不同焦點人工晶狀體植入治療白內障患者術后視覺效果

鮑曉艷

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·臨床研究·

不同焦點人工晶狀體植入治療白內障患者術后視覺效果

鮑曉艷

?METHODS: A total of 65 cases of cataract patients who received treatment in our hospital were selected. According to the different division of implanted crystal, 32 cases (43 eyes) of multifocal intraocular lens were selected as the observation group, 33 cases (47 eyes) with monofocal intraocular lens were selected as the control group. We compared distant and near visual acuity in two groups who received operations after 1 and 3mo. We analyzed the contrast sensitivity values and the results of questionnaire in two groups.

?RESULTS: The values of UDVA, CDVA, UNVA and CNVA in the observation group were higher than those in the control group at 3mo after operation (P<0.05); the space frequency detection sensitivity in the observation group received surgery after 3mo was significantly better than that of the control group in 3, 6, 12 and 18c/d whether glare or not, the difference was statistically significant (P<0.05); the two groups of patients who received the operation after 3mo were investigated, there were no differences in factor of nocturnal disorders and dizziness in the glare (P>0.05). We compared different of the night action disorder and glare dizziness in two groups of patients, the difference was no statistical difference (P>0.05). And overall satisfaction in the observation group was significantly higher than the control group (P<0.05).

?CONCLUSION: Postoperative visual acuity of the patients who used multifocal intraocular lens is better, and contrast sensitivity have increased, the overall satisfaction is high, it can meet the visual life needs of patients.

目的:探究多焦點和單焦點人工晶狀體植入治療白內障，對比術后患者視覺效果質量的差異及臨床價值。

方法:選取我院接治的白內障患者65例90眼，根據植入晶狀體的不同劃分，觀察組多焦點人工晶狀體的患者32例43眼，對照組單焦點人工晶狀體的患者33例47眼。對比術后1、3mo兩組患者遠近視力;分析術后3mo兩組患者的對比敏感度數值及問卷調查結果。

結果:術后3mo時觀察組患者裸眼遠視力(uncorrected distant visual acuity,UDVA)、矯正遠視力(corrected distant visual acuity,CDVA)、裸眼近視力(uncorrected near visual acuity,UNVA)及矯正近視力(corrected near visual acuity,CNVA)均高于對照組,差異有統計學意義(P<0.05)；術后3mo，觀察組患者有無炫光檢測在空間頻率3、6、12及18c/d時的敏感度顯著優于對照組患者，差異有統計學意義(P<0.05)；術后3mo對兩組進行問卷調查研究時發現，兩組患者在夜間行動障礙及眩光頭暈方面比較上，差異無統計學意義(P>0.05)，但在中、近視無需配鏡及讀書看報不清方面, 觀察組總體滿意度顯著高于對照組,差異有統計學意義(P<0.05)。

結論:使用多焦點人工晶狀體的患者術后遠近視力效果更好，對比敏感度上升，整體滿意度高，能夠較好地滿足患者術后的視覺生活需要。

焦點；人工晶狀體；白內障；視覺效果

引用：鮑曉艷.不同焦點人工晶狀體植入治療白內障患者術后視覺效果.國際眼科雜志2016;16(12):2241-2243

0引言

白內障(cataract)是老年人好發疾病，主要是人眼晶狀體變性混濁導致的[1]，患眼視力的障礙給患者帶來諸多不便，嚴重影響了患者的生活質量。目前臨床上針對白內障患者的治療常采用白內障超聲乳化術合并人工晶狀體植入術[2]，能夠較好的恢復患者患眼的視力。隨著手術技術、設備的不斷發展，人工晶狀體設計的多樣化，以及患者術后視覺要求的提高，傳統的單焦點人工晶狀體調節能力差，植入術后多數患者仍需要配鏡才能看清晰事物[3]。有……