本文選題：多焦點(diǎn)人工晶體　切入點(diǎn)：單焦點(diǎn)人工晶體　出處：《中南大學(xué)》2013年博士論文　論文類型：學(xué)位論文

【摘要】：目的：觀察并比較Acri.LISA366D多焦點(diǎn)非球面人工晶體和Akreos Adapt AO單焦點(diǎn)非球面人工晶體植入術(shù)后的視覺質(zhì)量。 方法：行白內(nèi)障超聲乳化吸除聯(lián)合人工晶體植入術(shù)的患者18例(28只眼)分為兩組,其中Acri.LISA366D組8例(13只眼),術(shù)中植入Acri.LISA366D多焦點(diǎn)非球面人工晶體,Akreos Adapt AO組10例(15只眼),術(shù)中植入Akreos Adapt AO單焦點(diǎn)非球面人工晶體。術(shù)后3月檢查患者的裸眼遠(yuǎn)視力(5m)、最佳矯正遠(yuǎn)視力、裸眼中距離視力(100cm和60cm)、裸眼近視力(30cm),明、暗環(huán)境中不同空間頻率(0.8,1.5,3,6,12,20周/度,cpd)下的對比敏感度,以及關(guān)于脫鏡率、滿意度和不良視覺癥狀等的問卷調(diào)查。采用SPSS19.0統(tǒng)計(jì)軟件對結(jié)果進(jìn)行統(tǒng)計(jì)分析。 結(jié)果：(1)裸眼遠(yuǎn)視力Acri.LISA366D組為0.72±0.26, Akreos Adapt AO組為0.84+0.28；最佳矯正遠(yuǎn)視力Acri.LISA366D組為1.09±0.25, Akreos Adapt AO組為1.10+0.20,差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。(2)裸眼100cm中距離視力：Acri.LISA366D組為0.94±0.32, Akreos Adapt AO組為0.73+0.33,差異無統(tǒng)計(jì)學(xué)意義(P0.05)；裸眼60cm中距離視力：Acri.LISA366D組為0.81+0.40,Akreos Adapt AO組為0.52±0.18,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。(3)裸眼近視力：Acri.LISA366D組為0.62±0.22,Akreos Adapt AO組為0.31±0.14,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。(4)在暗環(huán)境中的6cpd空間頻率,Acri.LISA366D組的對比敏感度為16.313.80,Akreos Adapt AO組為18.47+1.73,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。在明暗環(huán)境的其他空間頻率二者的對比敏感度差異無統(tǒng)計(jì)學(xué)意義(P0.05)。(5)在視近脫鏡率方面,Acri.LISA366D組為85%,Akreos Adapt AO組為33%,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。在視近滿意度上Acri.LISA366D組(8.0±1.4)優(yōu)于Akreos Adapt AO組(6.0±1.5),差異有統(tǒng)計(jì)學(xué)意義(P0.05)。Acri.LISA366D組、Akreos Adapt AO組光暈現(xiàn)象的發(fā)生率分別為46%、20%,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。兩組均無眩光發(fā)生。 結(jié)論：(1) Acri.LISA366D多焦點(diǎn)非球面人工晶體和Akreos Adapt AO單焦點(diǎn)非球面人工晶體都能使患者獲得良好的裸眼遠(yuǎn)視力和最佳矯正遠(yuǎn)視力。(2) Acri.LISA366D多焦點(diǎn)非球面人工晶體比Akreos Adapt AO單焦點(diǎn)非球面人工晶體能為患者提供更佳的裸眼60cm中距離視力和裸眼近視力。(3)在暗環(huán)境中的6cpd空間頻率,Akreos AdaptAO單焦點(diǎn)非球面人工晶體的對比敏感度優(yōu)于Acri.LISA366D多焦點(diǎn)非球面人工晶體。(4) Acri.LISA366D多焦點(diǎn)非球面人工晶體的視近脫鏡率和視近滿意度均高于Akreos Adapt AO單焦點(diǎn)非球面人工晶體。
[Abstract]:Objective: to observe and compare the visual quality of Acri.LISA366D multi-focus aspheric intraocular lens and Akreos Adapt AO single focus aspheric intraocular lens implantation. Methods: eighteen patients (28 eyes) who underwent phacoemulsification and intraocular lens implantation were divided into two groups. In the Acri.LISA366D group, 13 eyes were implanted with Acri.LISA366D multi-focus aspheric intraocular lens (Acri.LISA366D) and 15 eyes were implanted with Akreos Adapt AO single focus aspheric intraocular lens (Akreos Adapt AO single focus intraocular lens) during the operation. The open eye distant visual acuity of the patients was 5 mm after operation on March, and the best corrected distant visual acuity was obtained. The distance between naked eyes and visual acuity was 100 cm and 60 cm, and the uncorrected visual acuity was 30 cm / min. The contrast sensitivity of different spatial frequencies (0. 8 ~ 1. 5 ~ 3 ~ 1. 5 ~ 3 ~ 12 ~ 12 ~ 20 weeks / d ~ (cpdd)) and the rate of removal of endoscopy in naked eyes were measured. The results were analyzed by SPSS19.0 software. Results the distance visual acuity was 0.72 鹵0.26 in Acri.LISA366D group, 0.84 0.28 in Akreos Adapt AO group, 1.09 鹵0.25 in Acri.LISA366D group and 1.100.20 in Akreos Adapt AO group. The distance visual acuity of 0: Acri.LISA366D group (0.81 0.40) Akreos Adapt AO group was 0.52 鹵0.18, the difference was statistically significant (P < 0.05). The uncorrected near visual acuity was 0.62 鹵0.22 Akreos Adapt AO group (0.62 鹵0.22 Akreos Adapt AO group, 0.31 鹵0.14). The spatial frequency of 6cpd spatial frequency of Acri.LISA366D group in dark environment was 0.31 鹵0.14. The contrast sensitivity was 16.313.80 Adapt Adapt AO (18.47 1.73), the difference was statistically significant (P 0.05). There was no significant difference in contrast sensitivity between other spatial frequencies in light and dark environment. There was no significant difference in contrast sensitivity between the two groups (P < 0.05). There was no significant difference between the two groups (Acri.LISA366D group was 85Akreos Adapt AO group, the difference was 33%) in the near-optic detachable rate of Acri.LISA366D group and 85Akreos Adapt AO group (P < 0.05). There was significant difference between Acri.LISA366D group (8.0 鹵1.4) and Akreos Adapt AO group (6.0 鹵1.5), and the incidence of halo in AISA366D group was 46 ~ 20, no significant difference was found between the two groups (P0.05. Acri.LISA366D). There was no significant difference between the two groups (P 0.05). Conclusion both Acri.LISA366D multi-focus aspheric intraocular lens and Akreos Adapt AO single-focus aspheric intraocular lens can obtain better open eye far vision and best corrected far visual acuity. 2) Acri.LISA366D polyfocal aspheric intraocular lens is better than Akreos Adapt AO single focus IOL. Point aspherical intraocular lens can provide patients with better distance visual acuity of 60cm uncorrected eyes and near-visual acuity of naked eyes.) in dark environment, 6cpd spatial frequency and the contrast sensitivity of Akreos AdaptAO single focus aspheric intraocular lens is better than that of Acri.LISA366D multi-focus aspherical intraocular lens. The Acri.LISA366D multi-focus aspheric intraocular lens has higher near-detachable rate and satisfactory degree than Akreos Adapt AO single-focus aspheric intraocular lens.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級別】：博士
【學(xué)位授予年份】：2013
【分類號】：R779.6

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