患者报告的三焦眼内眼镜视觉障碍的结果:一个元分析
Dagny Zhu1, Suyen Karki2, Mukesh Dhariwal3
1NVISION Eye Centers, Rowland Heights, CA, USA. dagny.zhu@gmail.com.
Ophthalmology and therapy
|December 24, 2024
概括
双边PanOptix IOL植入用于白内障手术可能会导致视觉障碍,如光环和星爆. 然而,严重或烦人的症状并不常见,约分别影响5%和3%的患者.
科学领域:
- 眼科医生 眼科 眼科
- 生物医学工程 生物医学工程
背景情况:
- 衍射三聚焦眼内透镜 (IOL) 可以在多个距离上进行视力校正,但可能会导致阳性失光症.
- 本元分析评估了PanOptix (TFNTXX) IOL双边植入后的视觉障碍.
研究的目的:
- 汇集和分析有关双边PanOptix IOL植入后患者报告的视力障碍的已发表证据.
- 为了确定手术后光环,光和星爆的发生率和严重程度.
主要方法:
- 在PubMed和大会演讲 (2021年4月-2022年12月) 中进行了系统的文献搜索.
- 研究包括患者报告的双边PanOptix IOL植入后视力障碍的结果.
- 随机效应的元分析被用来计算聚合比例和95%的置信区间.
主要成果:
- 分析了11项涉及580名双边PanOptix IOL植入器患者的研究.
- 聚合发生率:33.6%经历了光,43.9%的光环和30.4%的星爆.
- 较低的百分比报告了严重的症状 (耀斑2.9%,光环5.4%,星星爆发3.4%) 或非常烦人的症状 (0.8%-2.6%).
结论:
- 光是双边PanOptix IOL植入后最常见的视觉障碍.
- 严重或非常麻烦的视力障碍是罕见的,影响大约5%和3%的患者.
- 这些发现有助于在白内障手术中选择IOL的临床决策.
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