摘要
目的:通过对多焦点和单焦点人工晶状体植入术后视力;拟调节力及视觉症状的对比研究,探讨ArraySA-40NB TM多焦点人工晶状体植入术临床应用的有效性和安全性。方法:2002-08/2004-08施行白内障超声乳化人工晶状体植入术984眼,排除合并有其他眼病及伴有可能影响视力的全身疾病者后,分为S组术中植入单焦点人工晶状体;M组术中植入多焦点人工晶状体。观察两组术后远、近视力;拟调节力及视觉症状;采用SPSS10.0软件对术后远、近视力和拟调节力进行统计学处理。结果:M组和S组比较,术后远视力无明显差异;而术后近视力和拟调节力差异有显著性意义,M组明显优于S组。结论:多焦点人工晶状体植入术可以获得等同于单焦点人工晶状体植入术的术后远视力,但是其术后拟调节力较大,术后裸眼近视力显著高于单焦点人工晶状体植入术的患眼,是一种安全的、能有效改善患者视觉功能的手术,值得临床应用和推广。
AIM： To evaluate the safety and effect of Array SA-40NBTM multifocal intraocular lens implantaion by comparison of pseudoaccommodation and visual quality between the monofocal intraocular lens and multifocal intraocular lens implantation. METHODS： A total of 343 eyes of 291 patients with a monofocal IOL implantation and 287 eyes of 206 patients with a multifocal IOL implantation were compared. Pseudoaccommodation, the postoperative uncorrected distance and near visual acuity and the best-corrected distance and near visual acuity were statistically ana-yzed. RESULTS： In the monofocal fellow eye control substudy, the multifocal eyes showed a manifest increase over monofocal eyes for uncorrected and distance-corrected near visual acuity （P〈0.001）. Mean uncorrected distance visual acuity was similar between multifocal and rnonofocal eyes （P〉0.05）. Although the perception of halo and glare increased in the rnultifocal eyes, good visual function remained, and nearly all subjects were satisfied with the results of their surgery. CONCLUSION： Array SA-40NBTM rnultifocal intraocular lens implantation can provide a high level of uncorrected and corrected distance vision, improve uncorrected and distance-corrected near vision and reduce spectacle dependency with a high level of patients＇ satisfaction.
出处
《国际眼科杂志》
CAS
2005年第4期672-674,共3页
International Eye Science
