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

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1

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
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