多聚焦眼内透镜可以改善近视,但在患有非增殖性糖尿病视网膜病变的患者中增加光学偏差
Xiaomao Liu1, Peiyao Yang1, Xin Gao2
1Department of Vitreoretinal Surgery, Ward 1, The First People's Hospital of Xianyang No. 10 Biyuan Road, Qindu District, Xianyang 712000, Shaanxi, China.
American journal of translational research
|August 18, 2025
概括
多焦眼内透镜 (MIOLs) 改善近距离和中间视力在非增殖性糖尿病视网膜病变 (NPDR) 患者在白内障手术后与单焦眼内透镜 (SIOLs) 相比. 糖尿病持续时间和IOL类型影响视觉结果.
科学领域:
- 眼科医生 眼科 眼科
- 糖尿病视网膜病变研究研究
- 眼内透镜技术 眼内透镜技术
背景情况:
- 非增殖性糖尿病视网膜病变 (NPDR) 给视觉功能带来了挑战.
- 在NPDR患者的白内障手术需要仔细考虑眼内透镜 (IOL) 的选择.
- 对于糖尿病患者来说,在IOL植入后评估长期视觉质量至关重要.
研究的目的:
- 为了比较单聚焦 (SIOL) 与多聚焦眼内透镜 (MIOL) 植入在NPDR患者中的长期视觉质量结果.
- 在这个人群中确定影响白内障手术后视觉结果的因素.
主要方法:
- 对138名接受白内障手术的NPDR患者的回顾性分析.
- 视敏度,失焦曲线,视觉质量得分 (NEI VFQ-25),高阶偏差 (HOA) 和SIOL和MIOL组之间的对比灵敏度的比较.
- 多变量逻辑回归用于确定视觉质量的预测因素.
主要成果:
- MIOL组表现出优异的未经校正的近视和中视敏度.
- 与SIOL相比,MIOL提供了更广泛的功能失焦范围.
- 接受MIOL的患者的HOA显著降低,视觉质量得分更高;对比度敏感度和并发症率相似.
结论:
- 在NPDR患者中,MIOL植入可提高近距离/中距离视力和整体视觉质量,而不是SIOL患者.
- 在某些MIOL病例中,更高层次的异常可能会影响视觉功能.
- 糖尿病持续时间,IOL类型和并发症是视觉结果的关键预测因素.
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