From the Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany (Freissinger, Vounotrypidis, Bayer, Shajari, Kreutzer, Keidel, Kern, Priglinger, Wolf); University Eye Hospital Ulm, Ulm, Germany (Vounotrypidis, Stetzer, Wolf).
J Cataract Refract Surg. 2021 Dec 1;47(12):1561-1567. doi: 10.1097/j.jcrs.0000000000000684.
To evaluate functional outcome after retinal detachment (RD) repair surgery in eyes with a multifocal intraocular lens (mIOL).
Ludwig-Maximilians-University, Munich, Germany.
Single-center case control study.
52 pseudophakic eyes with successful anatomical outcome after surgical RD repair were included. Retrospectively, 21 mIOL eyes were compared with a matched group of 21 monofocal eyes over 6 weeks. Prospectively, corrected distance visual acuity (CDVA) was evaluated over 12 months in these eyes. Furthermore, uncorrected distance, intermediate, and near visual acuity (UDVA, UIVA, and UNVA, respectively), defocus curves, and patient-reported outcomes were evaluated at 1 year in 24 mIOL eyes.
52 eyes of 48 patients comprised the study. The mean CDVA (logMAR) improved significantly from 1.35 ± 1.38 to 0.29 ± 0.37 at 6 weeks and remained stable at 12 months postoperatively in monofocal eyes (P = .001) and from 1.16 ± 1.2 to 0.37 ± 0.29 (6 weeks) and 0.20 ± 0.36 (12 months) in mIOL eyes (P = .001). Univariate factorial analysis of variance showed no statistically significant differences in CDVA at 6 weeks or 12 months postoperatively for IOL type or for preoperative macular status (P > .05). In the prospective cohort of 24 mIOL eyes, a mean CDVA of 0.13 ± 0.33 logMAR, UDVA of 0.21 ± 0.34 logMAR, UIVA of 0.17 ± 0.28 logMAR, and UNVA of 0.23 ± 0.32 logMAR was achieved. Macular status did not affect final outcome significantly (P > .05). Most patients stated they usually did not need spectacles; no patient wanted mIOL replacement.
1 year after successful anatomical repair after 23-gauge vitrectomy with gas tamponade, functionality of mIOL was restored, and CDVA was comparable with that of patients with monofocal IOL.
评估伴有多焦点人工晶状体（mIOL）的视网膜脱离（RD）修复手术后的功能结果。
德国慕尼黑路德维希-马克西米利安大学。
单中心病例对照研究。
纳入 52 例成功接受手术 RD 修复的后发性白内障眼。回顾性地，将 21 例 mIOL 眼与 21 例单焦点眼进行比较，观察时间为 6 周。前瞻性地，对这些眼在 12 个月内进行矫正远视力（CDVA）评估。此外，在 24 例 mIOL 眼中，在 1 年时评估未矫正远视力、中间视力和近视力（UDVA、UIVA 和 UNVA）、离焦曲线和患者报告的结果。
48 例患者的 52 只眼纳入本研究。单焦点眼的 CDVA（logMAR）从术前的 1.35 ± 1.38 显著提高到术后 6 周的 0.29 ± 0.37，并且在术后 12 个月保持稳定（P =.001）；mIOL 眼的 CDVA（logMAR）从术前的 1.16 ± 1.2 提高到术后 6 周的 0.37 ± 0.29 和术后 12 个月的 0.20 ± 0.36（P =.001）。单变量方差分析显示，术后 6 周和 12 个月时，IOL 类型或术前黄斑状态对 CDVA 没有统计学上的显著差异（P >.05）。在 24 例 mIOL 眼的前瞻性队列中，平均 CDVA 为 0.13 ± 0.33 logMAR，UDVA 为 0.21 ± 0.34 logMAR，UIVA 为 0.17 ± 0.28 logMAR，UNVA 为 0.23 ± 0.32 logMAR。黄斑状态对最终结果没有显著影响（P >.05）。大多数患者表示他们通常不需要戴眼镜；没有患者希望更换 mIOL。
在 23G 玻璃体切割联合气体填充术后成功解剖复位 1 年后，mIOL 的功能得到恢复，与单焦点 IOL 患者的 CDVA 相当。
