Klyushnikova E V, Hurtzilava O G, Latariya E L, Dautova Z A
North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia.
Vestn Oftalmol. 2020;136(6. Vyp. 2):195-201. doi: 10.17116/oftalma2020136062195.
Studying the quality of life (QoL) of patients after multifocal intraocular correction is a relevant problem in the context of intensive development of cataract and presbyopia surgery.
To study the QoL of patients with trifocal and monofocal intraocular lenses 1 year after cataract surgery.
The study included 44 patients divided into two groups: in group 1 - after bilateral implantation of trifocal intraocular lenses, in group 2 - after bilateral implantation of monofocal intraocular lenses. The quality of life of patients in these groups was studied using the VF-14 questionnaire. Additionally, the NAVQ-10 questionnaire was used to study the QoL depending on near vision, satisfaction with the surgery outcome, and the presence and frequency of dysphotopsias.
The quality of life of the patients with trifocal intraocular lenses is significantly higher than with monofocal intraocular lenses according to the VF-14 questionnaire (92.61±7.57 in group 1 and 60.96±3.99 in group 2, <0.001). Using the NAVQ-10 questionnaire, 68.1% of patients with trifocal lenses were found to have no problems with near vision, 82% of them had high satisfaction with the operation result. 4.5% of patients had intensive dysphotopsias in the dark, 41.0% of patients reported light haloes around light sources during the dark hours and night-time, and 54.5% have not reported any dysphotopsias.
Trifocal intraocular lenses ensure higher quality of life for patients after phacoemulsification when compared with monofocal lenses. Dysphotopsias have some effect on the QoL of patients with multifocal correction, but 82% of them are highly satisfied with the surgery outcome.
在白内障和老花眼手术快速发展的背景下，研究多焦点眼内矫正术后患者的生活质量（QoL）是一个相关问题。
研究白内障手术后1年使用三焦点和单焦点人工晶状体患者的生活质量。
该研究纳入44例患者，分为两组：第1组为双侧植入三焦点人工晶状体后；第2组为双侧植入单焦点人工晶状体后。使用VF - 14问卷研究这些组患者的生活质量。此外，使用NAVQ - 10问卷根据近视力、对手术结果的满意度以及眩光的存在和频率来研究生活质量。
根据VF - 14问卷，三焦点人工晶状体患者的生活质量显著高于单焦点人工晶状体患者（第1组为92.61±7.57，第2组为60.96±3.99，<0.001）。使用NAVQ - 10问卷发现，68.1%的三焦点人工晶状体患者近视力无问题，82%的患者对手术结果高度满意。4.5%的患者在黑暗中有强烈眩光，41.0%的患者报告在黑暗时间和夜间光源周围有光晕，54.5%的患者未报告任何眩光。
与单焦点人工晶状体相比，三焦点人工晶状体可确保白内障超声乳化术后患者更高的生活质量。眩光对多焦点矫正患者的生活质量有一定影响，但82%的患者对手术结果高度满意。
