From the Department of Ophthalmology, Hong Kong Sanatorium & Hospital, Hong Kong, China (Chang, Liu, Ma); Department of Ophthalmology, Grantham Hospital, Hong Kong, China (Ng).
J Cataract Refract Surg. 2023 Mar 1;49(3):246-252. doi: 10.1097/j.jcrs.0000000000001094. Epub 2022 Nov 14.
To report the visual outcomes and quality of vision and life after bilateral implantation of a single-piece trifocal intraocular lens (IOL) in Chinese patients.
Hong Kong Sanatorium & Hospital, Hong Kong, China.
Prospective, observational case series.
Patients with bilateral implantation of AcrySof IQ PanOptix multifocal IOL were included. Distance, intermediate (60 cm), and near (40 cm) visual acuities (VAs) and contrast sensitivity (CS), defocus curve, preoperative higher-order aberration (HOA), dysphotopsia (0 to 5), satisfaction (1 to 5), spectacle independence, and quality of life were evaluated. The association between preoperative HOA and postoperative halos was also assessed.
54 eyes of 27 patients were included. The mean binocular distance, intermediate, and near uncorrected VA was -0.05 ± 0.06 (20/18), 0.06 ± 0.10 (20/23), and 0.04 ± 0.05 (20/22), respectively. No eyes lost more than 1 line of vision. Binocular CS was comparable with the monocular population norm of older adults. The defocus curve demonstrated that the binocular VA of 20/25 or better was achieved at a power of -3.00 to +0.50 diopters. The mean scores for halos, glare, and starbursts were 2.4 ± 1.4, 0.2 ± 0.8, and 1.4 ± 1.4 (of 5), respectively. The mean satisfaction score was 4.3 ± 0.7 (of 5). All the patients (100%) reported total spectacle independence. The mean vision-targeted composite score of the vision-related quality-of-life questionnaire was 97.2 ± 9.7 (of 100). Preoperative HOA was not associated with postoperative halos.
Implantation of the trifocal IOL provided satisfactory visual outcomes and quality of vision and life, which resulted in a high rate of spectacle independence.
报告在香港养和医院接受三焦点人工晶状体（IOL）双眼植入的中国患者的术后视力和生活质量。
前瞻性、观察性病例系列。
纳入接受 AcrySof IQ PanOptix 多焦点 IOL 双眼植入的患者。评估距离、中间（60cm）和近（40cm）视力（VA）和对比敏感度（CS）、离焦曲线、术前高阶像差（HOA）、视觉干扰（0 至 5 级）、满意度（1 至 5 级）、脱镜率和生活质量。还评估了术前 HOA 与术后光晕之间的关系。
纳入 27 例患者的 54 只眼。双眼的平均远、中、近距未矫正视力分别为-0.05 ± 0.06（20/18）、0.06 ± 0.10（20/23）和 0.04 ± 0.05（20/22）。没有患者视力损失超过 1 行。双眼 CS 与老年人群的单眼正常值相当。离焦曲线显示，双眼 20/25 或更好的视力在-3.00 至+0.50 屈光度的范围内实现。光晕、眩光和星爆的平均评分为 2.4 ± 1.4、0.2 ± 0.8 和 1.4 ± 1.4（满分 5 分）。平均满意度评分为 4.3 ± 0.7（满分 5 分）。所有患者（100%）均报告完全脱镜。视力相关生活质量问卷的视觉目标综合评分为 97.2 ± 9.7（满分 100 分）。术前 HOA 与术后光晕无关。
三焦点 IOL 的植入提供了令人满意的视力结果和生活质量，脱镜率高。
