Shahlaee Abtin, Israilevich Rachel N, Mahmoudzadeh Raziyeh, Salabati Mirataollah, Wakabayashi Taku, Yonekawa Yoshihiro, Klufas Michael A
Retina Service, Wills Eye Hospital, Mid Atlantic Retina, Philadelphia, PA, USA.
Department of Ophthalmology, The Permanente Medical Group, San Francisco, CA, USA.
J Vitreoretin Dis. 2024 Aug 22:24741264241271656. doi: 10.1177/24741264241271656.
To compare the anatomic and visual acuity (VA) outcomes of rhegmatogenous retinal detachment (RRD) repair in eyes with a multifocal intraocular lens (IOLs) and eyes with monofocal IOLs. This retrospective matched-cohort study comprised pseudophakic eyes that had pars plana vitrectomy (PPV) or PPV with scleral buckling for RRD. Eyes with multifocal IOLs (multifocal group) were matched with eyes with monofocal IOLs (control group) in a 1:2 ratio for age, sex, primary surgeon, timing of surgery from presentation, type of surgery, and macular status. The multifocal group included 67 eyes and the control group, 134 eyes. The mean (±SD) follow-up was 785 ± 595 days and 746 ± 566 days, respectively ( = .57). Overall, the single-surgery anatomic success rate was 76.1% in the multifocal group and 86.6% in the control group ( = .06); 75.0% and 85.9%, respectively, for PPV ( = .06); and 100% for PPV with scleral buckling in both groups ( = 1.00). The mean final logMAR VA was 0.26 ± 0.34 (20/36 Snellen) in the multifocal group and 0.27 ± 0.36 (20/37 Snellen) in the control group ( = .60). In pseudophakic eyes with an RRD, there was a trend toward better single-surgery anatomic success in eyes with a monofocal IOL than in eyes with a multifocal IOL treated with PPV, with similar anatomic outcomes for PPV with scleral buckling. Visual outcomes were similar between the groups and significantly improved compared with baseline.
比较多焦点人工晶状体（IOL）眼和单焦点IOL眼孔源性视网膜脱离（RRD）修复的解剖学和视力（VA）结果。这项回顾性匹配队列研究纳入了接受玻璃体切除术（PPV）或PPV联合巩膜扣带术治疗RRD的假晶状体眼。多焦点IOL眼（多焦点组）与单焦点IOL眼（对照组）按年龄、性别、主刀医生、从发病到手术的时间、手术类型和黄斑状态以1:2的比例进行匹配。多焦点组包括67只眼，对照组包括134只眼。平均（±标准差）随访时间分别为785±595天和746±566天（P = 0.57）。总体而言，多焦点组单次手术的解剖学成功率为76.1%，对照组为86.6%（P = 0.06）；PPV组分别为75.0%和85.9%（P = 0.06）；两组PPV联合巩膜扣带术的成功率均为100%（P = 1.00）。多焦点组最终平均logMAR视力为0.26±0.34（20/36 Snellen），对照组为0.27±0.36（20/37 Snellen）（P = 0.60）。在患有RRD的假晶状体眼中，单焦点IOL眼接受PPV治疗后的单次手术解剖学成功率有高于多焦点IOL眼的趋势，而PPV联合巩膜扣带术的解剖学结果相似。两组的视力结果相似，与基线相比均有显著改善。
