Shoshi Flaka, Shoshi Fitore, Xhafa Agim, Nagy Zoltán Zsolt
Department of Ophthalmology, Semmelweis University, 1085 Budapest, Hungary.
Department of Ophthalmology, University Clinical Center of Kosovo, 10000 Prishtina, Kosovo.
J Clin Med. 2024 Nov 21;13(23):7013. doi: 10.3390/jcm13237013.
Phacoemulsification and intraocular lens (IOL) implantation comprise a standard procedure for cataract treatment. However, minimal refractive error remains a determinant of postoperative results. Our study aimed to evaluate the refractive outcomes and the impact of the surgeon's experience and the IOL model on Kosovan and Hungarian patients after cataract surgery. This study included the preoperative and postoperative data of 1417 patients scheduled to undergo cataract surgery with IOL implantation at two centers: the Ophthalmology Department of Semmelweis University, Budapest, Hungary, and the Ophthalmology Department of the University Clinical Center of Kosovo, Prishtina, Kosovo. STATA and SPSS were used for statistical analysis. The data of 1001 Hungarian and 416 Kosovan patients were included in this study. There was a statistically significant difference between the groups in the 1-month postoperative best-corrected distance visual acuity (BCDVA) ( = 0.001); in the Hungarian patients, the 1-month BCDVA was 85.2%, while in the Kosovan patients, it was 49.6%. Of the 14 different IOLs implanted in the Hungarian patients, the AcrySof IQ toric SN6AT, FineVision HP (POD F GF), and 677MTY IOLs resulted in a statistically significant positive impact on the 1-month postoperative visual acuity ( < 0.05). The AcrySof SA60AT and Akreos ADAPT AO, implanted in the Kosovan patients, had a statistically significant positive impact on the 1-month postoperative visual acuity ( < 0.05). More extensive surgeon experience had a statistically significant positive impact on postoperative outcomes ( < 0.00). Multifocal and toric IOLs showed superiority in terms of postoperative outcomes in our study; therefore, we conclude that greater surgeon experience, the availability of premium IOLs, and appropriate IOL selection have a considerable impact on refractive outcomes after cataract surgery.
超声乳化白内障吸除术及人工晶状体（IOL）植入术是白内障治疗的标准术式。然而，最小屈光不正仍是术后效果的一个决定因素。我们的研究旨在评估白内障手术后科索沃和匈牙利患者的屈光结果以及手术医生经验和人工晶状体型号的影响。本研究纳入了在两个中心计划接受IOL植入白内障手术的1417例患者的术前和术后数据：匈牙利布达佩斯塞梅尔维斯大学眼科以及科索沃普里什蒂纳科索沃大学临床中心眼科。使用STATA和SPSS进行统计分析。本研究纳入了1001例匈牙利患者和416例科索沃患者的数据。两组患者术后1个月最佳矫正远视力（BCDVA）存在统计学显著差异（P = 0.001）；匈牙利患者术后1个月BCDVA为85.2%，而科索沃患者为49.6%。在匈牙利患者植入的14种不同人工晶状体中，AcrySof IQ toric SN6AT、FineVision HP（POD F GF）和677MTY人工晶状体对术后1个月视力有统计学显著的积极影响（P < 0.05）。在科索沃患者中植入的AcrySof SA60AT和Akreos ADAPT AO对术后1个月视力有统计学显著的积极影响（P < 0.05）。更丰富的手术医生经验对术后结果有统计学显著的积极影响（P < 0.00）。在我们的研究中，多焦点和散光人工晶状体在术后结果方面显示出优势；因此，我们得出结论，更丰富的手术医生经验、高端人工晶状体的可获得性以及合适的人工晶状体选择对白内障手术后的屈光结果有相当大的影响。
