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在视野缺损前期青光眼患者中植入具有增强中距离视力功能的新型单焦点人工晶状体后的临床结果。

Clinical outcomes after implantation of a new monofocal intraocular lens with enhanced intermediate function in patients with preperimetric glaucoma.

作者信息

Chung Ho Seok, Jang Joon Hyuck, Lee Hun, Kim Jae Yong, Tchah Hungwon

机构信息

Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Seoul, Republic of Korea.

出版信息

Front Med (Lausanne). 2024 Jan 4;10:1260298. doi: 10.3389/fmed.2023.1260298. eCollection 2023.

DOI:10.3389/fmed.2023.1260298
PMID:38249986
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10797700/
Abstract

PURPOSE

We evaluated the clinical outcomes after implantation of a new monofocal intraocular lens (IOL) with enhanced intermediate function in patients with preperimetric glaucoma and compared those with patients without retinal nerve fiber layer (RNFL) defects.

METHODS

All patients were implanted bilaterally a new monofocal IOL with enhanced intermediate function. Patients with bilateral RNFL defects and no glaucomatous visual field defects were classified as the preperimetric glaucoma group. A total of 60 eyes of 30 patients with preperimetric glaucoma were compared with 60 eyes of 30 patients without RNFL defects. Uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), defocus curve, contrast sensitivity, and questionnaire were evaluated 1 month and 3 months after surgery.

RESULTS

No difference in binocular UDVA, UIVA, and UNVA was evident between the two groups at 1 and 3 months postoperatively. Additionally, there were no significant differences between the two groups regarding the proportion of severe or very severe photic phenomena, such as glare and halos, or the overall satisfaction.

CONCLUSION

Bilateral implantation of a new monofocal IOL with enhanced intermediate function in patients with preperimetric glaucoma demonstrated commensurate clinical outcomes and could be considered a feasible alternative.

摘要

目的

我们评估了新型具有增强中距离视力功能的单焦点人工晶状体（IOL）植入周边视野前青光眼患者后的临床效果，并将其与无视网膜神经纤维层（RNFL）缺损的患者进行比较。

方法

所有患者均双侧植入新型具有增强中距离视力功能的单焦点IOL。双侧RNFL缺损且无青光眼性视野缺损的患者被分类为周边视野前青光眼组。将30例周边视野前青光眼患者的60只眼与30例无RNFL缺损患者的60只眼进行比较。在术后1个月和3个月评估未矫正远视力（UDVA）、未矫正中距离视力（UIVA）、未矫正近视力（UNVA）、散焦曲线、对比敏感度和问卷调查。

结果

术后1个月和3个月时，两组间双眼UDVA、UIVA和UNVA均无明显差异。此外，两组在严重或非常严重的眩光和光晕等光现象比例或总体满意度方面也无显著差异。

结论

在周边视野前青光眼患者中双侧植入新型具有增强中距离视力功能的单焦点IOL显示出相当的临床效果，可被视为一种可行的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d32/10797700/83530d160284/fmed-10-1260298-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d32/10797700/4bb0c2c6e93c/fmed-10-1260298-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d32/10797700/cecad734c978/fmed-10-1260298-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d32/10797700/edff7934786f/fmed-10-1260298-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d32/10797700/c5339e06ab7d/fmed-10-1260298-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d32/10797700/83530d160284/fmed-10-1260298-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d32/10797700/4bb0c2c6e93c/fmed-10-1260298-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d32/10797700/cecad734c978/fmed-10-1260298-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d32/10797700/edff7934786f/fmed-10-1260298-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d32/10797700/c5339e06ab7d/fmed-10-1260298-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d32/10797700/83530d160284/fmed-10-1260298-g005.jpg

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Visual and optical quality of enhanced intermediate monofocal versus standard monofocal intraocular lens.增强型中距离单焦点与标准型单焦点人工晶状体的视觉和光学质量。
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Comparison Between an Intraocular Lens With Extended Depth of Focus (Tecnis Symfony ZXR00) and a New Monofocal Intraocular Lens With Enhanced Intermediate Vision (Tecnis Eyhance ICB00).Tecnis Symfony ZXR00 型扩展景深人工晶状体与 Tecnis Eyhance ICB00 新型增强中间视力的单焦点人工晶状体的比较
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