在联合DMEK和白内障手术后进行非衍射EDOF内膜眼镜植入
Antonio Cano-Ortiz1,2,3, Álvaro Sánchez-Ventosa1, Marta Villalba González1
1Department of Ophthalmology, Hospital La Arruzafa, Córdoba, Spain.
Journal of refractive surgery (Thorofare, N.J. : 1995)
|February 10, 2026
概括
在Fuchs中,AcrySof IQ Vivity扩展焦点深度眼内透镜 (EDOF IOL) 显示出良好的结果.
科学领域:
- 眼科医生 眼科 眼科
- 角膜外科手术 角膜外科手术
- 眼内透镜技术 眼内透镜技术
背景情况:
- 福克斯内皮质疏松症需要角膜移植,通常与白内障手术相结合.
- 扩展焦点深度眼内透镜 (EDOF IOLs) 提供了更好的视觉功能.
- 对于接受Descemet膜内皮切除术 (DMEK) 的患者来说,AcrySof IQ Vivity EDOF IOL是一种新的选择.
研究的目的:
- 为了评估AcrySof IQ Vivity EDOF IOL在Fuchs内皮缩症患者中的疗效.
- 为了比较分阶段和同时进行的DMEK和白内障手术之间的视觉结果.
- 评估折射精度,角膜地形和患者报告的视觉质量.
主要方法:
- 对29只患有Fuchs内皮损伤的眼睛进行了前性,非随机的比较研究.
- 患者接受了分阶段 (n=14) 或同时 (n=15) 用Vivity EDOF IOL进行DMEK和白内障手术.
- 视力敏度,折射结果,角膜地形和视力质量 (QoV) 在12周后进行了评估.
主要成果:
- 阶段化组表现出明显更好的距离,中间和近视敏度 (P < .05).
- 折射精度是可比的; 72%的分阶段与60%的同时在±0.50 D内.
- 同时进行手术导致内皮细胞密度更高 (P < .001),具有类似的QoV得分.
结论:
- 在DMEK和白内障手术期间植入AcrySof IQ Vivity EDOF IOL可提供良好的视觉结果.
- 阶段式和同时方法都是可行的,阶段式方法显示出卓越的视觉敏度.
- 患者特定的因素应指导选择最佳结果的手术序列.
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