Ison Matthew, Scott Jane, Apel John, Apel Andrew
Princess Alexandra Hospital, Woolloongabba, QLD, 4102, Australia.
University of Queensland, St Lucia, QLD, 4072, Australia.
Clin Ophthalmol. 2021 Oct 13;15:4131-4140. doi: 10.2147/OPTH.S327424. eCollection 2021.
To report patient expectations, visual performance and satisfaction with AcrySof IQ PanOptix multifocal intraocular lens in a heterogeneous patient group. Additionally, determine if identifiable pre-operative characteristics can predict post-operative satisfaction.
Data were prospectively collected for 67 consecutive patients (134 eyes) who underwent bilateral Panoptix implantation in a private ophthalmology clinic. A pre-operative questionnaire was completed regarding vision satisfaction, visual phenomena and expectations. Routine clinical parameters were collected 1 month and follow-up questionnaire administered 3 months post-operatively.
Post-operative unaided distance vision was 20/20 (0.01 ± 0.10) and binocular near vision 20/25 (N5; 0.14 ± 0.06). Patients satisfied with vision increased from 6% (=4) unaided and 48% (=32) aided pre-operatively to 94% (=63) unaided post-operatively (<0.001). There was marked increase in frequency of halo from 14% (=9) to 69% (=46; <0.001) but no corresponding increase in how bothersome this symptom was (=0.193) nor the frequency of other visual phenomena. Worse post-operative vision and fluctuating vision were associated with lower post-operative satisfaction. There was no difference in satisfaction or residual astigmatism in those implanted with toric lenses. A total of 96% (=64) of patients were spectacle-free at 3-months and would recommend this procedure to others.
This study supports the trend towards increased patient expectations of multifocal intraocular lenses, matched by excellent visual outcomes and satisfaction. Visual phenomena may be less troubling with new multifocal lenses than previously reported. A pre-operative questionnaire may be a useful education tool but could not isolate pre-operative characteristics that predict post-operative satisfaction.
报告不同患者群体对AcrySof IQ PanOptix多焦点人工晶状体的患者期望、视觉表现和满意度。此外，确定术前可识别的特征是否能够预测术后满意度。
前瞻性收集了一家私立眼科诊所连续67例（134只眼）接受双侧PanOptix植入术患者的数据。完成了一份关于视力满意度、视觉现象和期望的术前问卷。术后1个月收集常规临床参数，并在术后3个月进行随访问卷调查。
术后裸眼远视力为20/20（0.01±0.10），双眼近视力为20/25（N5；0.14±0.06）。对视力满意的患者从术前裸眼时的6%（=4例）和辅助视力时的48%（=32例）增加到术后裸眼时的94%（=63例）（<0.001）。光晕的发生率从14%（=9例）显著增加到69%（=46例；<0.001），但该症状的困扰程度（=0.193）以及其他视觉现象的发生率均未相应增加。术后视力较差和视力波动与术后满意度较低相关。植入散光人工晶状体的患者在满意度或残余散光方面没有差异。共有96%（=64例）的患者在术后3个月时无需佩戴眼镜，并会向他人推荐该手术。
本研究支持患者对多焦点人工晶状体期望增加的趋势，同时伴有优异的视觉效果和满意度。与先前报道相比，新型多焦点人工晶状体引起的视觉现象可能较少困扰患者。术前问卷可能是一种有用的教育工具，但无法确定能够预测术后满意度的术前特征。
