Shodai Ryo, Negishi Kazuno, Arai Hiroyuki, Toda Ikuko, Torii Hidemasa, Tsubota Kazuo
Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Minatomirai Eye Clinic, Yokohama, Kanagawa, Japan.
Jpn J Ophthalmol. 2017 Mar;61(2):142-149. doi: 10.1007/s10384-016-0497-2. Epub 2017 Jan 13.
To compare the visual and refractive outcomes up to 1 year postoperatively following implantation of a refractive segmented or a refractive segmented toric multifocal intraocular lens (IOL).
This retrospective study included 108 eyes of 64 patients who underwent cataract surgery with implantation of a refractive segmented multifocal IOL (Lentis Mplus LS-313 MF30 IOL) (LM group) and 81 eyes of 49 patients with implantation of a refractive segmented toric multifocal IOL (Lentis Mplus LU-313 MF30T IOL) (LMT group). The visual and refractive postoperative outcomes and the rate of additional refractive procedures were evaluated up to 1 year postoperatively.
The uncorrected distance visual acuity (VA) and uncorrected near VA exceeded 1.0 and 0.60 in decimal VA, respectively, and both were stable postoperative groups. The postoperative subjective refractive astigmatism was also stable and the postoperative refraction was near emmetropia in both groups. No significant differences were found in the need for additional surgical refractive procedures.
The outcomes with a refractive segmented toric multifocal IOL were comparable to those with a non-toric model despite higher preoperative corneal astigmatism.
比较屈光性分段或屈光性分段散光多焦点人工晶状体（IOL）植入术后1年内的视觉和屈光结果。
这项回顾性研究纳入了64例接受白内障手术并植入屈光性分段多焦点IOL（Lentis Mplus LS-313 MF30 IOL）的患者的108只眼（LM组）和49例植入屈光性分段散光多焦点IOL（Lentis Mplus LU-313 MF30T IOL）的患者的81只眼（LMT组）。评估术后1年内的视觉和屈光结果以及额外屈光手术的发生率。
两组术后裸眼远视力（VA）和裸眼近视力分别超过小数视力的1.0和0.60，且均稳定。两组术后主观屈光性散光也稳定，术后屈光接近正视。在额外手术屈光程序的需求方面未发现显著差异。
尽管术前角膜散光较高，但屈光性分段散光多焦点IOL的结果与非散光型号相当。
