国际眼科杂志2022，Vol.22Issue(8)：1239-1244,6.DOI:10.3980/j.issn.1672-5123.2022.8.01
连续视程人工晶状体和区域折射型人工晶状体植入术后视觉质量的对比分析
Comparative analysis of visual quality after implantation of Symfony IOL and MF15 IOL
摘要
Abstract
?AIM: To compare the visual quality in patients after implantation of extended - range - of - vision ( Tecnis Symfony ) intraocular lens ( IOL ) and zonal refractive ( Lentis Comfort LS-313 MF15) IOL.?METHODS: A prospective clinical study. Collecting 267 cataract patients ( 305 eyes ) who underwent phacoemulsification combined with IOL implantation surgery in our hospital from January 2021 to December 2021,they were divided into the Symfony group( group A, 160 eyes) and MF15 group ( group B, 145 eyes) according to the types of implanted IOL. Postoperative visual acuity were observed at 3mo and included uncorrected distance visual acuity ( UDVA, 5m ) , uncorrected intermediate visual acuity ( UIVA, 80 cm ) , uncorrected near visual acuity ( UNVA, 40cm ) , defocus curve, modulation transfer function ( MTF ) and high - order aberrations ( HOAs) , including coma, spherical aberration and trefoil aberration, and conducted the Quality of Vision ( QoV ) questionnaire.?RESULTS: There were no significant differences in the preoperative parameters in both groups (P>0.05). There was no significant difference between the UDVA and UNVA in groups A and B ( P>0.05);The UIVA was higher in group A than in group B ( P<0.05); The MTF value in group A was higher than group B at all spatial frequency, and the difference was statistical significant ( P<0.05);The HOAs in group A was lower than that in group B ( P<0.05 ); Defocus curves were plotted 3mo after the operation suggest that the visual acuity of the two groups was similar at 0D, and the visual acuity of the groups A was better than group B from -0. 5D to -2.5D, and there was a statistically significant difference at-1.0D and-2.0D ( P<0. 05 ) . The QoV score in group A was significantly higher than that in group B ( P<0. 05 ) . The frequency of bad visuaI interference such as halo and starburst was higher in group A than in group B.?CONCLUSION:Both the MF15 and Symfony can provide stable distance and near visual acuity. Compared with MF15, Symfony had better intermediate visual acuity, higher contrast sensitivity and lower HOAs. Compared with Symfony, MF15 IOL had less postoperative bad visual interference symptoms ( halo, starburst, etc) .关键词
Symfony/MF15/视觉质量Key words
Symfony/MF15/visual quality引用本文复制引用
郭榕,李卓亚,胡晓敏,张辉..连续视程人工晶状体和区域折射型人工晶状体植入术后视觉质量的对比分析[J].国际眼科杂志,2022,22(8):1239-1244,6.基金项目
Jilin Province Science and Technology Development Program(No.20200801026GH) （No.20200801026GH）
Jilin Health Technology Innovation Project(No.2020J038)吉林省科技厅国际合作项目(No.20200801026GH) （No.2020J038）
吉林省卫生与健康技术创作新项目(No.2020J038) （No.2020J038）
