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四种矫正老花眼的人工晶状体的临床及视觉效果

Clinical and Visual Outcomes of Four Presbyopia Correcting Intraocular Lenses.

作者信息

Sharlin Pruthvi K, Patel Saumya, C Kuritza Victoria, Pompey Nichole, Gomez Kayéromi D, Vakharia Mitul R

机构信息

Duly Health and Care, Naperville, IL.

Department of Ophthalmology, University of Illinois College of Medicine, Rockford, IL.

出版信息

J Ophthalmic Vis Res. 2024 Jun 21;19(2):152-160. doi: 10.18502/jovr.v19i2.11034. eCollection 2024 Apr-Jun.

DOI:10.18502/jovr.v19i2.11034
PMID:39055501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11267142/
Abstract

PURPOSE

To compare objective and subjective outcomes of the multifocal intraocular lenses ReSTOR SN6AD1 and Tecnis ZKB00, extended depth of focus IOL Symfony ZXR00, and trifocal IOL PanOptix TFNT00.

METHODS

This study included 262 patients (524 eyes) who had phacoemulsification with IOL implantation, 128 eyes with SN6AD1, 124 eyes with ZKB00, 136 eyes with ZXR00, and 136 eyes with TFNT00. Objective outcomes included one-month postoperative uncorrected (U) and corrected (C) distance (D) and near (N) visual acuities (VA). Subjective outcomes included photic phenomena, spectacle use, and spectacle-independent visual function.

RESULTS

Spectacle use (%) in the SN6AD1, ZKB00 ZXR00, and TFNT00 groups was 39, 64, 87, and 37 respectively ( 0.0001). Presence of photic phenomena (%) for SN6AD1, ZKB00, ZXR00, and TFNT00 was 66, 61, and 67, and 73, respectively ( = 0.57). Spectacle-independent mean VF-14 score (%) for SN6AD1, ZKB00, ZXR00, and TFNT00 was 89.5, 87.2, 80.9, and 83.6, respectively ( 0.01).

CONCLUSION

All four IOLs provided excellent postoperative visual acuity and equally high rates of photic phenomena. SN6AD1 and TFNT00 provided the least spectacle use while ZXR00 had the highest spectacle use.

摘要

目的

比较多焦点人工晶状体ReSTOR SN6AD1和Tecnis ZKB00、扩展景深人工晶状体Symfony ZXR00以及三焦点人工晶状体PanOptix TFNT00的客观和主观结果。

方法

本研究纳入了262例（524只眼）接受白内障超声乳化联合人工晶状体植入术的患者，其中128只眼植入SN6AD1，124只眼植入ZKB00，136只眼植入ZXR00，136只眼植入TFNT00。客观结果包括术后1个月的未矫正（U）和矫正（C）远距（D）及近距（N）视力（VA）。主观结果包括光现象、眼镜使用情况以及不依赖眼镜的视觉功能。

结果

SN6AD1、ZKB00、ZXR00和TFNT00组的眼镜使用率（%）分别为39、64、87和37（P<0.0001）。SN6AD1、ZKB00、ZXR00和TFNT00的光现象发生率（%）分别为66、61、67和73（P = 0.57）。SN6AD1、ZKB00、ZXR00和TFNT00不依赖眼镜的平均VF - 14评分（%）分别为89.5、87.2、80.9和83.6（P<0.01）。

结论

所有四种人工晶状体术后视力均良好，光现象发生率相近。SN6AD1和TFNT00的眼镜使用率最低，而ZXR00的眼镜使用率最高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a22e/11267142/9fe50361cd87/jovr-19-152-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a22e/11267142/1c0ee171478a/jovr-19-152-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a22e/11267142/9fe50361cd87/jovr-19-152-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a22e/11267142/1c0ee171478a/jovr-19-152-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a22e/11267142/9fe50361cd87/jovr-19-152-g002.jpg

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Multifocal and Accommodating Intraocular Lenses for the Treatment of Presbyopia: A Report by the American Academy of Ophthalmology.多焦点和调节型人工晶状体治疗老视：美国眼科学会报告。
Ophthalmology. 2021 Oct;128(10):1469-1482. doi: 10.1016/j.ophtha.2021.03.013. Epub 2021 Mar 17.
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