Department of Ophthalmology, Shanghai Heping Eye Hospital, Shanghai, China.
Department of Ophthalmology and the Eye Institute, Eye and Ear, Nose, and Throat Hospital, Fudan University, 83 Fenyang Road, Xuhui Direct, Shanghai, China.
Sci Rep. 2024 Apr 10;14(1):8386. doi: 10.1038/s41598-024-58653-z.
This prospective, non-randomized, comparative study aimed to compare the visual outcomes and patient satisfaction after implantations of three presbyopia-correcting intraocular lenses (IOLs) after myopic refractive surgery. It was conducted from January 2020 to December 2021 in Shanghai Heping Eye Hospital. Patients were divided into three groups based on the type of IOL implanted. The visual acuity, refractive stability, high-order aberrations, objective visual quality, spectacle independence, and visual function index 14 questionnaire scores of the three groups were compared. This study included 78 eyes of 39 patients: 26 eyes with 839MP, 26 eyes with MF30, and 26 eyes with ZXR00. Uncorrected distance visual acuity improved significantly for all three groups. For a pupil diameter of 4.0 mm, the spherical aberrations of the three groups were 0.33 ± 0.16 μ, 0.50 ± 0.08 μ, and 0.39 ± 0.10 μ, respectively. The spectacle independence for distance vision was over 90% in each group; for near vision, it was only 25% for the ZXR00 group. All three types of presbyopia-correcting IOLs improved visual quality in post-LASIK or PRK patients. However, the high incidence of photic phenomena after presbyopia-correcting IOL implantation in patients who have undergone myopic LASIK should not be neglected.
本前瞻性、非随机、对照研究旨在比较三种矫正老视的人工晶状体（IOL）植入术后近视屈光手术后的视觉效果和患者满意度。该研究于 2020 年 1 月至 2021 年 12 月在上海和平眼科医院进行。患者根据植入的 IOL 类型分为三组。比较三组的视力、屈光稳定性、高阶像差、客观视觉质量、离焦镜独立性和视觉功能指数 14 问卷评分。本研究纳入 39 例患者的 78 只眼：839MP 26 只眼，MF30 26 只眼，ZXR00 26 只眼。三组的未矫正远视力均明显提高。瞳孔直径为 4.0mm 时，三组的球差分别为 0.33±0.16μm、0.50±0.08μm 和 0.39±0.10μm。三组的远距离焦镜独立率均超过 90%；近距离焦镜独立率仅为 ZXR00 组的 25%。三种矫正老视的 IOL 均能改善 LASIK 或 PRK 术后患者的视觉质量。然而，近视 LASIK 术后患者植入矫正老视的 IOL 后光幻现象发生率较高，不容忽视。
