视觉功能和患者对3种单焦镜头加眼内镜片的满意度
Ryota Kabura1, Tetsuji Takeshita2, Yukihira Yoshioka2
1Division of Ophthalmology, Kamiamakusa General Hospital, 1419-19 Ryugatakemachi Takado, Kamiamakusa, Kumamoto, 866-0293, Japan. kabur@cityhosp-kamiamakusa.jp.
Japanese journal of ophthalmology
|August 22, 2025
概括
三个单聚焦加眼内透镜 (IOL) 的远距离视力和对比度敏感度相似. XY1-EM IOL在70厘米处提供了更好的中间视力和更高的眼镜独立性.
科学领域:
- 眼科 眼科
- 生物医学工程
- 视光学
背景情况:
- 单焦加眼内透镜 (IOL) 旨在改善白内障手术后的视觉功能.
- 对于临床决策来说,比较不同IL模型的性能至关重要.
- 患者满意度和特定的视力敏度是关键的结果指标.
研究的目的:
- 为了比较三种类型的单焦眼镜和内射眼镜的视觉功能和患者报告的满意度:DIB00V,NSP-3和XY1-EM.
- 在70厘米和50厘米,明显的折射和对比度敏感度时,评估纠正距离视力 (CDVA),纠正距离的中间视力 (DCIVA).
- 评估患者对日常视觉活动的个人满意度,包括夜间驾驶.
主要方法:
- 一个回顾性病例系列,涉及122个眼睛,来自61名接受双边植入DIB00V,NSP-3或XY1-EM内腔镜的患者.
- 3个月后的术后评估包括CDVA,DCIVA (70厘米和50厘米),明显折射和字母对比度的敏感性.
- 用以关注日常视觉任务的问卷来评估患者的满意度.
主要成果:
- 在三组IOL中,没有发现CDVA在5米,DCIVA在50厘米,明显折射或对比度的显著差异.
- 与DIB00V IOL相比,XY1-EM IOL在70厘米处显示出明显更好的DCIVA.
- 与DIB00V (63.6%) 和NSP-3 (66.7%) 相比,XY1-EM IOL实现了更高的眼镜独立率.
- 与NSP-3 IOL相比,DIB00V IOL的夜间驾驶患者满意度得分显著更高.
结论:
- 这三种单焦眼镜和内射眼镜在距离敏度,距离50厘米的中间视力和对比度方面提供了相似的视觉功能.
- XY1-EM IOL在70厘米的中间视力方面具有优势,并带来了更大的眼镜独立性.
- 虽然视觉功能在很大程度上是可比的,但患者的特定满意度方面,如夜间驾驶,可能在内视眼镜模型之间存在差异.
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