日抛型多焦点软性角膜接触镜的视觉性能：一项随机双盲临床试验

Visual Performance of Daily-disposable Multifocal Soft Contact Lenses: A Randomized, Double-blind Clinical Trial.

作者信息

Sha Jennifer, Tilia Daniel, Kho Danny, Amrizal Hamdy, Diec Jennie, Yeotikar Nisha, Jong Monica, Thomas Varghese, Bakaraju Ravi C

机构信息

Brien Holden Vision Institute, Sydney, New South Wales, Australia.

School of Optometry and Vision Sciences, University of New South Wales, Sydney, New South Wales, Australia *

出版信息

Optom Vis Sci. 2018 Dec;95(12):1096-1104. doi: 10.1097/OPX.0000000000001311.

DOI:10.1097/OPX.0000000000001311

PMID:30451806

Abstract

SIGNIFICANCE

The present study highlights the differences between modern daily-disposable multifocal soft contact lenses to assist eye care practitioners in fitting presbyopic contact lens wearers.

PURPOSE

The purpose of this study was to compare visual performance of three daily-disposable multifocal contact lenses.

METHODS

Presbyopes (n = 72) wore 1-Day Acuvue Moist Multifocal, BioTrue ONEday for Presbyopia, and Dailies AquaComfort Plus Multifocal for 1 week in a prospective, randomized, double-blind, crossover clinical trial. After 1 week, high- and low-contrast visual acuities (HCVA, LCVA) were measured between 6 m and 40 cm and stereopsis at 40 cm. Subjective performance was assessed with 1- to 10-point rating scales for clarity, ghosting, driving vision, vision stability, ease of focusing, overall vision satisfaction, and ocular comfort. Willingness to purchase was reported with categorical responses. Linear mixed models and χ tests were used for analysis, and level of significance was set at 5%.

RESULTS

BioTrue provided better HCVA and LCVA at distance than did Acuvue Moist (P ≤ .03). Subjectively, Acuvue Moist was rated lowest for distance clarity, distance ghosting, and driving vision (P ≤ .05). Acuvue Moist provided better HCVA at 70 to 40 cm and LCVA at 1 m to 40 cm than did BioTrue (P ≤ .01) and better LCVA at 1 m to 50 cm than did AquaComfort Plus (P ≤ .02). AquaComfort Plus also provided better HCVA and LCVA at 50 and 40 cm than did BioTrue (P ≤ .03). Acuvue Moist provided better stereopsis than did BioTrue (P = .02). Subjectively, BioTrue was rated lowest for near clarity (P ≤ .007) and lower than Acuvue Moist for intermediate clarity and near ghosting (P ≤ .04). No other differences were found between lenses (P > .05).

CONCLUSIONS

BioTrue had better distance performance compared with near, whereas Acuvue Moist performed conversely. AquaComfort Plus performed reasonably overall.

摘要

意义

本研究突出了现代日抛型多焦点软性隐形眼镜之间的差异，以帮助眼科护理从业者为老花眼隐形眼镜佩戴者进行配镜。

目的

本研究的目的是比较三种日抛型多焦点隐形眼镜的视觉性能。

方法

在一项前瞻性、随机、双盲、交叉临床试验中，72名老花眼患者佩戴1-Day Acuvue Moist Multifocal、BioTrue ONEday for Presbyopia和Dailies AquaComfort Plus Multifocal隐形眼镜各1周。1周后，在6米至40厘米之间测量高对比度和低对比度视力（HCVA、LCVA），并在40厘米处测量立体视。使用1至10分的评分量表对清晰度、重影、驾驶视力、视力稳定性、聚焦难易程度、总体视力满意度和眼部舒适度等主观性能进行评估。通过分类回答报告购买意愿。使用线性混合模型和χ检验进行分析，显著性水平设定为5%。

结果

与Acuvue Moist相比，BioTrue在远距离的HCVA和LCVA更好（P≤0.03）。在主观方面，Acuvue Moist在远距离清晰度、远距离重影和驾驶视力方面的评分最低（P≤0.05）。与BioTrue相比，Acuvue Moist在70至40厘米处的HCVA更好，在1米至40厘米处的LCVA更好（P≤0.01）；与AquaComfort Plus相比，在1米至50厘米处的LCVA更好（P≤0.02）。AquaComfort Plus在50厘米和40厘米处的HCVA和LCVA也比BioTrue更好（P≤0.03）。Acuvue Moist的立体视比BioTrue更好（P = 0.02）。在主观方面，BioTrue在近距离清晰度方面的评分最低（P≤0.007），在中间距离清晰度和近距离重影方面低于Acuvue Moist（P≤0.04）。镜片之间未发现其他差异（P>0.05）。