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特发性黄斑前膜行白内障玻璃体切除术后新型单焦点人工晶状体的临床疗效。

Clinical Outcomes of a New Monofocal Intraocular Lens in Patients Undergoing Phacovitrectomy for Idiopathic Epiretinal Membrane.

机构信息

Department of Ophthalmology, School of Medicine, University of Zagreb, Zagreb, Croatia.

Department of Ophthalmology, University Hospital Center Zagreb, Zagreb, Croatia.

出版信息

Ophthalmologica. 2024;247(4):251-260. doi: 10.1159/000540362. Epub 2024 Jul 30.

Abstract

INTRODUCTION

The purpose of this study was to evaluate the clinical outcomes and quality of life of newly generated monofocal intraocular lens (IOL) in patients diagnosed with idiopathic epiretinal membrane (IEM) following phacovitrectomy.

METHODS

In this prospective study, 42 patients with IEM and cataract underwent pars plana vitrectomy. They were divided into the ICB00 group (21 patients) and the ZCB00 group (21 patients). Data collected before and after the surgery were compared between the two groups, including uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), vision-related quality of life (VRQOL), intraocular pressure, contrast sensitivity (CS), and central macular thickness (CMT).

RESULTS

The preoperative characteristics of the two groups showed no significant differences. However, at the 6-month follow-up after surgery, there were significant improvements in UDVA (p < 0.001), UIVA (p < 0.001), VRQOL (p < 0.001), CS (p < 0.001), and CMT (p < 0.001) compared to baseline. Notably, the Eyhance ICB00 group showed a significantly higher UCIVA value at 6 months post-surgery when compared to the Tecnis ZCB00 group (p = 0.001), while other parameters did not show significant differences between the groups.

CONCLUSION

The Eyhance IOL significantly improved both intermediate and distance visual acuity, with no notable difference in quality of life or CS compared to the Tecnis ZCB00 IOL after IEM removal. It appears to be a favorable choice for combined cataract and vitreoretinal surgery, offering enhanced vision for daily tasks and a promising alternative to traditional monofocal IOLs.

摘要

介绍

本研究旨在评估特发性黄斑前膜(IEM)患者经白内障超声乳化吸除联合玻璃体切割术后新植入的单焦点人工晶状体(IOL)的临床效果和生活质量。

方法

前瞻性研究纳入了 42 例 IEM 合并白内障患者,均接受了经睫状体平坦部玻璃体切割术治疗。患者分为 ICB00 组(21 例)和 ZCB00 组(21 例)。比较两组患者术前和术后的各项数据,包括未矫正远视力(UDVA)、未矫正中距离视力(UIVA)、视觉相关生活质量(VRQOL)、眼压、对比敏感度(CS)和黄斑中心厚度(CMT)。

结果

两组患者术前各项特征无明显差异。术后 6 个月,两组 UDVA(p < 0.001)、UIVA(p < 0.001)、VRQOL(p < 0.001)、CS(p < 0.001)和 CMT(p < 0.001)较术前均有显著改善。术后 6 个月,ICB00 组的 UCIVA 值显著高于 ZCB00 组(p = 0.001),但两组间其他参数无明显差异。

结论

与 Tecnis ZCB00 IOL 相比,特力康 Eyhance IOL 可显著改善 IEM 切除术后患者的中距离和远距离视力,对生活质量和 CS 无明显影响,在白内障联合玻璃体视网膜手术中是一种较好的选择,为患者提供了更好的日常视力。

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