-blocking clear IOL has the potential for improving circadian rhythm and systemic health parameters.

摘要

背景

此前，我们报告了植入黄色、蓝光阻断型人工晶状体（IOL）后睡眠质量和步态速度得到改善。本研究评估了白内障手术后植入透明、紫外线（UV）阻断型IOL 7个月后的全身健康参数。

方法

共有71例连续患者（平均年龄74.1岁）接受了白内障手术并植入了透明、UV阻断型IOL。在手术前、术后2个月和7个月时，使用匹兹堡睡眠质量指数（PSQI）和美国国立眼科研究所视觉功能问卷（VFQ-25）对参与者进行评估。还测定了4米步态速度。检测了血清糖化血红蛋白（HbA1c）、甘油三酯（TGs）、低密度脂蛋白胆固醇（LDL-C）和高密度脂蛋白胆固醇（HDL-C）的代谢参数。

结果

术前和术后（术后2个月和7个月）的VFQ-25评分分别为66.4±16.5、79.5±12.6和81.0±13.0，PSQI分别为5.7±3.5、5.1±3.1和4.8±2.9，步态速度分别为0.90±0.22、0.91±0.22和0.92±0.22米/秒。所有病例的VFQ-25评分以及睡眠不佳者（术前PSQI>5.5）的PSQI在术后均有显著改善（P<0.05，配对t检验）。步态速度和代谢参数无显著变化。

结论

植入UV阻断型透明IOL的白内障手术有可能改善昼夜节律和全身健康参数。