通过使用单焦或替代多焦IOL进行透镜交换来管理多焦眼内镜植入后的不满
Olena Al-Shymali1, Mario Cantó-Cerdán1, Jorge L Alió Del Barrio1,2
1Cornea, Cataract and Refractive Surgery Unit, Vissum (Miranza Group), Alicante, Spain.
Acta ophthalmologica
|May 23, 2024
概括
在植入多聚焦眼内透镜 (MF-IOL) 后,通过交换到另一种MF-IOL或单聚焦IOL来管理患者的不满,显示了可比的视觉功能,MF-IOL交换产生了更好的结果.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜和玻璃体疾病
背景情况:
- 患者的不满和神经适应失败是多焦内眼镜 (MF-IOL) 植入后的常见问题.
- IOL交换是这些并发症的潜在管理策略.
研究的目的:
- 通过IOL交换来管理MF-IOL植入后的患者不满.
- 为了比较交换到另一个MF-IOL与单焦IOL的结果.
主要方法:
- 32名神经适应失败的患者 (64只眼睛) 进行了MF-IOL交换.
- 患者被分为两组:MF-to-MF (交换到另一个MF-IOL) 和MF-to-MO (交换到单焦IOL).
- 使用视觉质量 (QoV) 问卷,视觉功能指数 (VF-14) 和VF-8R.视觉结果被评估.
主要成果:
- 在手术前或手术后,两组之间的QoV得分没有显著差异.
- 手术后的VF-14和VF-8R得分在MF-to-MF组中明显更好.
- 近距离和远距离视觉敏度在3个月后在MF-to-MF组显著改善.
结论:
- 用单焦或替代MF-IOL进行内腔镜交换可以管理患者的不满和神经适应失败.
- 虽然MF对MF组显示出优异的术后结果,但两种交换选择都是可行的.
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