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衍射型多焦点人工晶状体植入术治疗小瞳孔眼。

Diffractive multifocal intraocular lens implantation in eyes with a small-diameter pupil.

机构信息

Ouchi Eye Clinic, Kyoto, Japan.

Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan.

出版信息

Sci Rep. 2018 Aug 3;8(1):11686. doi: 10.1038/s41598-018-30141-1.

DOI:10.1038/s41598-018-30141-1
PMID:30076352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6076292/
Abstract

Postoperative outcome of diffractive multifocal intraocular lens (MIOL) implantation in eyes with a small-diameter pupil was evaluated. This non randomized case series involved 23 eyes of 23 patients who underwent diffractive MIOL implantation and whose preoperative photopic pupil diameter was ≤3.0 mm [small-diameter pupil (SDP) group], and 79 eyes of 79 patients implanted with the same MIOL whose pupil diameter was >3.0 mm as controls (LDP group). Contrast sensitivity of high spatial frequency (12, and 18 cycle per degree) and both 12.5% and 6% low-contrast visual acuity (VA) were significantly worse in the SDP group than in the LDP group (P = 0.04, 0.05, 0.05, 0.03). However, no significant difference was found between eyes in the SDP group with a postoperative pupil diameter greater than 3.0 mm and LDP group eyes. No significant differences were found in uncorrected and corrected distance VA (UDVA, CDVA), uncorrected and corrected near VA (UNVA, CNVA), contrast sensitivity with low spatial frequency, and defocus curve between the two groups. In conclusion, in eyes implanted with a diffractive MIOL, a pupil diameter of ≤3.0 mm deteriorates contrast sensitivity. This effect was eliminated postoperatively when pupil size was enlarged to >3.0 mm during surgery.

摘要

本研究旨在评估小瞳孔（瞳孔直径≤3.0mm）患者行衍射型多焦点人工晶状体（MIOL）植入术后的效果。该非随机病例系列研究纳入了 23 例（23 只眼）接受衍射型 MIOL 植入术且术前瞳孔直径≤3.0mm（小瞳孔组）的患者，以及 79 例（79 只眼）接受同一 MIOL 植入且瞳孔直径>3.0mm 的患者作为对照组（大瞳孔组）。小瞳孔组的高频（12 和 18 周/度）和低对比度（12.5%和 6%）视力的对比敏感度明显低于大瞳孔组（P=0.04、0.05、0.05、0.03）。然而，术后瞳孔直径>3.0mm的小瞳孔组眼与大瞳孔组眼之间的对比敏感度无显著差异。两组间的未矫正远视力（UDVA）、远视力矫正（CDVA）、未矫正近视力（UNVA）、近视力矫正（CNVA）、低空间频率对比敏感度和离焦曲线均无显著差异。总之，在植入衍射型 MIOL 的眼中，瞳孔直径≤3.0mm 会降低对比敏感度。在手术中当瞳孔大小扩大至>3.0mm 时，这种影响可消除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c3/6076292/6ab21cdded43/41598_2018_30141_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c3/6076292/1849cc8087bf/41598_2018_30141_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c3/6076292/861ff6c37f46/41598_2018_30141_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c3/6076292/a28a3fb0b4a7/41598_2018_30141_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c3/6076292/6ab21cdded43/41598_2018_30141_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c3/6076292/1849cc8087bf/41598_2018_30141_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c3/6076292/861ff6c37f46/41598_2018_30141_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c3/6076292/a28a3fb0b4a7/41598_2018_30141_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c3/6076292/6ab21cdded43/41598_2018_30141_Fig4_HTML.jpg

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本文引用的文献

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2
[The importance of angle kappa for centration of multifocal intraocular lenses].[角kappa对多焦点人工晶状体居中性的重要性]
Cesk Slov Oftalmol. 2013 Jun;69(2):64-8.
3
Energy distribution between distance and near images in apodized diffractive multifocal intraocular lenses.离焦衍射型多焦点人工晶状体的远、近视力能量分布。
分析经 AcrySof® Vivity™ 景深延长型人工晶状体植入术后未经矫正的近视力。
PLoS One. 2022 Nov 28;17(11):e0277687. doi: 10.1371/journal.pone.0277687. eCollection 2022.
4
Age-related visual outcomes in eyes with diffractive multifocal intraocular lenses.年龄相关性视觉效果在具有衍射多焦点人工晶状体的眼中。
Eye (Lond). 2022 Dec;36(12):2260-2264. doi: 10.1038/s41433-021-01854-x. Epub 2021 Nov 20.
5
Normative Values of Corneal Spherical Aberration, Pupil Size, and Other Key Refractive and Topographic Parameters in a Large Cohort of Egyptian Cataract Surgery Candidates.大量埃及白内障手术候选人群中角膜球差、瞳孔大小及其他关键屈光和地形参数的标准值
Clin Ophthalmol. 2020 Dec 31;14:4571-4577. doi: 10.2147/OPTH.S288738. eCollection 2020.
Invest Ophthalmol Vis Sci. 2011 Jul 29;52(8):5695-701. doi: 10.1167/iovs.10-7123.
4
Four-year experience with a silicone refractive multifocal intraocular lens.四年使用硅胶折射型多焦点人工晶状体的经验。
J Cataract Refract Surg. 2010 Aug;36(8):1330-5. doi: 10.1016/j.jcrs.2010.02.021.
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Image quality with multifocal intraocular lenses and the effect of pupil size: comparison of refractive and hybrid refractive-diffractive designs.多焦点人工晶状体的图像质量及瞳孔大小的影响：折射型和折射-衍射混合型设计的比较
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