在轻度病理近视症中植入三焦内眼镜:视觉结果和 fundus 结构的影响
Meiyi Zhu1,2,3,4,5,6, Zongsheng Zeng1,2,3,4,5,6, Wei Fan1,2,3,4,5,6
1School of Medicine, Xiamen Eye Center and Eye Institute of Xiamen University, Xiamen, China.
BMC ophthalmology
|March 4, 2025
概括
三聚焦眼内透镜 (IOL) 植入为高近视 (HM) 患者提供了良好的视力,但在病理近视 (PM) 病例中,结果不那么有利. 黄斑倾斜度 (MTD) 影响PM眼中的视敏度.
科学领域:
- 眼科医生 眼科 眼科
- 生物医学工程 生物医学工程
- 视网膜成像 视网膜成像
背景情况:
- 高近视 (HM) 和病态近视 (PM) 为视力恢复带来了独特的挑战.
- 三聚焦眼内透镜 (IOL) 提供了在多个距离上改善视觉功能的潜力.
- 了解基金结构的影响对于优化IOL结果至关重要.
研究的目的:
- 在简单的HM和轻微的PM中,在三焦点IOL植入后比较视觉结果.
- 评估黄斑倾斜度 (MTD) 和其他 fundus 参数对视觉结果的影响.
主要方法:
- 对63只眼睛 (34 HM, 29 PM) 进行了回顾性研究,这些眼睛接受了用AT LISA tri 839MP IOL进行的女性秒激光辅助白内障手术.
- 校正距离 (CDVA),中间 (DCIVA) 和近距离 (DCNVA) 视觉敏度,失焦曲线和主观折射的评估.
- 光学连贯断层扫描 (OCT) 用于测量MTD,中央叶厚度和亚叶胆道厚度.
主要成果:
- 在HM组实现了有利的视力敏度 (CDVA:0.00 ± 0.00 logMAR).
- 颗粒粒组的视觉结果相对较差 (CDVA:0.02 ± 0.05 logMAR;DCIVA:0.15 ± 0.09 logMAR;DCNVA:0.17 ± 0.09 logMAR).
- 在PM眼中,MTD显著预测了CDVA (P=0.026) 和DCNVA (P=0.003).
结论:
- 三焦点内射眼镜在简单的高近视方面提供了良好的视觉结果.
- 视觉结果在病态近视方面不太理想,受MTD等因素的影响.
- 在患有病理性近视症的患者中,MTD是视觉结果的显著预测因素.
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