Aurelios Augenzentrum Recklinghausen, Recklinghausen, Germany.
Department of Ophthalmology, University of Szeged, Szeged, Hungary.
Rom J Ophthalmol. 2023 Jan-Mar;67(1):62-68. doi: 10.22336/rjo.2023.11.
We aimed to test a novel concept based on multiple IOL-implantation, targeting spectacle independence for patients with high and excessive myopia (26.0 mm < axial length; 6.0 D < refractive error). Therefore, we introduced the first results of five patients with high myopia. After clear lens extraction, one eye was targeted to emmetropia, and the other to mild myopia by implanting monofocal capsular bag IOLs with appropriate refractive powers in each case. The emmetropic eye was aimed to result in magnification and improved distance vision, while the mild myopic eye was supposed to ensure good intermediate vision. Thereafter, a Scharioth Macula Lens (SML) was implanted into the emmetropic eye in order to achieve sharp near vision. Visual acuity curves and defocus curves were plotted postoperatively. According to our results, this new concept seems to be an efficient approach of achieving appropriate uncorrected vision at all distances, by creating binocular trifocal monovision.
我们旨在测试一个基于多次人工晶状体植入的新概念，以实现高度近视（眼轴长度 > 26.0mm；屈光度 > 6.0D）和超高度近视患者的脱镜目标。因此，我们引入了五名高度近视患者的初步结果。在进行晶状体透明切除术后，一只眼的目标是正视，另一只眼通过植入适当屈光力的单焦点囊袋内人工晶状体来实现轻度近视。正视眼的目标是获得放大效果和改善远距离视力，而轻度近视眼则应确保良好的中间视力。然后，在正视眼中植入 Scharioth Macula Lens（SML）以获得清晰的近视力。术后绘制了视力曲线和离焦曲线。根据我们的结果，通过创建双眼三焦点单视，该新概念似乎是实现所有距离下适当未矫正视力的有效方法。
