长视障碍纠正眼内透镜的流行程度 满意度,不满意度和不容忍度
Bianca N Susanna1,2,3, Molly J E Snider1, Bassel Hammoud1
1Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio.
Journal of refractive surgery (Thorofare, N.J. : 1995)
|November 10, 2025
概括
大多数患者对视障纠正眼内透镜 (PrC-IOLs) 感到满意,但12.8%的患者感到不满,通常是由于视力模糊或光学现象. 一些症状会自发消失,而另一些症状可能需要更换内腔镜.
科学领域:
- 眼科医生 眼科 眼科
- 折射手术是一种折射手术.
- 生物材料科学 生物材料科学
背景情况:
- 长视障碍纠正眼内透镜 (PrC-IOLs) 可以改善近距离和远距离视力,但可能与视力障碍有关.
- 了解患者的满意度和不满的原因对于优化白内障和折射性手术的结果至关重要.
研究的目的:
- 为了确定 PrC-IOL 植入后的满意度,不满意度和不耐受性的流行程度.
- 确定患者对PrC-IOLs不满的主要原因.
- 评估PrC-IOL手术后光学现象自发解消的速度.
主要方法:
- 对493名接受各种类型的PrC-IOL (双焦,三焦,衍射EDOF,非衍射EDOF) 的患者进行了回顾性横截面研究.
- 收集的数据包括折射结果,患者报告的满意度/不满意度,不满意的原因,管理策略,IOL汇率和光学现象的解决.
- 随访数据分析了光学现象随着时间的推移自发解决的情况.
主要成果:
- 对PrC-IOLs的整体满意度高达87.2%.
- 12.8%的患者报告不满,7.7%的患者表示不耐受;模糊视力 (73%) 和光学现象 (50.8%) 是主要的驱动因素.
- 光学现象的自发解消发生在43%的病例中,发生在一年内,主要发生在6-12个月之间. 在2.4%的IOL交换中进行.
结论:
- 虽然大多数患者对PrC-IOLs感到满意,但很少有人感到不满或不耐受,主要与视觉障碍有关.
- 炎症现象显示部分自发解消,但不满意的患者的结果不那么有利.
- 管理策略,包括潜在的IOL交换,对于解决PrC-IOL植入后持续的不满是很重要的.
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