中国白内障患者的5年三焦眼内镜结果:视觉表现,稳定性和满意度
Lulu Chen1, L U Sun1, Yongxiang Tang2
1From the Department of Ophthalmology (L.C., L.S., W.S., A.B., X.Z., Z.W., Y.Z., S.Z. ), Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
American journal of ophthalmology
|June 30, 2025
概括
这项研究表明,三聚焦眼内透镜 (IOL) 在中国患者中提供了卓越的长期视力和患者满意度. 然而,后囊变暗是常见的,并且IOL倾斜可以增加光环.
科学领域:
- 眼科医生 眼科 眼科
- 生物医学工程 生物医学工程
- 视网膜科学 视网膜科学
背景情况:
- 三聚焦眼内透镜 (IOL) 越来越多地用于折射误差校正.
- 这些先进的IOL的长期结果需要进一步研究,特别是在多元化的种族群体中.
研究的目的:
- 为了评估5年视觉结果,折射稳定性,IOL集中,患者满意度和中国队列中三焦点IOL植入后的并发症.
主要方法:
- 对33名患者 (66只眼睛) 的回顾性研究,这些患者接受了AT LISA 839MP三焦点内膜眼镜.
- 综合的5年术后评估包括视力敏度,折射误差,对比度敏感性和患者报告的结果 (VFQ-25).
- 使用AS-OCT和iTrace分析了IOL位置 (倾斜/脱离中心) 和视觉功能.
主要成果:
- 在5年后,保持了良好的视力敏度 (UDVA,UIVA,UNVA:0.06,0.10,0.09 logMAR).
- 获得了高眼镜独立性 (87.9%) 和折射稳定性 (92.4%在±1.0D范围内).
- 63.6%的眼睛出现后囊变暗 (PCO),需要Nd:YAG激光治疗;眼镜倾斜与光环严重程度相关.
结论:
- 在中国患者中,三焦点内膜眼镜表现出长期的疗效,折射稳定性和高患者满意度.
- PCO是一种常见的晚期并发症,需要及时干预,并且IOL倾斜会影响视觉质量.
- 这些发现支持使用三焦点IOL,同时强调需要管理PCO和理解倾斜效应.
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