| 王爽,韩玉彤,李晓鹏.衍射型 Tecnis多焦点人工晶状体对高度近视白内障视觉质量及视功能的影响[J].安徽医药,2024,28(11):2213-2217. |
| 衍射型 Tecnis多焦点人工晶状体对高度近视白内障视觉质量及视功能的影响 |
| Effect of diffractive Tecnis multi-focus intraocular lens on visual quality and visual function in patients with high myopia cataract |
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| DOI：10.3969/j.issn.1009-6469.2024.11.020 |
| 中文关键词: 晶体，人工 衍射型 Tecnis多焦点人工晶状体 近视 白内障 视觉质量 视功能 |
| 英文关键词: Lenses, intraocular Diffractive tecnis multi-focus intraocular lens Myopia Cataracts Visual quality Visual function |
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| 中文摘要: |
| 目的探讨衍射型 Tecnis多焦点人工晶状体对高度近视白内障病人视觉质量及视功能的影响。方法选择 2020年 7月至 2022年 6月新乡医学院第三附属医院收治的 60例高度近视白内障病人，根据简单随机分组法将其分为 Restor组 30例，给予衍射型 Restor多焦点人工晶状体； Tecnis组 30例，予以衍射型 Tecnis多焦点人工晶状体。对比两组治疗前后裸眼视力、最佳矫正视力( BCNVA)、离焦曲线及主客观视觉质量及视功能指数。结果术后 1周和 3个月， Tecnis组裸眼近视力( UCNVA)、裸眼远视力( UCDVA)、 BCNVA分别为( 0.61±0.13)logMAR、(0.46±0.11)logMAR、(0.46±0.12)logMAR、(0.24±0.06)logMAR、(0.23± |
| 英文摘要: |
| Objective To investigate the effects of diffractive Tecnis multi-focus intraocular lens (IOL) on visual quality and visual function in patients with high myopia cataract.Methods Sixty patients with high myopia cataract admitted in the Third Affiliated Hospital of Xinxiang Medical University from July 2020 to June 2022 were divided into two groups according to simple randomization method. One group was given diffractive Restor multi-focus intraocular lens (n=30, Restor group), and the other group was given diffractive Tecnis multi-focus intraocular lens (n=30, Tecnis group), the naked eye visual acuity, best corrected visual acuity, axial length, subjective and objective visual quality and visual function index before and after treatment were compared between the two groups.Results One week and three months after surgery, In Tecnis group, uncorrected near visual acuty (UCNVA), uncorrected distance visual acuity(UCDVA) and besat corrected near visual acuity (BCNVA) were (0.61±0.13)logMAR, (0.46±0.11)logMAR, (0.46±0.12)logMAR, (0.24±0.06)logMAR, (0.23±0.05)logMAR and (0.23±0.07)logMAR, The results were better than (0.68±0.14)logMAR, (0.55±0.13)logMAR,(0.57±0.15) logMAR, (0.33±0.08)logMAR, (0.30±0.07)logMAR, (0.31±0.08)logMAR (P<0.05), there was no significant difference between best correct distant visual acuity (BCDVA) group and Restor group (P>0.05); There was no significant difference in axial length between Tecnis group and Restor group before surgery (P>0.05). objective scattering index (OSI), strehl ratio (SR), modulation transferfunction cut off frequency (MTF) cut off, different contrast visual acuity (OV 9%, OV 20%, OV 100%) were 1.77±0.36, 0.17±0.05,25.35±3.98, 0.78±0.16, 0.83±0.19, 0.85±0.18.They were higher than those in Restor group 1.59±0.31, 0.14±0.04, 23.28±3.52, 0.71±0.14, 0.73±0.16, 0.75±0.15(P<0.05).There were no significant differences between Tecnis group and Restor group in reading demirrorization rate and visual satisfaction at different distances (P>0.05). The score of Visual Funtion Index 14 (VF-14) in Tecnis group was (87.56±4.37)scores, higher than that in Restor group (84.38±4.22)scores (P<0.05).Conclusion Diffractive Tecnis multi-focus intraocular lens can significantly improve the visual quality and visual function of patients with high myopia cataract. |
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