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伊比利亚美洲眼科医生选择用于自身的人工晶状体：调查结果。

Iberoamerican Ophthalmologists IOL Selection for Use on Themselves: Survey Results.

作者信息

Scorsetti Daniel, Viteri Eduardo, Mayorga Eduardo

机构信息

Scorsetti Institute, Buenos Aires, Argentina.

School of Medicine, Universidad del Salvador, Buenos Aires, Argentina.

出版信息

Clin Ophthalmol. 2021 Mar 25;15:1301-1308. doi: 10.2147/OPTH.S259383. eCollection 2021.

DOI:10.2147/OPTH.S259383
PMID:33790538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8006974/
Abstract

PURPOSE

To determine the preferred type of intraocular lens (IOL) that ophthalmologists would choose for themselves in case of cataract surgery.

DESIGN

Prospective convenience questionnaire study.

MATERIALS AND METHODS

We developed an electronic survey with seven (7) questions, combining multiple and open options. The following categories were established: monofocal (MonoIOL) without monovision (MonoIOL-SM) and with monovision (MonoIOL-CM) and multifocal (MultiIOL) that could be either a bifocal (MultiIOL-B), trifocal (MultiIOL-T) or extended focus (MultiIOL-E). The link for the survey was sent to ophthalmologists from Latin America and Spain through different ways. The 1209 responses were analyzed statistically.

RESULTS

We received 1209 responses from 14 countries. The average age was 47.977 years (SD 11.711 years). Gender distribution was 839 males (72.8%) and 313 females (27.2%). Overall preference was MonoIOL-SM 23.90% (289), MonoIOL-CM 12.16% (147), MultiIOL-B 4.63% (56), MultiIOL-T 34.99% (423), MultiIOL-E 15.22% (110), and unsure 9.10% (110). Ophthalmologists that implant IOLs showed a greater preference for MultiIOL (64%) than those who did not implant IOLs (32.3%). Although all ophthalmologists preferred MultiIOL, anterior segment specialists chose them more frequently (59.1%) than posterior segment specialists (41%).

CONCLUSION

Ophthalmologists would prefer to receive a multifocal IOL implantation despite the lower frequency of multifocal IOL implantation observed in the general population. The frequency was greater among ophthalmologists who implant IOLs compared to those who do not implant them. It was also greater among those who identified themselves as anterior segment specialists compared to posterior segment specialists.

摘要

目的

确定眼科医生在白内障手术时会为自己选择的人工晶状体（IOL）的首选类型。

设计

前瞻性便利问卷调查研究。

材料与方法

我们设计了一份包含7个问题的电子调查问卷，结合了多项选择和开放式选项。设立了以下类别：无单眼视功能的单焦点人工晶状体（MonoIOL-SM）、有单眼视功能的单焦点人工晶状体（MonoIOL-CM）以及多焦点人工晶状体（MultiIOL），后者可以是双焦点（MultiIOL-B）、三焦点（MultiIOL-T）或扩展焦点（MultiIOL-E）。调查问卷的链接通过不同方式发送给拉丁美洲和西班牙的眼科医生。对1209份回复进行了统计分析。

结果

我们收到了来自14个国家的1209份回复。平均年龄为47.977岁（标准差11.711岁）。性别分布为男性839人（72.8%），女性313人（27.2%）。总体偏好为：无单眼视功能的单焦点人工晶状体占23.90%（289人），有单眼视功能的单焦点人工晶状体占12.16%（147人），双焦点人工晶状体占4.63%（56人），三焦点人工晶状体占34.99%（423人），扩展焦点人工晶状体占15.22%（110人），不确定占9.10%（110人）。植入人工晶状体的眼科医生比未植入人工晶状体的眼科医生对多焦点人工晶状体的偏好更高（64%对32.3%）。尽管所有眼科医生都更喜欢多焦点人工晶状体，但前段专家选择多焦点人工晶状体的频率（59.1%）高于后段专家（41%）。

结论

尽管在普通人群中多焦点人工晶状体植入的频率较低，但眼科医生更倾向于接受多焦点人工晶状体植入。与未植入人工晶状体的眼科医生相比，植入人工晶状体的眼科医生中这种频率更高。与后段专家相比，自认为是前段专家的医生中这种频率也更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/7c0a65f74dda/OPTH-15-1301-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/1888571eb455/OPTH-15-1301-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/9c7f21933032/OPTH-15-1301-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/d2feecbc19b8/OPTH-15-1301-g0003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/9b98aa2e95a3/OPTH-15-1301-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/6de34d93f1a2/OPTH-15-1301-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/7c0a65f74dda/OPTH-15-1301-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/1888571eb455/OPTH-15-1301-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/9c7f21933032/OPTH-15-1301-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/d2feecbc19b8/OPTH-15-1301-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/5f40d62e1b06/OPTH-15-1301-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/9b98aa2e95a3/OPTH-15-1301-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/6de34d93f1a2/OPTH-15-1301-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe7/8006974/7c0a65f74dda/OPTH-15-1301-g0007.jpg

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本文引用的文献

1
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Eye (Lond). 2019 Oct;33(10):1635-1641. doi: 10.1038/s41433-019-0460-9. Epub 2019 May 14.
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The Evolution of Cataract Surgery.白内障手术的演变
Mo Med. 2016 Jan-Feb;113(1):58-62.
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End-of-Life Care Intensity for Physicians, Lawyers, and the General Population.医生、律师和普通人群的临终关怀强度
JAMA. 2016 Jan 19;315(3):303-5. doi: 10.1001/jama.2015.17408.
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Prevalence of laser vision correction in ophthalmologists who perform refractive surgery.进行屈光手术的眼科医生中激光视力矫正的患病率。
J Cataract Refract Surg. 2015 Sep;41(9):1826-32. doi: 10.1016/j.jcrs.2015.10.027.