Ophthalmiatrion Athinon, Athens Eye Hospital, Sarantaporou 7 Agios Stephanos, 145 65, Athens, Greece.
First Department of Ophthalmology, National and Kapodistrian University of Athens, General Hospital "G. Gennimatas", Athens, Greece.
Int Ophthalmol. 2024 Mar 20;44(1):151. doi: 10.1007/s10792-024-03088-8.
To identify the rate and characteristics of cataract surgery candidates suitable for multifocal intraocular lens implantation among patients undergoing preoperative evaluation in a public hospital.
Screening was performed based on the patient's medical records, comprehensive ophthalmic examination, optical biometry (Zeiss, IOL Master 700) and optical coherence tomography (OCT) (Heidelberg, OCT Spectralis) in accordance with the relevant indications and contraindications mentioned in the pertinent literature. Patients were included in the present study if they were eligible for bilateral cataract surgery. The exclusion criteria were the presence of central nervous system or motility issues, prior refractive surgery, the presence of astigmatism greater than 1 dioptre and/or the presence of important ocular comorbidities in either eye.
The study evaluated 1200 consecutive patients. Four hundred thirty-two patients (36%) were not eligible for bilateral surgery and were excluded from the study. Of the 768 patients included in the present study, 346 (45.1%) were considered suitable candidates. Four hundred twenty-two patients (54.9%) were excluded for one or both eyes. Among them, 121 (28.7%) were excluded because of retinal disease, 120 (28.4%) because of regular astigmatism (> 1.0 D of corneal astigmatism), 32 (7.5%) because of pseudoexfoliation or zonular instability, and 30 (7.1%) because of glaucoma or ocular hypertension; in addition, 90 (21.3%) patients were excluded for multiple reasons. Suitable candidates were significantly younger (70 and 75 years, respectively) (p < 0.001). After being informed about the potential risks and benefits of MOIL implantation, 212 of 346 (83.8%) eligible patients provided consent.
Close to half of cataract patients in a public hospital were eligible for MOIL implantation, and the majority of patients would proceed to surgery. The most prevalent contraindication was macular disease.
在公立医院的术前评估中，确定适合接受多焦点人工晶状体植入术的白内障手术候选者的比率和特征。
根据相关文献中的相关适应证和禁忌证，通过对患者的病历、全面眼科检查、光学生物测量（蔡司，IOL Master 700）和光学相干断层扫描（OCT）（海德堡，OCT Spectralis）进行筛查。如果患者符合双侧白内障手术条件，则将其纳入本研究。排除标准为中枢神经系统或运动问题、既往屈光手术、散光大于 1 屈光度以及/或双眼存在重要眼部合并症。
本研究评估了 1200 例连续患者。432 例（36%）因不符合双侧手术条件而被排除在研究之外。在纳入本研究的 768 例患者中，346 例（45.1%）被认为是合适的候选者。422 例（54.9%）因一只或两只眼睛被排除在外。其中，121 例（28.7%）因视网膜疾病而被排除，120 例（28.4%）因规则散光（>1.0 D 角膜散光）而被排除，32 例（7.5%）因假性剥脱或悬韧带不稳定而被排除，30 例（7.1%）因青光眼或眼高压而被排除；此外，90 例（21.3%）患者因多种原因被排除。合适的候选者明显更年轻（分别为 70 和 75 岁）（p<0.001）。在了解了 MOIL 植入的潜在风险和益处后，346 名合格患者中有 212 名（83.8%）表示同意。
在公立医院中，接近一半的白内障患者适合接受 MOIL 植入，且大多数患者会接受手术。最常见的禁忌证是黄斑疾病。
