在初级发酵过程中对长视的单视与多焦点:系统性审查和网络元分析
Ashley Shuen Ying Hong1, Eric Jin1, Liang Shen2
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Eye (London, England)
|November 15, 2024
概括
双边多焦镜头 (bMFIOL) 为长视提供了比单视更大的眼镜独立性. 然而,单视觉导致较少的光,这两种方法之间视觉敏度没有显著差异.
科学领域:
- 眼科医生 眼科 眼科
- 生物医学工程 生物医学工程
- 临床医学 临床医学
背景情况:
- 长视,一个与年龄相关的疾病,通常会影响白内障手术后的患者.
- 单视镜和双侧多焦内眼镜 (bMFIOL) 是对长视障碍的手术选择.
- 评估这些方法的比较疗效和患者满意度至关重要.
研究的目的:
- 为了比较单视觉与bMFIOL植入物治疗长视障碍的疗效.
- 评估与每个方法相关的用户满意度和局限性.
- 为了提供最佳手术纠正长视障碍的证据.
主要方法:
- 32项研究 (3082名患者) 的系统综述和网络元分析 (NMA).
- 在2022年7月15日之前搜索了Medline,Embase和Cochrane图书馆.
- 包括对双边白内障手术中单视和bMFIOL进行直接或间接比较的研究.
主要成果:
- 与单视相比,bMFIOL更有可能提供完全的眼镜独立性 (RR = 2.06,p = 0.002).
- 单视觉导致的光明显小于bMFIOL (RR = 0.343,p = 0.001).
- 两种方法之间在双眼距离或近视敏度方面没有发现显著差异.
结论:
- 与单视相比,bMFIOL植入物为长视障碍提供了优越的眼镜独立性.
- 当最大限度地减少光是优先事项时,可能会优先选择单视.
- 由于数据异质性,需要对标准化报告进行进一步的研究.
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