【摘要】：目的探討超聲乳化白內(nèi)障摘除聯(lián)合匹配植入折射型與衍射型多焦點人工晶狀體(MIOL)術(shù)后遠期的視覺功能及滿意度。 方法選擇2008年7月至2009年12月在廣東省惠州市中心人民醫(yī)院接受白內(nèi)障超聲乳化聯(lián)合人工晶狀體植入術(shù)的患者，篩選61例(122眼)，按植入人工晶體的不同分為三組，其中匹配組雙眼匹配植入ReZoom（主視眼）和Tecnis ZM900（對側(cè)眼）25例(50眼)，ZM900組雙眼植入衍射型多焦點人工晶體（AMO，Tecnis ZM900）16例(32眼)，ReZoom組雙眼植入折射型多焦點人工晶體（AMO，ReZoom NXGl MIOL）20例(40眼)。所有患者隨訪時間均超過12個月（12-23月，平均15.70±3.01月），，末次隨訪中觀察患者術(shù)后不同光照條件下雙眼裸眼遠（500cm）、中（40cm、63cm、100cm）、近視力（30cm）、近立體視銳度，并進行雙盲問卷調(diào)查了解患者的眼鏡依賴程度、視覺干擾癥狀及滿意度。結(jié)果采用spss13.0統(tǒng)計軟件進行析因設計的方差分析及卡方檢驗，兩兩比較采用LSD檢驗。 結(jié)果術(shù)后12個月以上隨訪發(fā)現(xiàn)，在20lux、400lux光照度下，三組患者均可獲得滿意的雙眼裸眼遠視力；400lux時，匹配組在30cm、40cm、63cm、100cm的雙眼裸眼視力均在0.6以上，匹配組在30cm視力優(yōu)于ReZoom組（P=0．007），匹配組在63cm的高、低對比度視力均明顯優(yōu)于ZM900組，差異均有統(tǒng)計學意義(p=0.000,p=0.010)；20lux時，匹配組在100cm的高、低對比度視力均明顯優(yōu)于ZM900組，差異均有統(tǒng)計學意義(p=0.000,p=0.000)。非矯正近視力下近立體視銳度,匹配組≤60s者達84.0%。眼鏡依賴程度調(diào)查，視近時，匹配組明顯優(yōu)于ReZoom組，差異有統(tǒng)計學意義（p=0.008）；視中時，匹配組明顯優(yōu)于ZM900組，差異有統(tǒng)計學意義（p=0.000）。滿意度調(diào)查，匹配組明顯優(yōu)于ZM900組及ReZoom組，差異有統(tǒng)計學意義（p=0.009，p=0.008）。 結(jié)論初步研究表明雙眼匹配植入MIOL能提供良好的術(shù)后遠期裸眼遠、中、近全程視力及近立體視覺,并能明顯減少眼鏡依賴度及術(shù)后眩光，明顯提高患者滿意度。
[Abstract]:Objective to investigate the long-term visual function and satisfaction of phacoemulsification combined with matching implantation of refractive and diffractive multifocal intraocular lens (MIOL). Methods from July 2008 to December 2009, 61 patients (122 eyes) underwent cataract phacoemulsification combined with intraocular lens implantation in Huizhou Central people's Hospital of Guangdong Province. They were divided into three groups according to the different intraocular lens implantation. In the matching group, there were 25 cases (50 eyes) of ReZoom and Tecnis ZM900 (contralateral eyes), 16 cases (32 eyes) of diffractive multifocal intraocular lens (AMO,Tecnis ZM900) were implanted into the binocular matched group, and 16 cases (32 eyes) of diffractive multifocal intraocular lens (AMO,Tecnis ZM900) were implanted into the binocular matched eyes of the matched group. In ReZoom group, refractive multifocal intraocular lens (AMO,ReZoom NXGl MIOL) was implanted in 20 cases (40 eyes). All patients were followed up for more than 12 months (12-23 months, with an average of 15.70 鹵3.01 months). At the last follow-up, the patients were observed at different light conditions (500cm), medium (40 cm, 63 cm, 100 cm), near visual acuity (30cm). The near stereoscopic visual acuity was investigated by double blind questionnaire to investigate the degree of glasses dependence, visual disturbance symptoms and satisfaction. Results spss13.0 statistical software was used for variance analysis and chi-square test of factorial design, and LSD test was used for pairwise comparison. Results after more than 12 months follow-up, it was found that under the light intensity of 20 luxu and 400 luxu, all the patients in the three groups could obtain satisfactory uncorrected far vision. At 400lux, the visual acuity of the matching group was 30 cm, 40 cm, 63 cm, and the uncorrected visual acuity of 100 cm was above 0.6. The visual acuity of the matching group was better than that of the ReZoom group (P 鈮

本文編號：2473278