山东大学耳鼻喉眼学报 ›› 2014, Vol. 28 ›› Issue (6): 68-71.doi: 10.6040/j.issn.1673-3770.0.2014.164

• 论著 • 上一篇    下一篇

不同类型人工晶体植入后视觉效果的比较

王晶1,3, 李彬2, 毕宏生3, 张苗苗2, 栗映梅2, 丁刚2   

  1. 1. 山东中医药大学2012级硕士研究生, 山东 济南 250011;
    2. 济南市第二人民医院眼科, 山东 济南 250001;
    3. 山东中医药大学附属眼科医院, 山东 济南 250001
  • 收稿日期:2014-05-14 发布日期:2014-12-16
  • 通讯作者: 毕宏生. E-mail:hongshengbi@126.com E-mail:hongshengbi@126.com
  • 作者简介:王晶. E-mail:eye8088@163.com

Comparison of visual performance after implantation of intraocular lenses: accommodative, spherical monofocal and aspheric monofocal

WANG Jing1,3, LI Bin2, BI Hong-sheng3, ZHANG Miao-miao2, LI Ying-mei2, DING Gang2   

  1. 1. Graduate Student of Shandong University of Traditional Chinese Medicine, Jinan 250011, Shandong, China;
    2. Department of Ophthalmology, Jinan Second People's Hospital, Jinan 250001, Shandong, China;
    3. Ophthalmology Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250001, Shandong, China
  • Received:2014-05-14 Published:2014-12-16

PDF (PC)

1600

摘要： 目的 比较植入可调节、非球面和球面人工晶状体植入术后的视觉质量.方法 选择2010年1月～2012年12月在济南市第二人民医院眼科白内障中心接受白内障超声乳化联合人工晶体植入术患者共180例(180眼),根据人工晶体植入类型分为3组: Telraflex可调节人工晶体(A组,60眼/60例),博士伦Akreos AO折叠式非球面人工晶体(B组, 60眼/60例),博士伦Akreos Adapt折叠式球面人工晶体(C组,60眼/60例).术后1、3、12个月进行随访,对术眼进行裸眼远视力、最佳矫正远视力(BCDVA)、最佳矫正远视力下的中间视力(DCIVA)、最佳矫正远视力下的近视力 (DCNVA)、伪调节力和对比敏感度检查.结果 患者裸眼远视力差异无统计学意义(P>0.05).BCDVA 3 组之间无明显差异(P>0.05).DCIVA、DCNVA及人工晶体眼伪调节力均表现为A组明显优于B组和C组(P<0.05).在各百分比对比度下,3组患者的对比敏感度比较无显著性差异(P>0.05).结论 植入3种人工晶状体后,患者均可获得较好的远视力,相比于非球面及球面人工晶体,可调节人工晶状体均拥有更佳的远、中、近视力及较高的调节力.

关键词: 对比敏感度, 伪调节, 人工晶体, 调节

Abstract: Objective To compare the performance of accommodative, spherical monofocal and aspheric monofocal intraocular lenses (IOLs). Methods In this clinical control study, 3 types of IOL were implanted in 180 eyes of 180 patients with age-related cataract who underwent phacoemulsification. Accommodative (Tetraflex), aspheric monofocal (akreos advanced optics [AO]) (ZMA00), and spherical monofocal (Akreos Adapt) IOLs were implanted. The uncorrected, best-corrected distance, contrast sensitivity, and distancecorrected intermediate and near visual acuity (UCDVA, BCDVA, CSVA, DCIVA, and DCNVA, respectively), and amplitude of pseudoaccommodation were measured at 1, 3, and 12 months after surgery. Results Differences in CSVA at all contrast degrees, UCDVA, and BCDVA among the three groups were not significant. Patients in the tetraflex group exhibited a better DCIVA and DCNVA and experienced more pseudoaccommodation compared to patients in the other two groups at 3 and 12 months after surgery (P<0.01). Conclusion All the three types of IOLs allow greater distance visual acuity; However, tetraflex IOLs produced better DCIVA and DCNVA and more pseudoaccommodation.

Key words: Accommodative, Intraocular lens, pseudoaccommodation, Contrast sensitivity

中图分类号: 

  • R776.1
[1] Richdale K, Sinnott L T, Bullimore M A, et al. Quantification of age-related and per diopter accommodative changes of the lens and ciliary musclein the emmetropic human eye[J]. Invest Ophthalmol Vis Sci, 2013, 54(2):1162-1169.
[2] Lockhart T E, Shi W. Effects of age on dynamic accommodation[J]. Ergonomics, 2010, 53(7):892-903.
[3] Findl O, Kiss B, Petternel V, et al. Intraacular lens movement caused by eiliary muscle contraction[J]. J Cataract Refract Surg, 2003, 29(4):669-676.
[4] Javitt J C, Steinert R F. Cataract extraction with multifocal intraocular lens implantation: a multifocal clinical trial evaluating clinical, functional and quality-of-life outcomes[J]. Ophthalmology, 2000, 107(11):2040-2048.
[5] Ostrin L A, Liu Y, Choh V, et al. The role of the iris in chick accommodation[J]. Invest Ophthalmol Vis Sci, 2011, 52(7):4710-4716.
[6] Artal P, Guirao A, Berrio E, et al. Compensation of comeal abemtion by the intemal opIics in the human eye[J]. J Vis, 2001, 1(1):1-8.
[7] Smith G, Cox M J, Calver R, et al. The spherical aberration of the crystalline lens of human eye[J]. Vision Res, 2001, 41(2):235-243.
[8] Wolffsohn J S, Naroo S A, Motwani N K, et al. Subjective and objective performance of the Lenstec KH-350 accommodative intraocular lens[J]. Br J Ophthalmol,2006, 90(6):693-696.
[9] Sanders D R, Sandem M L. Visual performance results after Tetraflex accommodating intraocular lens implantation[J]. Ophthalmology, 2007, 114(9):1679-1684.
[10] Glasser A. Restoration of accommodation: surgical options for correction of presbyopia[J]. Clin Exp Optom, 2008, 91(3):279-295.
[11] Lockhart T E, Shi W. Effects of age on dynamic accommodation[J]. Ergonomics, 2010, 53(7):892-903.
[12] Bellucci R. Multifbcal intraocular lenses[J]. Curr Opin Ophthalmol. 2005, 16(1):33-37.
[13] Yamaguchi T, Negishi K, Ono T, et al. Feasibility of spherical aberration correction with aspheric intraocular lenses in cataract surgery based on individual pupil diameter[J]. J Cataract Refract Surg, 2009, 35(10):1725-1733.
[14] Hashemi H, Yazdani K, Khabazkhoob M, et al. Distribution of photopic pupil diameter in the Tehran eye study[J]. Curr Eye Res, 2009, 34(5):378-385.
[1] 李宏梅,王兰,高照慧,王莹,薛金梅. p-ERK2及ERK2在鼻息肉组织的表达及其意义[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 42-46.
[2] 高雪,郝琳琳,刘少华,张晗. 两种人工晶体计算公式预测闭角型青光眼合并白内障患者超声乳化手术后屈光度准确性的比较[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 68-71.
[3] 王磊, 张晗. 人工晶体屈光力的计算[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 21-28.
[4] 徐静静,郭海科. 有晶体眼后房型人工晶体植入与飞秒激光微小切口角膜基质透镜切除术矫正高度近视对眼表影响分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 18-20.
[5] 李茜,郦舒伊,徐雯. 人工晶体反装1例诊断与治疗[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 40-42.
[6] 高振峰,陶谦,蔡晓岚. ERK5蛋白在鼻息肉细胞中的表达和意义[J]. 山东大学耳鼻喉眼学报, 2016, 30(1): 40-42.
[7] 王晶, 武芹, 吴昊, 刘春雷, 毕宏生. 客观视觉质量分析系统测量人工晶体伪调节力的临床研究[J]. 山东大学耳鼻喉眼学报, 2015, 29(3): 84-85.
[8] 朱慧涛, 蔡晓岚, 冯昕, 齐君君, 张金陵, 马越, 李学忠. TSLP与调节性T淋巴细胞在慢性鼻窦炎中的表达[J]. 山东大学耳鼻喉眼学报, 2015, 29(2): 48-51.
[9] 赵军, 刘景, 王大江, 陈国玲, 王琪, 张晗. Foxp3基因转染的Teff细胞抗高危角膜移植排斥的作用[J]. 山东大学耳鼻喉眼学报, 2015, 29(1): 44-48.
[10] 于阅尽, 谭骏, 曹云虹, 张慧, 贾秀华, 叶青. 调节性T细胞与变应性鼻炎特异性脱敏治疗效果的关系[J]. 山东大学耳鼻喉眼学报, 2014, 28(5): 38-41.
[11] 盛宏申, 何跃, 黄德亮, 韩东一, 杨仕明, 戴朴, 武文明. 颈静脉球瘤中胰岛素样生长因子-1、细胞外信号调节激酶1/2的表达及意义[J]. 山东大学耳鼻喉眼学报, 2014, 28(4): 77-80.
[12] 戴丽华，张秀果，张京京，郭霞. 近用复合棱镜防治青少年近视的临床研究[J]. 山东大学耳鼻喉眼学报, 2014, 28(1): 73-75.
[13] 苗北平1，张蕊石2，郭志红3，孙焕吉1，孟庆国1，王晓彬1. 鼻咽癌中VEGF的表达与树突状细胞含量的相关分析及临床意义[J]. 山东大学耳鼻喉眼学报, 2013, 27(4): 62-65.
[14] 庞文会1，时光刚1，时蕾1，王和峰2，王小婷1，韩杰1，李建峰1，王海波1. 调节性T细胞与IgE、IL-4、IL-5在变应性鼻炎小鼠和鼻用激素抗炎中的实验研究[J]. 山东大学耳鼻喉眼学报, 2013, 27(2): 29-33.
[15] 李瑞凤1，刘桂香2，万鲁芹3. 实验近视性屈光参差对双眼视功能的影响[J]. 山东大学耳鼻喉眼学报, 2012, 26(3): 72-74.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
网站版权所有 © 2018 《山东大学耳鼻喉眼学报》编辑部　
地址：山东省济南市山大南路27号（250100）电话：+86-0531-88366912 E-mail: ebhxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发