Wagner Sylwia, Wagner Grzegorz, Mrukwa-Kominek Ewa
Department of Ophthalmology, Professor Kornel Gibinski University Hospital Centre, Medical University of Silesia, 35 Ceglana St, Katowice 40514, Poland.
Department of Biochemistry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice 40055, Poland.
J Ophthalmol. 2021 May 7;2021:5572384. doi: 10.1155/2021/5572384. eCollection 2021.
Long-term evaluation of the visual refractive outcomes and the quality of life after implantation of the WIOL-CF (Medicem, Czech Republic) in both eyes.
retrospective, nonrandomized noncomparative case series.
50 eyes of 25 patients, including 11 women (44%) and 14 men (56%). The age range of the patients was 38 to 77 years (mean age 55.48 ± 10.97 years). All patients underwent bilateral implantation of the WIOL-CF. Exclusion criteria were previous ocular surgeries except for cataract surgery and refractive lens exchange, irregular corneal astigmatism of >1.0 diopter, and ocular pathologies or corneal abnormalities. Postoperative examinations were performed at 14 days and 3, 6, 12 months of surgery; the last follow-up was between 24 and 36 months after the procedure. All exams included manifest refraction, monocular uncorrected visual acuity (UCVA) and distance-corrected visual acuity (DCVA) in 5 m (Snellen), monocular uncorrected visual acuity in 70 cm and 40 cm (Jeager) and binocular UCVA, DCVA in 5 m, 70 cm, and 40 cm, binocular contrast sensitivity (CS) under photopic conditions, binocular defocus curves, high-order aberrations, quality-of-vision VF-14 questionnaire, and spectacle independence.
Significant improvement in monocular visual acuity at all distances was demonstrated; the mean postoperative spherical equivalent was 0.32 ± 0.45D. The postoperative means of binocular distance UCVA and BCVA were also improved ( < .001) and so were the mean uncorrected intermediate VA (2.053 ± 1.268) and near uncorrected VA (2.737 ± 1.447). There was a significant improvement in contrast sensitivity at all spatial frequencies and higher-order aberration, compared to preoperative results.
The evaluation of a WIOL-CF showed good , , and visual acuity. Contrast sensitivity increased after surgery in all spatial frequencies. Patient satisfaction was high despite some optical phenomena. The rate of postoperative spectacle independence also turned out high. . No author has a financial or proprietary interest in any material or method mentioned.
对双眼植入WIOL-CF（捷克共和国Medicem公司）后的视觉屈光结果和生活质量进行长期评估。
回顾性、非随机非对照病例系列研究。
25例患者的50只眼，其中女性11例（44%），男性14例（56%）。患者年龄范围为38至77岁（平均年龄55.48±10.97岁）。所有患者均接受了双眼WIOL-CF植入术。排除标准为除白内障手术和屈光性晶状体置换外的既往眼部手术、角膜不规则散光>1.0屈光度以及眼部病变或角膜异常。术后分别在术后14天、3、6、12个月进行检查；最后一次随访在手术24至36个月之间。所有检查包括显验光、单眼未矫正视力（UCVA）和5米处的距离矫正视力（DCVA）（斯内伦视力表）、70厘米和40厘米处的单眼未矫正视力（杰格视力表）以及双眼UCVA、5米、70厘米和40厘米处的DCVA、明视条件下的双眼对比敏感度（CS）、双眼散焦曲线、高阶像差、视觉质量VF-14问卷以及眼镜独立性。
所有距离的单眼视力均有显著改善；术后平均球镜等效度为0.32±0.45D。双眼远距UCVA和BCVA的术后平均值也有所提高（P<0.001），平均未矫正中间视力（2.053±1.268）和近距未矫正视力（2.737±1.447）也是如此。与术前结果相比，所有空间频率的对比敏感度和高阶像差均有显著改善。
对WIOL-CF的评估显示出良好的[此处原文缺失部分内容]、[此处原文缺失部分内容]和[此处原文缺失部分内容]视力。术后所有空间频率的对比敏感度均增加。尽管存在一些光学现象，但患者满意度较高。术后眼镜独立性比率也较高。[此处原文缺失部分内容]。没有作者对文中提及的任何材料或方法拥有经济利益或专利权益。
