Schmidt F U, Häring G, Rochels R
Klinik für Ophthalmologie, Universitäts-Augenklinik Kiel.
Ophthalmologe. 1994 Aug;91(4):469-72.
A prospective study is under way to assess the performance of refractive multifocal intraocular lenses (IOL) of the "Array" type. The results obtained in 35 patients who have been followed up for at least 3 months are reported. In the course of the study it is planned that 100 IOL of this type be implanted. The following parameters were evaluated: distance visual acuity, near visual acuity (Nieden, Jaeger), contrast sensitivity (Regan charts 96%, 50%, 25%, 11%), glare (Brightness Acuity Tester, BAT) for distance and near visual acuity, and other Regan charts. In 28% of the patients the best distance visual acuity was achieved without any correction, while 13% (Nieden 1-3) and 47% (Jaeger 1-3) did not need any correction for their best close visual acuity. Overall, an average correction of +2.6 D was necessary for best near-visual acuity. The average uncorrected distance visual acuity was 0.7, and the average best corrected distance visual acuity was 1.0. In contrast sensitivity testing with the 50% Regan chart, visual acuity decreased by an average of 16% compared with the 96% chart. Even lower contrast reduced visual acuity by 33% (25% chart) and 81% (11% chart) compared with the 96% chart. When glare was tested with BAT at the "high" position the average visual acuity against that without BAT decreased by 19% for the 96% chart, by 25% for the 50% chart, by 45% for the 25% chart and by 82% for the 11% chart. The Array-type IOL allows good distance and near visual acuity.(ABSTRACT TRUNCATED AT 250 WORDS)
一项前瞻性研究正在进行,以评估“Array”型折射多焦点人工晶状体(IOL)的性能。报告了对35例至少随访3个月的患者所获得的结果。在该研究过程中,计划植入100枚此类IOL。评估了以下参数:远视力、近视力(尼登、耶格)、对比敏感度(里根图表96%、50%、25%、11%)、远视力和近视力的眩光(亮度视力测试仪,BAT)以及其他里根图表。28%的患者在无任何矫正的情况下获得了最佳远视力,而13%(尼登1 - 3)和47%(耶格1 - 3)在获得最佳近视力时无需任何矫正。总体而言,获得最佳近视力平均需要+2.6 D的矫正。平均未矫正远视力为0.7,平均最佳矫正远视力为1.0。在使用50%里根图表进行对比敏感度测试时,与96%图表相比,视力平均下降了16%。与96%图表相比,对比度更低时视力下降更为明显,25%图表下降了33%,11%图表下降了81%。当在“高”位置用BAT测试眩光时,对于96%图表,与无BAT时相比平均视力下降了19%,50%图表下降了25%,25%图表下降了45%,11%图表下降了82%。“Array”型IOL可提供良好的远视力和近视力。(摘要截取自250字)