多焦点消像散衍射型人工晶状体患者在电子阅读桌上的近距和中距视力及阅读能力。

Near and intermediate visual and reading performance of patients with a multifocal apodized diffractive intraocular lens using an electronic reading desk.

机构信息

From the International Vision Correction Research Centre and David J. Apple Laboratory (Attia, Khoramnia, Auffarth, Holzer), University Eye Clinic, and the Institute of Medical Biometry and Informatics (Kirchner), University of Heidelberg, Heidelberg, Germany.

出版信息

J Cataract Refract Surg. 2016 Apr;42(4):582-90. doi: 10.1016/j.jcrs.2015.11.047.

DOI:10.1016/j.jcrs.2015.11.047

PMID:27113882

Abstract

PURPOSE

To functionally evaluate an apodized diffractive multifocal intraocular lens (IOL) using an electronic reading desk (Salzburg Reading Desk).

SETTING

University Eye Clinic Heidelberg, Heidelberg, Germany.

DESIGN

Prospective case series.

METHODS

After implantation of an Acrysof IQ Restor +3.0 diopter (D) multifocal IOL, uncorrected (UDVA) and corrected (CDVA) distance visual acuities, uncorrected (UNVA) and distance-corrected (DCNVA) near visual acuities, and uncorrected (UIVA) and distance-corrected (DCIVA) intermediate visual acuities were determined. Criteria for evaluating reading acuity were the reading speed and print size. Monocular and binocular examinations were performed with the electronic reading desk at fixed distances and at the patient's preferred near and intermediate distances. In addition, a subjective questionnaire was administered.

RESULTS

Forty eyes (20 patients) were enrolled. Monocularly, the medians were UDVA, 0.00 logMAR (range 0.26 to -0.14 logMAR); CDVA, -0.08 logMAR (range 0.16 to -0.24 logMAR); 40 cm UNVA, 0.04 logMAR (range 0.24 to -0.10 logMAR); DCNVA, 0.00 logMAR (range 0.18 to -0.22 logMAR); 80 cm UIVA, 0.15 logMAR (range 0.40 to -0.18 logMAR); DCIVA, 0.16 logMAR (range 0.42 to -0.14 logMAR). The monocular reading desk examinations resulted in an uncorrected reading acuity of 0.11 logMAR (range 0.49 to -0.01 logMAR) at 40 cm and 0.30 logMAR (range 0.48 to 0.00 logMAR) at 80 cm. Patients reported a high rate of spectacle independence and satisfaction in everyday life.

CONCLUSION

The +3.0 D IOL provided good postoperative functional results at far and near and improved the visual and reading acuity at an intermediate distance.

FINANCIAL DISCLOSURES

The International Vision Correction Research Centre has received research grants, travel expenses, and lecture fees from various intraocular lens manufacturers. None of the authors has a financial or proprietary interest in any material or method mentioned.

摘要

目的

使用电子阅读桌（萨尔茨堡阅读桌）对消球差衍射多焦点人工晶状体（IOL）进行功能评估。

地点

德国海德堡大学眼科诊所。

设计

前瞻性病例系列。

方法

植入 Acrysof IQ Restor +3.0 屈光度（D）多焦点 IOL 后，测量未矫正（UDVA）和矫正（CDVA）远视力、未矫正（UNVA）和远距矫正（DCNVA）近视力以及未矫正（UIVA）和远距矫正（DCIVA）中间视力。评估阅读视力的标准是阅读速度和打印尺寸。在固定距离和患者首选的近距和中距，使用电子阅读桌进行单眼和双眼检查。此外，还进行了主观问卷调查。

结果

共纳入 40 只眼（20 例患者）。单眼方面，中位数如下：UDVA，0.00 logMAR（范围 0.26 至-0.14 logMAR）；CDVA，-0.08 logMAR（范围 0.16 至-0.24 logMAR）；40 cm UNVA，0.04 logMAR（范围 0.24 至-0.10 logMAR）；DCNVA，0.00 logMAR（范围 0.18 至-0.22 logMAR）；80 cm UIVA，0.15 logMAR（范围 0.40 至-0.18 logMAR）；DCIVA，0.16 logMAR（范围 0.42 至-0.14 logMAR）。单眼阅读桌检查结果显示，在 40 cm 处未矫正阅读视力为 0.11 logMAR（范围 0.49 至-0.01 logMAR），在 80 cm 处为 0.30 logMAR（范围 0.48 至 0.00 logMAR）。患者报告在日常生活中拥有较高的不戴镜率和满意度。