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屈光旋转非对称多焦点人工晶状体与其他类型人工晶状体临床性能的比较：一项荟萃分析。

Comparison of the Clinical Performance of Refractive Rotationally Asymmetric Multifocal IOLs with Other Types of IOLs: A Meta-Analysis.

作者信息

Xu Zequan, Li Wenzhe, Wu Lianqun, Xue Shuang, Chen Xu, Wu Qiang

机构信息

Department of Ophthalmology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, No. 600, Yishan Road, Xuhui District, Shanghai 200233, China.

Clinical Medical College, Tianjin Medical University, No. 176, Xueyuan Road, Dagang District, Tianjin 100270, China.

出版信息

J Ophthalmol. 2018 Sep 27;2018:4728258. doi: 10.1155/2018/4728258. eCollection 2018.

DOI:10.1155/2018/4728258
PMID:30363767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6181000/
Abstract

OBJECTIVE

To compare the clinical performance of refractive rotationally asymmetric multifocal intraocular lens (IOLs) with spherical monofocal, accommodating, and bifocal IOLs.

METHODS

A comprehensive literature search of PubMed, EMBASE, Cochrane Controlled Trials Register, and Web of Science up to February 2017 was performed to identify randomized controlled trials (RCT) and comparative cohort studies. Main outcomes were uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), higher-order aberrations (HOAs), MTF, Strehl ratio, and residual sphere and cylinder.

RESULTS

Mplus provided significantly worse UDVA than spherical monofocal IOLs (WMD: 0.13, =0.008), but significantly better UIVA than high-add bifocal IOLs (WMD: -0.19, < 0.00001), spherical monofocal IOLs (WMD: -0.12, < 0.0001), and accommodating IOLs (WMD: -0.21, < 0.00001). Mplus provided significantly worse UNVA than high-add bifocal IOLs (WMD: 0.07, < 0.00001), but significantly better UNVA than spherical monofocal IOLs (WMD: -0.19, < 0.00001). Mplus resulted in significantly higher HOAs than high-add bifocal IOLs (WMD: 0.38, < 0.00001) and spherical monofocal IOLs (WMD: 0.51, =0.0004). Mplus provided a significantly lower MTF cut-off and Strehl ratio than other type of IOLs.

CONCLUSION

The Mplus IOLs perform best regarding intermediate visual acuity whereas they lack in distance visual acuity compared to monofocal IOLs and near visual acuity compared to bifocal IOLs. These results may be due to structure of Mplus IOLs resulting in higher-order aberrations.

摘要

目的

比较屈光旋转不对称多焦点人工晶状体（IOL）与球面单焦点、可调节及双焦点IOL的临床性能。

方法

对截至2017年2月的PubMed、EMBASE、Cochrane对照试验注册库及Web of Science进行全面文献检索，以识别随机对照试验（RCT）和比较队列研究。主要结局指标为未矫正远视力（UDVA）、未矫正中视力（UIVA）、未矫正近视力（UNVA）、高阶像差（HOAs）、调制传递函数（MTF）、斯特列尔比率以及残余球镜和柱镜。

结果

Mplus人工晶状体的UDVA显著差于球面单焦点IOL（加权均数差：0.13，P = 0.008），但其UIVA显著优于高附加双焦点IOL（加权均数差： - 0.19，P < 0.00001）、球面单焦点IOL（加权均数差： - 0.12，P < 0.0001）和可调节IOL（加权均数差： - 0.21，P < 0.00001）。Mplus人工晶状体的UNVA显著差于高附加双焦点IOL（加权均数差：0.07，P < 0.00001），但显著优于球面单焦点IOL（加权均数差： - 0.19，P < 0.00001）。Mplus人工晶状体导致的HOAs显著高于高附加双焦点IOL（加权均数差：0.38，P < 0.00001）和球面单焦点IOL（加权均数差：0.51，P = 0.0004）。Mplus人工晶状体的MTF截止值和斯特列尔比率显著低于其他类型的IOL。

结论

Mplus人工晶状体在中视力方面表现最佳，然而与单焦点IOL相比其远视力欠佳，与双焦点IOL相比其近视力欠佳。这些结果可能归因于Mplus人工晶状体的结构导致高阶像差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e6/6181000/64467554b0b9/JOPH2018-4728258.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e6/6181000/29162fe2aa19/JOPH2018-4728258.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e6/6181000/33eea8ae02a5/JOPH2018-4728258.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e6/6181000/87cf79b2be50/JOPH2018-4728258.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e6/6181000/0bbd03f04cd2/JOPH2018-4728258.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e6/6181000/64467554b0b9/JOPH2018-4728258.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e6/6181000/29162fe2aa19/JOPH2018-4728258.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e6/6181000/33eea8ae02a5/JOPH2018-4728258.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e6/6181000/87cf79b2be50/JOPH2018-4728258.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e6/6181000/0bbd03f04cd2/JOPH2018-4728258.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e6/6181000/64467554b0b9/JOPH2018-4728258.005.jpg

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