Vingolo Enzo Maria, Carnevale Carmela, Fragiotta Serena, Rigoni Erika, Iacobelli Luca
a Department of Ophthalmology , "Sapienza" University of Rome, Polo Pontino, "A. Fiorini" Hospital , Terracina , Italy.
b Department of Ophthalmology , "Sapienza" University of Rome, Policlinico Umberto I , Rome , Italy.
Semin Ophthalmol. 2017;32(5):588-592. doi: 10.3109/08820538.2015.1131839. Epub 2016 Apr 29.
To evaluate visual acuity and contrast sensitivity after bilateral implantation of AcrySof® IQ ReSTOR® +2.50 D or +3.00 D.
A total of 56 eyes with cataract had bilateral implantation of a multifocal IOL. Inclusion criteria were corneal astigmatism less than 1.0 diopters, axial length between 22.0 and 24.0 mm, and no associated ocular disease. Outcome measures recorded 12 months postoperatively were binocular uncorrected and corrected distance, intermediate and near visual acuities, and contrast sensitivity. Postoperative quality of life and patient satisfaction were assessed with the VF-14 Questionnaire.
Twenty months postoperatively, the mean uncorrected and best-corrected distance visual acuities, UCIVA at 60 cm, and contrast sensitivity were similar in all two groups. UCNVA were better in the +3.00 IOL group than in the +2.50 D group. Patients reported good performance for visual tasks.
Apodized multifocal IOLs seem a good compromise for non-spectacles life in elderly patients; our study indicates that this solution has a good long-term stability on patients' visual function.
评估双侧植入AcrySof® IQ ReSTOR® +2.50 D或+3.00 D人工晶状体后的视力和对比敏感度。
共有56只白内障眼接受了双侧多焦点人工晶状体植入。纳入标准为角膜散光小于1.0屈光度，眼轴长度在22.0至24.0毫米之间，且无相关眼部疾病。术后12个月记录的结果指标包括双眼未矫正和矫正后的远距离、中距离和近距离视力，以及对比敏感度。使用VF-14问卷评估术后生活质量和患者满意度。
术后20个月，所有两组的平均未矫正和最佳矫正远距离视力、60厘米处的未矫正近视力（UCIVA）以及对比敏感度相似。+3.00 D人工晶状体组的未矫正近视力（UCNVA）优于+2.50 D组。患者报告视觉任务表现良好。
变迹多焦点人工晶状体似乎是老年患者非眼镜生活的良好折衷方案；我们的研究表明，这种解决方案对患者的视觉功能具有良好的长期稳定性。
