摘要
目的 探讨多焦点人工晶状体 (MIOL)在白内障治疗中的作用。方法 在小切口超声乳化白内障吸除术中 ,30例 (36只眼 )白内障患者植入MIOL(试验组 ) ,32例 (40只眼 )白内障患者植入单焦点人工晶状体 (SIOL) (对照组 )。观察患者的术后视力、焦距深度、角膜散光度数、对比敏感度和眩光敏感度、手术并发症及视觉不良症状 ,随访时间 6 0～ 18 0个月。结果 术后 6个月裸眼近视力≥ 0 5者试验组占 80 6 % (2 9/36 ) ,对照组占 2 5 0 % (10 /4 0 ) ,两组比较差异有显著意义 (P <0 0 5 ) ;矫正近视力和远视力、裸眼远视力两组比较 ,差异均无显著意义 (P >0 0 5 )。在 +1 0 0～ - 1 0 0D调节范围内 ,视力≥ 0 5者试验组占 97 2 % (35 /36 ) ,对照组占 97 5 % (39/4 0 ) ,差异无显著意义 (P >0 0 5 ) ;在 - 1 5 0D和 - 2 5 0～ - 3 5 0D调节范围内 ,视力≥ 0 5者试验组 [97 2 % (35 /36 )、88 9% (32 /36 ) ]明显多于对照组 [0 0 % (0 /4 0 )、0 0 % (0 /4 0 ) ](P <0 0 5 )。在视力≥ 0 5的术眼中 ,焦距深度试验组为4 5 0D ,对照组为 2 0 0D。术后 1周、1个月、3个月、6个月两组角膜散光度数与术前比较 ,差异均无显著意义 (P >0 0 5 )。低频段对比敏感度和眩光敏感度试验组 (2 8 4 9± 6 4
Objective To study the results of using multifocal intraocular lens (MIOL) for the treatment of cataract.Methods After the small incision phacoemulsification, MIOL was inserted into the eye in 30 cases (36 eyes, test group);single-focal intraocular lens(SIOL)was inserted in 32 cases (40 eyes, control group). Visual acuity, focal depth, corneal astigmatism, contrast sensitivity, glare sensitivity, operative complications and untoward visual symptoms were observed .The follow-up period was 6.0～18.0 months .Results Percentage of patients with uncorrected near visual acuity 0.5 or better accounted was 80.6% (29/36) in the test group and 25.0% (10/40) in the control group, there was a significantly statistical difference between these two groups 6 months postoperatively ( P <0.05). There was no significantly statistical difference between the corrected near and far visual acuity and uncorrected far visual acuity of these two groups ( P >0.05). In patients with +1.00--1.00 D accommodation power, the percentage of patients with visual acuity 0.5 or better was 97.2% (35/36) in the test group and 97.5% (39/40) in the control group, there was no significantly difference between these two groups ( P >0.05). In patients with -1.50 D and -2.50 --3.50 D accommodation power, the percentage of patients with visual acuity 0.5 or better was 97.2% (35/36) and 88.9% (32/36) in the test group, respectively;which was significantly greater than those in the control group [0.0% (0/40) and 0.0%(0/40), respectively] ( P <0.05). In patients with visual acuity 0.5 or better, the depth of focus was 4.50 D in 86.11% cases of the test group and was 2.00 D in 97.5% cases of the control group. There was no statistically significant difference between the preoperative corneal stigmatism and corneal astigmatism 1 week, 1 month, 3 months and 6 months after the operation in both groups ( P >0.05). Low frequency contrast sensitivity and glare sensitivity (28.49±6.45 and 16.97±4.40, respectively) in the test group were significantly lower than tho
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2004年第6期385-388,共4页
Chinese Journal of Ophthalmology
