Mid Atlantic Retina, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA, USA.
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Curr Eye Res. 2023 Jul;48(7):669-673. doi: 10.1080/02713683.2023.2197185. Epub 2023 Apr 5.
Performing laser retinopexy through multifocal intraocular lenses may be challenging due to aberrations of the peripheral retinal view. This study investigated the influence of multifocal versus monofocal intraocular lenses on outcomes of laser retinopexy for retinal tears.
Pseudophakic eyes (multifocal and monofocal intraocular lenses) that underwent in-office laser retinopexy for retinal tears, with a minimum follow-up of 3 months, were retrospectively analyzed. Eyes with multifocal intraocular lenses were matched to controls with monofocal intraocular lenses in a 1:2 ratio for age, gender, number, and location of retinal tears. The main outcome measure was the rate of complications.
We included 168 eyes in the study. Fifty-six eyes (51 patients) with multifocal intraocular lenses were matched with 112 eyes (112 patients) with monofocal intraocular lenses. The mean follow-up was 26 months. Baseline characteristics were similar between two groups. No significant differences were noted in the rate of successful laser retinopexy without additional procedures (91% vs. 86% at 3 months and 79% vs. 74% during follow-up, in the multifocal intraocular lens and monofocal intraocular lens group, respectively). No significant differences were observed in the rate of subsequent rhegmatogenous retinal detachment (multifocal, 4% vs. monofocal, 6%, =.716) or need for additional laser retinopexy for new tears (14% vs. 15%; =.939). The surgery rates for vitreous hemorrhage (0% vs. 3%; =.537), epiretinal membrane (2% vs. 2%; =.553), and vitreous floaters (5% vs. 2%, =.422) were not significantly different. Visual outcomes were also similar.
Multifocal intraocular lenses did not appear to negatively impact the outcomes of in-office laser retinopexy for retinal tears.
由于周边视网膜视图的像差，通过多焦点人工晶状体进行激光视网膜固定术可能具有挑战性。本研究调查了多焦点与单焦点人工晶状体对视网膜裂孔激光视网膜固定术结果的影响。
回顾性分析了在办公室接受激光视网膜固定术治疗视网膜裂孔的人工晶状体眼（多焦点和单焦点人工晶状体），随访时间至少为 3 个月。多焦点人工晶状体眼与单焦点人工晶状体眼按年龄、性别、视网膜裂孔数量和位置 1:2 进行匹配。主要观察指标是并发症发生率。
本研究共纳入 168 只眼。56 只眼（51 例）有 多焦点人工晶状体，与 112 只眼（112 例）单焦点人工晶状体相匹配。平均随访时间为 26 个月。两组的基线特征相似。无附加手术的激光视网膜固定术成功率无显著差异（3 个月时分别为 91%和 86%，随访期间分别为 79%和 74%，多焦点人工晶状体组和单焦点人工晶状体组）。随后发生孔源性视网膜脱离的发生率无显著差异（多焦点组 4%，单焦点组 6%，=.716）或新裂孔需要额外激光视网膜固定术的发生率（14%比 15%；=.939）。玻璃体积血（0%比 3%；=.537）、视网膜内膜（2%比 2%；=.553）和玻璃体浮游物（5%比 2%；=.422）的手术率无显著差异。视力结果也相似。
多焦点人工晶状体似乎不会对视网膜裂孔的办公室激光视网膜固定术结果产生负面影响。
