Van Hoe Willem, Van Calster Joachim, Jansen Joyce, Vander Mijnsbrugge Joris, Delbecq Ann-Laure, Fils Jean-François, Stalmans Peter
Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium.
Ars Statistica, Nivelles, Belgium.
Graefes Arch Clin Exp Ophthalmol. 2023 Dec;261(12):3465-3474. doi: 10.1007/s00417-023-06204-z. Epub 2023 Aug 16.
To report patient satisfaction after unilateral/bilateral extended depth-of-focus (EDOF) intraocular lens (IOL) implantation in a young population after vitrectomy.
Patients that underwent phaco-vitrectomy or phaco following vitrectomy with an AT LARA EDOF IOL, aged between 18 and 75 years, were asked to fill out a questionnaire to assess overall visual quality, near vision quality, and visual disturbances. The questionnaire was based on the Catquest, NAVQ, and APPLES questionnaires.
A total of 89 participants (average age 56.7 years) filled out the questionnaire of which 53.9% received a unilateral EDOF IOL. The most common indications for vitrectomy were retinal detachments (38.2%), floaters (36.0%), and epiretinal membranes (16.9%). The Catquest and NAVQ score respectively showed a good overall satisfaction (3.44/4.0), a good intermediate vision (3.55/4.0), and an average near vision (2.75/4.0). The APPLES score showed acceptable visual disturbances. There were no differences between the unilateral and bilateral group, except for a higher spectacle dependency in the unilateral group (40% vs. 10.6%). Participants that underwent vitrectomy in case of floaters reported lower satisfaction rates. Other variables, like the pre-operative refraction, had no impact on both satisfaction and visual disturbances.
Both unilateral and bilateral implantation of the AT LARA EDOF IOL showed a high satisfaction with no differences between both groups, except for a lower spectacle use in the latter. Hence, The AT LARA seems to be a possible choice in patients undergoing vitrectomy at a younger age, even for unilateral use.
报告年轻人群玻璃体切除术后单眼/双眼植入扩展景深（EDOF）人工晶状体（IOL）后的患者满意度。
对年龄在18至75岁之间、接受了超声乳化玻璃体切除术或玻璃体切除术后超声乳化联合AT LARA EDOF IOL植入术的患者，进行问卷调查以评估总体视觉质量、近视力质量和视觉干扰情况。该问卷基于Catquest、NAVQ和APPLES问卷。
共有89名参与者（平均年龄56.7岁）填写了问卷，其中53.9%接受了单眼EDOF IOL植入。玻璃体切除术最常见的适应证是视网膜脱离（38.2%）、飞蚊症（36.0%）和视网膜前膜（16.9%）。Catquest和NAVQ评分分别显示总体满意度良好（3.44/4.0）、中距离视力良好（3.55/4.0）和近视力一般（2.75/4.0）。APPLES评分显示视觉干扰可接受。单眼组和双眼组之间无差异，只是单眼组对眼镜的依赖程度更高（40%对10.6%）。因飞蚊症接受玻璃体切除术的参与者报告的满意度较低。其他变量，如术前屈光不正，对满意度和视觉干扰均无影响。
AT LARA EDOF IOL的单眼和双眼植入均显示出较高的满意度，两组之间无差异，只是双眼组对眼镜的使用较少。因此，对于较年轻的玻璃体切除患者，AT LARA似乎是一个可行的选择，即使是单眼使用。
