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用于儿童外伤性白内障的多焦点散光人工晶状体

Multifocal Toric Intraocular Lens for Traumatic Cataract in a Child.

作者信息

Zeng Yanfeng, Fan Licheng, Lu Peirong

机构信息

Soochow University Lixiang Eye Hospital, Suzhou City, PR China.

Soochow University, Suzhou City, PR China.

出版信息

Case Rep Ophthalmol. 2016 Oct 11;7(3):203-207. doi: 10.1159/000449153. eCollection 2016 Sep-Dec.

Abstract

A child suffering from traumatic cataract and corneal astigmatism of 2.14 D had a phacoemulsification operation and implantation of a ReSTOR Toric intraocular lens (IOL) to correct the astigmatism. The primary outcome measurements were the uncorrected distance visual acuity (UDVA), uncorrected near vision at 40 cm, intraocular pressure, spherical equivalent refraction, residual astigmatism, corneal astigmatism, presence of unusual optical phenomena, and use of spectacles. At 7 months postoperatively, UDVA was maintained between 16/20 and 24/20, near vision was between J1 and J3, residual spherical refraction was 0-0.37 D, and residual refractive cylinder was between 0 and 0.67 D. A multifocal toric IOL can provide the possibility of satisfactory vision for both distant and near conditions without the use of spectacles to meet children's needs when studying and doing sports. Additionally, binocular vision can be reconstructed. This intervention, therefore, seems to be a satisfactory alternative.

摘要

一名患有外伤性白内障和2.14 D角膜散光的儿童接受了超声乳化手术,并植入了ReSTOR Toric人工晶状体(IOL)以矫正散光。主要结局指标包括未矫正远视力(UDVA)、40 cm处未矫正近视力、眼压、等效球镜度、残余散光、角膜散光、异常光学现象的存在情况以及眼镜的使用情况。术后7个月时,UDVA维持在16/20至24/20之间,近视力在J1至J3之间,残余球镜度为0 - 0.37 D,残余柱镜度在0至0.67 D之间。多焦点散光人工晶状体可为远近视力提供令人满意的视觉效果,无需佩戴眼镜即可满足儿童学习和运动时的需求。此外,可重建双眼视觉。因此,这种干预似乎是一种令人满意的选择。

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