AcrySof ReSTOR及Tecnis ZMB00多焦点人工晶状体植入术后视觉质量的比较
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摘要
目的比较植入AcryS of ReS TOR及Tecnis ZMB00多焦点人工晶状体(multifocal intraocular lens,MIOL)术后患者的视觉质量。方法回顾性病例对照分析2012年1月至2013年6月期间在我院眼科行白内障超声乳化联合MIOL植入术的患者32例(43眼),根据植入的MIOL不同分为两组,分别为植入AcryS of ReS TOR+4 D MIOL的A组,17例(22眼);植入Tecnis ZMB00+4 D MIOL的T组,15例(21眼)。术后随访3个月,使用标准对数视力表测量裸眼远视力(5 m)及Colenbrander MixedContrast视力测试卡测量中距离视力(66 cm)及近视力(40 cm)。术后3个月时测量明视、暗视和眩光状态时不同空间频率下的对比敏感度,同时对患者视觉干扰、满意度及脱镜率进行问卷调查。结果术后3个月,两组间裸眼远视力、中距离视力及近视力差异均无统计学意义(均为P>0.05)。两组在明视及明视眩光状态时3 c·d-1、6 c·d-1、12 c·d-1、18 c·d-1空间频率下的对比敏感度差异均无统计学意义(均为P>0.05);暗视及暗视眩光状态下时,T组在6 c·d-1、12 c·d-1、18 c·d-1空间频率下对比敏感度要优于A组,差异均有统计学意义(均为P<0.05),在低空间频率(3 c·d-1)下两组间差异均无统计学意义(均为P>0.05)。问卷调查示两组患者术后均极少出现影响正常生活的视觉干扰现象,术后满意度差异不明显。结论 AcryS of ReS TOR+4 D阶梯渐进衍射型MIOL及Tecnis ZMB00+4 D全光学面衍射型MIOL均能为白内障患者提供满意的全程视力,尽管在暗视及暗视状态下眩光时的高空间频率下Tecnis ZMB00 MIOL对比敏感度要优于AcryS of ReS TOR MIOL,但对于绝大多数患者日常生活质量无明显影响。
Objective To compare the postoperative visual quality between AcrySof ReSTOR and Tecnis ZMBOO multifocal intraocular lens(MIOL) implantation.Methods Retrospective case-control analysis of cataract phacomulsification with MIOL implantation in the second affiliated hospital of Nanchang University during January 2012 to June 2013 were carried out.Thirty-two patients(43 eyes) were divided into two groups,17 cases(22 eyes)were implanted AcrySof ReSTOR +4 D MIOL,15 cases(21 eyes) were implanted Tecnis ZMBOO +4 D MIOL.After 3 months,the far vision(5 m) were measured with the standard logarithmic visual acuity chart,the middle distance vision(66 cm) and near vision(40 cm)were measured with Colenbrander Mixed Contrast vision test card.The Takaci-C GT-1000 contrast sensitivity test instrument was used to measure the contrast sensitivity under bright,dark and glare condition,the questionnaire survey(visual interference,satisfaction and rate of taking off the glasses) were performed,the data were statistically analyzed.Results After 3months,there was no statistical difference in the far vision,middle distance vision and near vision between the two groups.Under bright and bright glare state,there was no significant difference in contrast sensitivity under different spatial frequency(3 c·d~(-1),6c·d~(-1),12 c ·d~(-1),18 c·d~(-1));Under scotopic and scotopic glare state,the contrast sensitivity in the Tecnis ZMBOO group under the high spatial frequency(6 c·d~(-1),12 c·d~(-1),18 c·d~(-1)) were better than those in the AcrySof ReST 0 R group,there were statistical differences(all P < 0.05),but under the low spatial frequency(3 c·d~(-1)),there was no statistical difference between the two groups(all P>0.05).Questionnaire survey indicated that there were rare visual interference phenomenon to affect normal life after surgery in the two groups.Conclusion Both of AcrySof ReSTOR MIOL and Tecnis ZMB00 MIOL can provide satisfactory vision.In spite of under scotopic high spatial frequency,the contrast sensitivity of the Tecnis ZMB00 is better than that of AcrySof ReSTOR,but it does not effect the daily life for the vast majority of patients.
Objective To compare the postoperative visual quality between AcrySof ReSTOR and Tecnis ZMBOO multifocal intraocular lens(MIOL) implantation.Methods Retrospective case-control analysis of cataract phacomulsification with MIOL implantation in the second affiliated hospital of Nanchang University during January 2012 to June 2013 were carried out.Thirty-two patients(43 eyes) were divided into two groups,17 cases(22 eyes)were implanted AcrySof ReSTOR +4 D MIOL,15 cases(21 eyes) were implanted Tecnis ZMBOO +4 D MIOL.After 3 months,the far vision(5 m) were measured with the standard logarithmic visual acuity chart,the middle distance vision(66 cm) and near vision(40 cm)were measured with Colenbrander Mixed Contrast vision test card.The Takaci-C GT-1000 contrast sensitivity test instrument was used to measure the contrast sensitivity under bright,dark and glare condition,the questionnaire survey(visual interference,satisfaction and rate of taking off the glasses) were performed,the data were statistically analyzed.Results After 3months,there was no statistical difference in the far vision,middle distance vision and near vision between the two groups.Under bright and bright glare state,there was no significant difference in contrast sensitivity under different spatial frequency(3 c·d~(-1),6c·d~(-1),12 c ·d~(-1),18 c·d~(-1));Under scotopic and scotopic glare state,the contrast sensitivity in the Tecnis ZMBOO group under the high spatial frequency(6 c·d~(-1),12 c·d~(-1),18 c·d~(-1)) were better than those in the AcrySof ReST 0 R group,there were statistical differences(all P < 0.05),but under the low spatial frequency(3 c·d~(-1)),there was no statistical difference between the two groups(all P>0.05).Questionnaire survey indicated that there were rare visual interference phenomenon to affect normal life after surgery in the two groups.Conclusion Both of AcrySof ReSTOR MIOL and Tecnis ZMB00 MIOL can provide satisfactory vision.In spite of under scotopic high spatial frequency,the contrast sensitivity of the Tecnis ZMB00 is better than that of AcrySof ReSTOR,but it does not effect the daily life for the vast majority of patients.
引文
1陈伟蓉.细节决定多焦点人工晶状体植入术后的视觉质量[J].中华实验眼科杂志,2013,31(4):313-315.
2鲍永珍,裴雪婷,李明武,胡亦文.非球面与球面人工晶状体植入后对比敏感度的比较[J].眼科研究,2009,27(1):45-47.
3霍银平,周利晓,马恩普.白内障超声乳化人工晶状体植入术后对比敏感度与眩光对比敏感度变化分析[J].眼科新进展,2013,33(5):460-462.
4 Chen W,Meng Q,Ye H,Liu Y.Reading ability and stereoacuity with combined implantantion of refractive and diffractive multifocal intraocular lenses[J].Acta Ophihalmol,2011,89(4):376-381.
5 Ji J,Huang X,Fan X,Luo M.Visual performance of Aerysof ReSTOR compared with a monofocal intraocular lens following implantation in cataract surgery[J].Exp Ther Med,2013,5(1):211-281.
6 Wei CK,Wang SM,Lin JC.A study of patient satisfaction after cataract surgery with implantation of different types of intraocular lenses[J].BMC Res Notes,2012,29(5):592.
7 Calladine D,Evans JR,Shah S,Leyland M.Mutifocal versus monofocal intraocular lenses after cataract extraction[J].Cochrane Database Syst Rev 2012,12(9):CD003169.
8 Weghaupt H,Pieh S,Skorpik C.Visual properties of the foldable array multifocal intraocular lens[J].J Catarct Rejract Surg,1996,22(supply2):21313-21317.
9 Breitkopf J,Eisenmann D Jacobi FK.Contrast vision and contrast sensitivity after binocular implantation of multifocal or monofocal intraocular lens[J].Ophthalmology,1997,94(7):519-522.
10 Negishi K,Bissen-Miyajima H,Kato K.Evaluation of a zonal progressive intraocular lens[J].Am J Ophthalmol,1997,124(3):321-330.
11 Jacobi FK,Kammann J Jacobi KW,Grosskopf U,Walden K.Bilateral implantation of asymmetrical diffractive multifocal intraocular lenses[J].Arch Ophthalmol,1999,117(1):17-23.
12穆晶,陈晖,李一壮.双眼植入多焦点人工晶状体与单眼视设计术后视功能及满意度的比较[J].中华眼科杂志,2014,50(2),95-98.
13毕伍牧,孙康,杜云,钟志伟.光致变色蓝光滤过型IOL和蓝光滤过型黄色IOL对术眼对比敏感度影响的对比研究[J].眼科新进展,2014,24(2):175-177.
14王彪,刘菲,张倩,熊宇,李云.Aurium光致变色人工晶状体植入术后对比敏感度和眩光对比敏感度的研究[J].中国实用眼科杂志,2012,20(3):247-249.
15黄宝宇,梁皓,李霞,谭少健.ReSTOR多焦点人工晶状体对比敏感度的观察[J].眼科新进展,2011,31(2):141-143.
16李臻,韩宇.两种非球面衍射多焦点人工晶状体植入术后视觉质量评价[J].国际眼科杂志,2013,13(7):1326-1329.
17孙懿,郑丹莹,宋婷婷.阶梯渐进衍射型非球面多焦点人工晶状体植入术后的视觉质量研究[J].中华眼视光学与视觉科学杂志,2010,12(6):410-415.
2鲍永珍,裴雪婷,李明武,胡亦文.非球面与球面人工晶状体植入后对比敏感度的比较[J].眼科研究,2009,27(1):45-47.
3霍银平,周利晓,马恩普.白内障超声乳化人工晶状体植入术后对比敏感度与眩光对比敏感度变化分析[J].眼科新进展,2013,33(5):460-462.
4 Chen W,Meng Q,Ye H,Liu Y.Reading ability and stereoacuity with combined implantantion of refractive and diffractive multifocal intraocular lenses[J].Acta Ophihalmol,2011,89(4):376-381.
5 Ji J,Huang X,Fan X,Luo M.Visual performance of Aerysof ReSTOR compared with a monofocal intraocular lens following implantation in cataract surgery[J].Exp Ther Med,2013,5(1):211-281.
6 Wei CK,Wang SM,Lin JC.A study of patient satisfaction after cataract surgery with implantation of different types of intraocular lenses[J].BMC Res Notes,2012,29(5):592.
7 Calladine D,Evans JR,Shah S,Leyland M.Mutifocal versus monofocal intraocular lenses after cataract extraction[J].Cochrane Database Syst Rev 2012,12(9):CD003169.
8 Weghaupt H,Pieh S,Skorpik C.Visual properties of the foldable array multifocal intraocular lens[J].J Catarct Rejract Surg,1996,22(supply2):21313-21317.
9 Breitkopf J,Eisenmann D Jacobi FK.Contrast vision and contrast sensitivity after binocular implantation of multifocal or monofocal intraocular lens[J].Ophthalmology,1997,94(7):519-522.
10 Negishi K,Bissen-Miyajima H,Kato K.Evaluation of a zonal progressive intraocular lens[J].Am J Ophthalmol,1997,124(3):321-330.
11 Jacobi FK,Kammann J Jacobi KW,Grosskopf U,Walden K.Bilateral implantation of asymmetrical diffractive multifocal intraocular lenses[J].Arch Ophthalmol,1999,117(1):17-23.
12穆晶,陈晖,李一壮.双眼植入多焦点人工晶状体与单眼视设计术后视功能及满意度的比较[J].中华眼科杂志,2014,50(2),95-98.
13毕伍牧,孙康,杜云,钟志伟.光致变色蓝光滤过型IOL和蓝光滤过型黄色IOL对术眼对比敏感度影响的对比研究[J].眼科新进展,2014,24(2):175-177.
14王彪,刘菲,张倩,熊宇,李云.Aurium光致变色人工晶状体植入术后对比敏感度和眩光对比敏感度的研究[J].中国实用眼科杂志,2012,20(3):247-249.
15黄宝宇,梁皓,李霞,谭少健.ReSTOR多焦点人工晶状体对比敏感度的观察[J].眼科新进展,2011,31(2):141-143.
16李臻,韩宇.两种非球面衍射多焦点人工晶状体植入术后视觉质量评价[J].国际眼科杂志,2013,13(7):1326-1329.
17孙懿,郑丹莹,宋婷婷.阶梯渐进衍射型非球面多焦点人工晶状体植入术后的视觉质量研究[J].中华眼视光学与视觉科学杂志,2010,12(6):410-415.