Abrieu-Lacaille M, Saib N, Rambaud C, Berguiga M, Fenolland J-R, Bonnel S, Crepy P, Froussart-Maille F, Rigal-Sastourne J-C
HIA Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France.
HIA Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France.
J Fr Ophtalmol. 2014 Nov;37(9):682-8. doi: 10.1016/j.jfo.2014.02.011. Epub 2014 Sep 26.
To evaluate efficacy and patient satisfaction of presbyopic hyperopes treated with centered PresbyLASIK (multifocality centered on near vision) by the SUPRACOR technique (Technolas Perfect Vision).
This is a retrospective study carried out at Percy Army Teaching Hospital from September 2011 through September 2013. Fifty-nine eyes of 29 patients were included and underwent PresbyLASIK. Study parameters included uncorrected binocular distance (DVA) and near (NVA) visual acuity, aberrometry, central corneal curvature by corneal topography (bump), and patient satisfaction (questionnaire).
Mean uncorrected binocular visual acuity was found to be 0.09 logmar for DVA and 0.22 for NVA on post-operative day one, 0.04 logmar for DVA and 0.17 for NVA at 1 month post-operatively, 0.15 logmar for DVA and 0.19 for NVA at 3 months post-operatively, and -0.02 logmar for DVA and 0.18 for NVA at 6 months post-operatively. Mean central corneal curvature was found to be 2.56±0.9 diopters. There were significantly more higher-order aberrations in the central 5mm post-operatively (P<0.01). Among the patients undergoing bilateral SUPRACOR LASIK, 79% were entirely satisfied with the surgery, and all patients would recommend the procedure to their family and friends. Eighty-six percent of these patients acheived total spectacle independence at distance and near.
SUPRACOR PresbyLASIK is a method of choice in overcoming spectacle dependence in presbyopic hyperopes.
评估采用Technolas Perfect Vision公司的SUPRACOR技术(老视准分子原位角膜磨镶术,多焦点聚焦于近视力)治疗老视性远视患者的疗效及患者满意度。
这是一项于2011年9月至2013年9月在珀西陆军教学医院开展的回顾性研究。纳入29例患者的59只眼并接受老视准分子原位角膜磨镶术。研究参数包括未矫正双眼远距离(DVA)和近距离(NVA)视力、像差测量、角膜地形图测量的中央角膜曲率(隆起)以及患者满意度(问卷调查)。
术后第1天,平均未矫正双眼视力DVA为0.09 logMAR,NVA为0.22;术后1个月,DVA为0.04 logMAR,NVA为0.17;术后3个月,DVA为0.15 logMAR,NVA为0.19;术后6个月,DVA为 -0.02 logMAR,NVA为0.18。平均中央角膜曲率为2.56±0.9屈光度。术后中央5mm区域高阶像差明显增多(P<0.01)。在接受双侧SUPRACOR准分子激光原位角膜磨镶术的患者中,79%对手术完全满意,所有患者都愿意向家人和朋友推荐该手术。这些患者中有86%在远距离和近距离均实现了完全脱镜。
SUPRACOR老视准分子原位角膜磨镶术是克服老视性远视患者眼镜依赖的一种选择方法。