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新/旧制造工艺的滤紫光人工晶状体与滤蓝光人工晶状体的视觉性能比较

Visual Performance of a Violet-Filtering Intraocular Lens versus a Blue-Filtering Intraocular Lens of New/Old Manufacturing Processes.

作者信息

Noguchi Santaro, Nakakura Shunsuke, Noguchi Asuka, Tabuchi Hitoshi

机构信息

Department of Ophthalmology, Saneikai Tsukazaki Hospital, Himeji 671-1227, Japan.

ASUCA Eye Clinic Sendai Mark One, Sendai 980-0011, Japan.

出版信息

J Clin Med. 2023 Feb 2;12(3):1195. doi: 10.3390/jcm12031195.

DOI:10.3390/jcm12031195
PMID:36769842
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9917951/
Abstract

This article compares the visual performance of a violet light-filtering colored lens (ZCB00V) and blue light-filtering intraocular lens (IOL; SN60WF) before and after modifying the manufacturing process for glistening suppression. In this retrospective study, conducted at Saneikai Tsukazaki Hospital, Himeji, Japan, a consecutive sample of 8943 eyes of 5119 patients were included and implanted with blue-filtering IOLs before and after modifying the manufacturing process (SN60WF-J (1318 eyes) and SN60WF-Q,A (1418 eyes), respectively), noncolored UV-cut IOLs (ZCB00 (1418 eyes)), and ZCB00V (3717 eyes). For each patient, the corrected distance visual acuity (CDVA) at 3 months postoperative (3MCDVA) and the area under log contrast sensitivity function (AULCSF) were measured. The 3MCDVA was -0.076 ± 0.1, -0.11 ± 0.13, -0.10 ± 0.17, and -0.11 ± 0.13, for SN60WF-J, SN60WF-Q,A, ZCB00, and ZCB00V, respectively. The SN60WF-J group revealed significant differences as compared to the other three groups (all < 0.05). The mesopic AULCSF was 2.59 ± 0.20, 2.68 ± 0.19, -2.69 ± 0.18, and 2.76 ± 0.19, respectively, whereas the photopic AULSCF was 2.63 ± 0.23, 2.76 ± 0.25, -2.77 ± 0.25, and 2.88 ± 0.25. The SN60WF-J and ZCB00V groups exhibited significant differences as compared to the other three groups, whereas no significant differences were noted between the SN60WF-Q,A and the ZCB00 groups (all < 0.05). The violet-filtering lens offers higher visual acuity and contrast sensitivity than the clear and blue-filtering lens. It was also found that the above functions were improved by modifying the manufacturing process.

摘要

本文比较了用于抑制晶状体后囊膜混浊的改良制造工艺前后,一种滤紫光彩色人工晶状体(ZCB00V)和滤蓝光人工晶状体(IOL;SN60WF)的视觉性能。在日本姬路市佐贺崎医院进行的这项回顾性研究中,纳入了5119例患者的8943只连续样本眼,并在改良制造工艺前后植入了滤蓝光IOL(分别为SN60WF-J(1318只眼)和SN60WF-Q,A(1418只眼))、无色紫外线截止IOL(ZCB00(1418只眼))和ZCB00V(3717只眼)。对每位患者测量术后3个月的矫正远视力(CDVA)和对数对比敏感度函数下的面积(AULCSF)。SN60WF-J、SN60WF-Q,A、ZCB00和ZCB00V的3MCDVA分别为-0.076±0.1、-0.11±0.13、-0.10±0.17和-0.11±0.13。与其他三组相比,SN60WF-J组显示出显著差异(均P<0.05)。中光AULCSF分别为2.59±0.20、2.68±0.19、-2.69±0.18和2.76±0.19,而明视AULSCF分别为2.63±0.23、2.76±0.25、-2.77±0.25和2.88±0.25。与其他三组相比,SN60WF-J和ZCB00V组显示出显著差异,而SN60WF-Q,A组和ZCB00组之间未观察到显著差异(均P<0.05)。滤紫光晶状体比透明和滤蓝光晶状体具有更高的视力和对比敏感度。还发现通过改良制造工艺上述功能得到了改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e1/9917951/2e9f74efe411/jcm-12-01195-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e1/9917951/7b5a5d6e0009/jcm-12-01195-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e1/9917951/602d172d962d/jcm-12-01195-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e1/9917951/3e44689e6f4b/jcm-12-01195-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e1/9917951/d6c0443ef960/jcm-12-01195-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e1/9917951/2e9f74efe411/jcm-12-01195-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e1/9917951/7b5a5d6e0009/jcm-12-01195-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e1/9917951/602d172d962d/jcm-12-01195-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e1/9917951/3e44689e6f4b/jcm-12-01195-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e1/9917951/d6c0443ef960/jcm-12-01195-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e1/9917951/2e9f74efe411/jcm-12-01195-g005.jpg

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本文引用的文献

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Blue light-filtering and violet light-filtering hydrophobic acrylic foldable intraocular lenses: Intraindividual comparison.蓝光过滤和紫光过滤疏水性丙烯酸折叠式人工晶状体:个体内比较。
J Cataract Refract Surg. 2019 Oct;45(10):1393-1397. doi: 10.1016/j.jcrs.2019.05.027.
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