国际眼科杂志2018，Vol.18Issue(3)：486-490,5.DOI:10.3980/j.issn.1672-5123.2018.3.19
不同多焦点人工晶状体植入术后视觉效果的比较
Comparison on the visual quality after different multifocal lens implantation in cataract patients
摘要
Abstract
·AIM: To compare the visual quality after different multifocal lens (MIOL) implantation in cataract patients. ·METHODS: Totally 78 cases (78 eyes) of cataract patients who receiving phacoemulsification and implantation of different MIOL were enrolled from February 2016 to June 2017 in our hospital. According to the different type of implanted MIOL, the 78 cases (78 eyes) were divided Group A,B and C,each group was 26 cases (26 eyes). Patients in the Group A were implanted regional refraction MIOL SBL-3; patients in the Group B implanted step progressive diffraction MIOL SN6AD1;patients in the Group C implanted all - optical plane diffraction MIOL Tecnis ZMB00. The visual acuity, contrast sensitivity,defocus testing,contrast visual acuity and satisfaction of visual quality were compared in 3 groups at postoperative 3mo. · RESULTS: There was no statistically significant difference in postoperative adverse reactions between the three groups (P>0.05). There was statistical difference in uncorrected intermediate visual acuity, uncorrected near visual acuity, distance - corrected intermediate visual acuity and distance- corrected near visual acuity in 3 groups (P < 0. 05), and those in the Group C were significantly worse than those of Group A and B (P<0.05). There was statistical difference in contrast sensitivity at four spatial frequencies (3,6,12,18c/d) in light and light glare and three spatial frequencies (3, 6, 12c/d) in dark and dark glare in 3 groups (P<0.05), and those in the Group A were significantly better than those of Group B and C (P<0.05). According to the defocus testing of 3 groups,the visual acuity at -1.5D,-2.0D and-2. 5D in Group A and B was significantly higher than Group C (P<0. 05). There was statistical difference in contrast visual acuity at 20% and 9% of contrast ratio in 3 groups (P<0.05),and those in Group A were significantly better than Group B and C(P<0.05). There was statistical difference in visual quality satisfaction in 3 groups (P<0.05), and that in the Group A was significantly better than that of Group B and C (P<0.05). ·CONCLUSION:The region refraction MIOL SBL-3 not only could provide better distant, intermediate and near visual acuity, but also could provide better contrast sensitivity and contrast visual acuity, thereby greatly increase visual quality satisfaction.关键词
区域折射多焦点人工晶状体/阶梯渐进衍射型多焦点人工晶状体/全光学面衍射型多焦点人工晶状体/视觉质量Key words
regional refraction multifocal intraocular lens/step progressive diffraction multifocal intraocular lens/all-optical plane diffraction multifocal intraocular lens/visual quality引用本文复制引用
屈思萌,陈琛,林珊,邸红莲,李莉,王玉芬,韦秋红..不同多焦点人工晶状体植入术后视觉效果的比较[J].国际眼科杂志,2018,18(3):486-490,5.基金项目
2017年保定市科技支撑计划项目(No.17ZF260)Baoding Science and Technology Support Program(No.17ZF260) （No.17ZF260）
