现实世界的视觉和折射效果两个不同的长视障碍纠正眼内透镜的结果
Sarah Hinterberger1,2, Cornelia Artmayr1,2, Karanpreet Multani3
1Medical Faculty, Johannes Kepler University Linz, Altenberger Strasse 69, 4040 Linz, Austria.
Journal of clinical medicine
|November 27, 2025
概括
泽斯AT LISA TRI三聚焦眼内透镜 (IOL) 显示出比Teleon Comfort EDOF IOL更好的折射预测精度和更快的视力恢复. 这凸显了在功率计算中需要IOL特定常数的需要.
科学领域:
- 眼科医生 眼科 眼科
- 生物医学工程 生物医学工程
- 光学是什么?光学是什么?光学是什么?
背景情况:
- 白内障手术通常涉及眼内透镜 (IOL) 植入以恢复视力.
- 长视障碍纠正IOL的目的是在多个距离上提供清晰的视力.
- 准确的IOL功率计算对于实现所需的折射结果至关重要.
研究的目的:
- 为了比较视力敏度,折射结果和IOL功率计算公式的预测准确度,对两种长视障碍纠正IOL进行了比较:Zeiss AT LISA TRI (三焦) 和Teleon Comfort (EDOF).
主要方法:
- 对115名用LISA TRI或Comfort IOL进行双边白内障手术的患者进行了回顾性图表审查.
- 对手术前的生物识别数据和手术后的折射结果 (球体等价值 - SEQ) 在1,3,6个月的分析.
- 使用ESCRS计算器和IOLCON平台进行预测与实际SEQ的比较,评估平均预测误差和平均绝对误差 (MAE).
主要成果:
- 与舒适组相比,LISA TRI组的MAE显著降低,眼睛在±0.50二光度 (D) 内的比例更高.
- 对于LISA TRI,在植入后3个月实现了折射稳定性,而20%的舒适眼睛在3个月后显示SEQ变化>0.50 D.
- 在两组的几个公式中都发现了系统的预测错误,失焦等价值 (DEQ) 的准确性低于SEQ.
结论:
- 与Teleon Comfort相比,Zeiss AT LISA TRI表现出卓越的预测准确性,更快的折射稳定性和更好的近视性能.
- 优化IOL特定常数对于提高折射结果的可预测性至关重要.
- 将DEQ纳入常规的折射结果评估可能会提高评估准确性.
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