术后 3 个月和 12 个月时植入折射旋转不对称多焦点人工晶状体的视觉效果和患者满意度。
Visual outcomes and patient satisfaction 3 and 12 months after implantation of a refractive rotationally asymmetric multifocal intraocular lens.
机构信息
From the Cathedral Eye Clinic (McNeely, Pazo, Spence, Richoz, J.E. Moore), Belfast, and Biomedical Sciences Research Institute (McNeely, Pazo, Nesbit, T.C.B. Moore, J.E. Moore), University of Ulster, Coleraine, Northern Ireland, United Kingdom.
From the Cathedral Eye Clinic (McNeely, Pazo, Spence, Richoz, J.E. Moore), Belfast, and Biomedical Sciences Research Institute (McNeely, Pazo, Nesbit, T.C.B. Moore, J.E. Moore), University of Ulster, Coleraine, Northern Ireland, United Kingdom.
出版信息
J Cataract Refract Surg. 2017 May;43(5):633-638. doi: 10.1016/j.jcrs.2017.01.025.
PURPOSE
To assess the 3-month and 12-month postoperative visual performance and subjective patient satisfaction after refractive lens exchange (RLE) with implantation of a rotationally asymmetric multifocal intraocular lens (IOL).
SETTING
Cathedral Eye Clinic, Belfast, United Kingdom.
DESIGN
Prospective case series.
METHODS
The refraction, uncorrected (UDVA) and corrected distance visual acuities, uncorrected intermediate (UIVA) and near (UNVA) visual acuities, distance-corrected intermediate and near visual acuities, and a quality of vision (QoV) questionnaire were evaluated 3 months and 12 months after implantation of an SBL-3 IOL.
RESULTS
The study enrolled 100 eyes of 50 patients. The mean monocular UDVA was -0.02 logarithm of minimum angle of resolution (logMAR) ± 0.12 (SD) 3 months postoperatively and -0.01 ± 0.10 logMAR at 12 months (P = .393). The mean monocular UIVA was 0.39 ± 0.11 logMAR and 0.41 ± 0.12 logMAR, respectively (P = .06). The mean monocular UNVA was 0.12 ± 0.13 logMAR and 0.14 ± 0.12 logMAR, respectively (P = .077). The mean QoV score was 8.26 ± 1.16 at 3 months with a significant improvement at 12 months, at which time the mean QoV score was 8.84 ± 1.08 (P ≤ .001).
CONCLUSIONS
This asymmetric multifocal IOL provided excellent unaided vision with no significant difference in near, intermediate, and distance vision 3 months and 12 months postoperatively. However, there was a significant improvement in subjective outcomes at the second postoperative assessment, during which patients reported a significantly better QoV score and less blurred vision.
目的
评估旋转不对称多焦点人工晶状体（IOL）植入后的屈光晶状体置换（RLE）术后 3 个月和 12 个月的术后视觉表现和主观患者满意度。
设置
英国贝尔法斯特大教堂眼科诊所。
设计
前瞻性病例系列。
方法
在植入 SBL-3 IOL 后 3 个月和 12 个月评估屈光度、未矫正（UDVA）和矫正距离视力、未矫正中间（UIVA）和近（UNVA）视力、距离矫正中间和近视力以及视觉质量（QoV）问卷。
结果
该研究纳入了 50 名患者的 100 只眼。术后 3 个月，单眼平均 UDVA 为-0.02 对数最小角分辨率（logMAR）±0.12（SD），术后 12 个月为-0.01±0.10 logMAR（P=0.393）。单眼平均 UIVA 分别为 0.39±0.11 logMAR 和 0.41±0.12 logMAR（P=0.06）。单眼平均 UNVA 分别为 0.12±0.13 logMAR 和 0.14±0.12 logMAR（P=0.077）。术后 3 个月平均 QoV 评分为 8.26±1.16，术后 12 个月有显著改善，此时平均 QoV 评分为 8.84±1.08（P≤0.001）。
结论
这种不对称多焦点 IOL 提供了出色的无需矫正视力，术后 3 个月和 12 个月，在近、中、远距离视力方面没有显著差异。然而，在第二次术后评估时，主观结果有显著改善，患者报告 QoV 评分显著提高，视力模糊程度明显减轻。
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