本文選題：多焦人工晶狀體 + 區(qū)域折射　； 參考：《眼科》2017年04期

【摘要】：目的比較兩種旋轉(zhuǎn)非對稱型區(qū)域折射多焦人工晶狀體植入術(shù)后的視功能。設(shè)計回顧性病例系列。研究對象2015年10月至2016年5月北京同仁眼科中心進行白內(nèi)障手術(shù)聯(lián)合旋轉(zhuǎn)非對稱型區(qū)域折射多焦人工晶狀體(intraocular lens,IOL)植入的40例患者40眼。方法白內(nèi)障超聲乳化吸除后,植入兩種旋轉(zhuǎn)非對稱型區(qū)域折射多焦IOL(Lentis Mplus 15和30;Oculentis Optikger壙te Gmb H,Wetzlar,Germany)(即MF 30組與MF 15組)。MF 30組與MF 15組各20例20眼。在術(shù)后3個月比較植入兩種IOL患者的未矯正遠視力(uncorrected distance visual acuity,UDVA)、中視力(uncorrected intermediate visual acuity,UIVA)、近視力(uncorrected near visual acuity,UNVA),矯正遠視力(corrected distance visual acuity,CDVA)、中視力(corrected intermediate visual acuity,CIVA)、近視力(corrected near visual acuity,CNVA),屈光度以及術(shù)后的滿意度問卷調(diào)查。主要指標術(shù)后未矯正遠、中、近視力,矯正遠、中、近視力,屈光度,患者滿意度。結(jié)果術(shù)后3個月兩組患者UDVA、UIVA、CDVA、CIVA及CNVA無顯著性差異(P均0.05)。MF 30組的UNVA為0.26±0.14(Log Mar),MF 15組的UNVA為0.36±0.13(Log Mar)(P=0.03)。兩組的問卷調(diào)查在近距離閱讀、夜間視力和滿意度三個方面均無顯著性差異。結(jié)論旋轉(zhuǎn)非對稱型區(qū)域折射多焦人工晶狀體MF 30比MF15能獲得更好的近視力。
[Abstract]:Objective to compare the visual function of two rotating-asymmetric area refraction polyfocal intraocular lens implantation. Design retrospective case series. Participants 40 eyes of 40 patients underwent cataract surgery and intraocular lens implantation in Beijing Tongren Eye Center from October 2015 to May 2016. Methods after phacoemulsification of cataract, 20 eyes of 20 cases in MF 30 group and 20 eyes in MF 15 group were implanted with two kinds of rotation asymmetric area refraction multifocal IOL (Lentis Mplus 15 and 30 Oculentis Optikger Xiang te Gmb HnwetzlarGermany) (MF 30 group and MF 15 group). Three months after operation, the uncorrected far visual acuity (uncorrected distance visual), moderate visual acuity (uncorrected intermediate visual acuity (uncorrected distance visual), near visual acuity (uncorrected distance visual), corrected far visual acuity (corrected distance visual acuity (uncorrected distance visual), middle visual acuity (corrected intermediate visual acuity CIVA), near visual acuity (corrected near visual acuity (uncorrected distance visual), diopter and postoperative visual acuity were compared. A questionnaire survey of satisfaction was conducted. Main outcome measures: distant, medium, near visual acuity, diopter, patient satisfaction. Results three months after operation, there was no significant difference between the two groups (P 0.05). The UNVA of MF 30 group was 0.26 鹵0.14 (Log Mar) and the UNVA of MF 15 group was 0.36 鹵0.13 (Log Mar) (P < 0.03). There was no significant difference in close reading, night vision and satisfaction between the two groups. Conclusion MF 30 can obtain better near visual acuity than MF 15 in rotating asymmetric area refraction polyfocal intraocular lens.
【作者單位】： 首都醫(yī)科大學(xué)附屬北京同仁醫(yī)院北京同仁眼科中心北京市眼科研究所眼科學(xué)與視覺科學(xué)北京市重點實驗室;
【基金】：國務(wù)院婦女兒童工作委員會課題(2014108)
【分類號】：R779.6
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本文編號：2070060