国际眼科杂志2026，Vol.26Issue(2)：187-196,10.DOI:10.3980/j.issn.1672-5123.2026.2.01
改良囊膜抛光对白内障手术后视觉质量的影响
Effect of improved anterior capsule polishing on visual quality after cataract surgery
摘要
Abstract
·AIM:To assess the visual acuity and visual quality of cataract patients who received femtosecond laser-assisted cataract surgery(FLACS)and multifocal intraocular lens(MIOL)implantation with an improved polishing technique during a 1-year follow-up period. ·METHODS:This study included 74 eyes from 37 patients,comprising 17 males and 20 females,with a mean age of 51.74±7.80 years.Using a coin toss method,one eye per patient was randomly selected for improved anterior capsular polishing,while the other eye received standard irrigation/aspiration(I/A)polishing.The polishing group consisted of 37 eyes,including 21 right and 16 left eyes,while the control group comprised the contralateral fellow eyes of the same individuals in the polishing group.Visual acuity and quality of the patients were evaluated before surgery and at 1 wk,1,6,and 12 mo after surgery.The OPD-Scan Ⅲ was utilized to assess high-order aberrations,while the optical quality analysis system(OQAS)was employed to evaluate modulation transfer function(MTF cutoff),Strehl ratio(SR),and objective scatter index(OSI)for the purpose of visual quality assessment.Paired t-tests and repeated measures analysis of variance(ANOVA)were utilized to compare the results,and the SNK-q post hoc test was applied to identify significant differences. ·RESULTS:The polishing group's uncorrected distant visual acuity(UDVA)and uncorrected near visual acuity(UNVA)significantly improved 1-week post-surgery(all P<0.05).At 12-months,UDVA,UNVA,and corrected distant visual acuity(CDVA)were better than the control group(P<0.05).The MTF cutoff,SR,OSI,and high-order aberrations in the polishing group also showed significant improvements compared to the control group at 12 mo(P<0.05). ·CONCLUSION:The improved capsular polishing method has been demonstrated to effectively maintain visual acuity and visual quality in patients with MIOL after FLACS within 1 a.关键词
囊膜抛光/视觉质量/白内障手术/飞秒激光Key words
anterior capsule polishing/visual quality/cataract surgery/femtosecond laser引用本文复制引用
党冠星,周歆,王从毅,李妍,吴利安,马波..改良囊膜抛光对白内障手术后视觉质量的影响[J].国际眼科杂志,2026,26(2):187-196,10.基金项目
陕西省重点研发计划项目(No.2023-YBSF-054) Key Research and Development Program Project in Shaanxi Province(No.2023-YBSF-054) （No.2023-YBSF-054）
