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植入硅水凝胶人工晶状体患者的色觉

Color vision in patients with a silicone intraocular lens.

作者信息

Mäntyjärvi M, Tuppurainen K

机构信息

Department of Ophthalmology, University of Kuopio, University Hospital of Kuopio, Finland.

出版信息

J Cataract Refract Surg. 1996;22 Suppl 2:1308-12. doi: 10.1016/s0886-3350(96)80090-3.

DOI:10.1016/s0886-3350(96)80090-3
PMID:9051522
Abstract

PURPOSE

To test color vision in eyes with a silicone intraocular lens (IOL) and compare it with that in normal phakic eyes.

SETTING

University Eye Clinic of Kuopio, Finland.

METHODS

Color vision in 33 patients from 50 to 69 years old with a silicone IOL was evaluated with the Farnsworth-Munsell 100 hue test (FM 100) and the Color Vision Meter 712 (CVM) anomaloscope. In the FM 100 test, 37 normal phakic eyes served as controls; 21 were 50 to 59 years old and 16, 60 to 69 years old. In the CVM, 46 normal phakic eyes served as controls; 21 were 50 to 59 years old and 25, 60 to 69 years old. Nine of the 33 patients had a silicone IOL in one eye and a poly(methyl methacrylate) (PMMA) IOL in the other; the color vision in the two eyes was compared.

RESULTS

The FM 100 results showed no significant difference between the silicone IOL and control eyes. In the CVM examination, the blue equation showed a significantly greater shift to the green side (patient sees more blue) in the silicone IOL group than in the control group. Other CVM results were similar between groups. No significant difference was found in any test between the 9 PMMA IOL eyes and the contralateral silicone IOL eyes.

CONCLUSION

Eyes with a silicone IOL had color discrimination ability similar to that of normal phakic eyes. In the blue color sensitivity test, the silicone IOL eyes had significantly better results. There were no significant differences between eyes with a silicone IOL and contralateral eyes with a PMMA IOL.

摘要

目的

检测植入硅酮人工晶状体(IOL)的眼睛的色觉,并与正常晶状体眼的色觉进行比较。

地点

芬兰库奥皮奥大学眼科诊所。

方法

采用 Farnsworth-Munsell 100 色调试验(FM 100)和 Color Vision Meter 712(CVM)色盲镜对 33 例年龄在 50 至 69 岁之间植入硅酮 IOL 的患者的色觉进行评估。在 FM 100 试验中,37 只正常晶状体眼作为对照;其中 21 只年龄在 50 至 59 岁之间,16 只年龄在 60 至 69 岁之间。在 CVM 试验中,46 只正常晶状体眼作为对照;其中 21 只年龄在 50 至 59 岁之间,25 只年龄在 60 至 69 岁之间。33 例患者中,9 例一只眼植入硅酮 IOL,另一只眼植入聚甲基丙烯酸甲酯(PMMA)IOL;对这两只眼的色觉进行比较。

结果

FM 100 结果显示,硅酮 IOL 眼与对照眼之间无显著差异。在 CVM 检查中,蓝色方程显示,硅酮 IOL 组的蓝色向绿色方向的偏移明显大于对照组(患者看到更多蓝色)。两组之间的其他 CVM 结果相似。在任何试验中,9 只 PMMA IOL 眼与对侧硅酮 IOL 眼之间均未发现显著差异。

结论

植入硅酮 IOL 的眼睛的颜色辨别能力与正常晶状体眼相似。在蓝色敏感度测试中,硅酮 IOL 眼的结果明显更好。植入硅酮 IOL 的眼睛与对侧植入 PMMA IOL 的眼睛之间无显著差异。

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