山东大学耳鼻喉眼学报 ›› 2021, Vol. 35 ›› Issue (2): 141-146.doi: 10.6040/j.issn.1673-3770.0.2020.164

• 综述 • 上一篇    

多焦点人工晶体植入术后的视觉质量及并发症

魏佩佩综述李灿审校   

  1. 重庆医科大学附属第一医院 眼科, 重庆 400016
  • 发布日期:2021-04-20
  • 通讯作者: 李灿. E-mail:892496605@qq.com

Visual quality and complications after implantation of multifocal intraocular lens

WEI PeipeiOverview,LI CanGuidance   

  1. Department of Ophthalmology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
  • Published:2021-04-20

摘要: 白内障超声乳化摘除联合人工晶体植入术现为世界范围内白内障主流手术方式。人工晶体主要包括单焦点、功能性两大类,尽管SIOL对白内障患者的远视力提高有较好效果,但受其光学设计的影响,无法有效改善患者的中近视力,术后仍需戴镜视近,功能性人工晶体在此基础上应运而生,主要针对白内障患者植入多焦点人工晶体后的视觉质量及其并发症做阐述。

关键词: 白内障, 多焦点人工晶体, 单焦点人工晶体, 视觉质量, 并发症

Abstract: Phacoemulsification combined with intraocular lens implantation is one of the main methods of cataract surgery. Currently, there are two types of intraocular lenses: single focus intraocular lens and multifocal intraocular lens. Although the single focus intraocular lens can provide good distance visual acuity, it does not effectively improve intermediate and near visual acuities, and presbyopic glasses are still needed. Based on this limitation, the multifocal intraocular lens was introduced. Our article aims to review the visual quality and complications after the implantation of multifocal intraocular lens.

Key words: Cataract, Multifocal intraocular lens, Single focus intraocular lens, Visual quality, Compications

中图分类号: 

  • R776.3
[1] 魏超, 张晗. 多焦点人工晶状体的临床应用进展[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 29-35. doi:10.6040/j.issn.1673-3770.1.2017.027. WEI Chao, ZHANG Han. Multifocal intraocular lens: progress in clinical application[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(4): 29-35. doi:10.6040/j.issn.1673-3770.1.2017.027.
[2] 毕宏生. 精准屈光性白内障手术规划[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 1-4. doi:10.6040/j.issn.1673-3770.1.2017.026. BI Hongsheng. Design of treatment protocol in refractive cataract surgery is important for postoperative visual outcomes[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(4): 1-4. doi:10.6040/j.issn.1673-3770.1.2017.026.
[3] García-Pérez JL, Gros-Otero J, Sánchez-Ramos C, et al. Short term visual outcomes of a new trifocal intraocular lens[J]. BMC Ophthalmol, 2017, 17: 72. doi:10.1186/s12886-017-0462-y.
[4] Shah S, Peris-Martinez C, Reinhard T, et al. Visual outcomes after cataract surgery: multifocal versus monofocal intraocular lenses[J]. J Refract Surg, 2015, 31(10): 658-666. doi:10.3928/1081597x-20150611-01.
[5] 唐唯, 李元彬. 屈光性白内障手术新进展[J]. 山东大学耳鼻喉眼学报, 2019, 33(2): 149-158. doi:10.6040/j.issn.1673-3770.0.2018.325. TANG Wei, LI Yuanbin. New progress in refractive cataract surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 149-158. doi:10.6040/j.issn.1673-3770.0.2018.325.
[6] Pedrotti E, Mastropasqua R, Bonetto J, et al. Quality of vision, patient satisfaction and long-term visual function after bilateral implantation of a low addition multifocal intraocular lens[J]. Int Ophthalmol, 2018, 38(4): 1709-1716. doi:10.1007/s10792-017-0652-x.
[7] Yamauchi T, Tabuchi H, Takase K, et al. Comparison of visual performance of multifocal intraocular lenses with same material monofocal intraocular lenses[J]. PLoS One, 2013, 8(6): e68236. doi:10.1371/journal.pone.0068236.
[8] 邢茜, 管怀进, 吴坚. 多焦点人工晶状体植入术后不同对比度下视力的分析[J]. 国际眼科杂志, 2011, 11(10): 1724-1725. doi:10.3969/j.issn.1672-5123.2011.10.012. XING Qian, GUAN Huaijin, WU Jian. Vision acuity study at different contrast after multifocal intraocular lens implantation[J]. International Journal of Ophthalmology, 2011, 11(10): 1724-1725. doi:10.3969/j.issn.1672-5123.2011.10.012.
[9] 屈思萌, 陈琛, 林珊, 等. 不同多焦点人工晶状体植入术后视觉效果的比较[J]. 国际眼科杂志, 2018, 18(3): 486-490. doi:10.3980/j.issn.1672-5123.2018.3.19. QU Simeng, CHEN Chen, LIN Shan, et al. Comparison on the visual quality after different multifocal lens implantation in cataract patients[J]. International Eye Science, 2018, 18(3): 486-490. doi:10.3980/j.issn.1672-5123.2018.3.19.
[10] Bartol-Puyal F de Asís, Talavero P, Giménez G, et al. Reading and quality of life differences between tecnis ZCB00 monofocal and tecnis ZMB00 multifocal intraocular lenses[J]. Eur J Ophthalmol, 2017, 27(4): 443-453. doi:10.5301/ejo.5000925.
[11] Hütz WW, Eckhardt BH, Röhrig B, et al. Reading ability with 3 multifocal intraocular lens models[J]. J Cataract Refract Surg, 2006, 32(12): 2015-2021. doi:10.1016/j.jcrs.2006.08.029.
[12] Akku ÖG, Petriçli IS. Comparison of visual outcomes and reading performance after bilateral implantation of multifocal intraocular lenses with bilateral monofocal intraocular lenses[J]. Int Ophthalmol, 2018, 38(3): 1011-1019. doi:10.1007/s10792-017-0552-0.
[13] Alió JL, Plaza-Puche AB, Piñero DP, et al. Optical analysis, reading performance, and quality-of-life evaluation after implantation of a diffractive multifocal intraocular lens[J]. J Cataract Refract Surg, 2011, 37(1): 27-37. doi:10.1016/j.jcrs.2010.07.035.
[14] Kim M, Kim JH, Lim TH, et al. Comparison of reading speed after bilateral bifocal and trifocal intraocular lens implantation[J]. Korean J Ophthalmol, 2018, 32(2): 77. doi:10.3341/kjo.2017.0057.
[15] John SM Chang. Bilateral implantation of a single-piece bifocal diffractive intraocular lens in presbyopic patients: a prospective case series[J]. Asia Pac J Ophthalmol(Phila), 2019, 8(1): 12-21. doi:10.22608/apo.2018152.
[16] 王潇, 陈碧超, 曹丹敏, 等. 旋转非对称折射型多焦点人工晶状体植入术后早期效果[J]. 中华眼视光学与视觉科学杂志, 2019, 21(4): 259-264. doi:10.3760/cma.j.issn.1674-845X.2019.04.004. WANG Xiao, CHEN Bichao, CAO Danmin, et al. Surgical effect after refractive rotationally asymmetric multifocal intraocular lens implantation[J]. Chinese Journal of Optometry Ophthalmology and Visual Science, 2019, 21(4): 259-264. doi:10.3760/cma.j.issn.1674-845X.2019.04.004.
[17] Shen ZR, Lin YC, Zhu YN, et al. Clinical comparison of patient outcomes following implantation of trifocal or bifocal intraocular lenses: a systematic review and meta-analysis[J]. Sci Rep, 2017, 7: 45337. doi:10.1038/srep45337.
[18] McNeely RN, Pazo E, Spence A, et al. Visual quality and performance comparison between 2 refractive rotationally asymmetric multifocal intraocular lenses[J]. J Cataract Refract Surg, 2017, 43(8): 1020-1026. doi:10.1016/j.jcrs.2017.05.039.
[19] 凌宇, 熊飞, 于璐, 等. 多焦点人工晶体植入术后双眼离焦曲线对视觉功能的评价[J]. 实用医学杂志, 2019, 35(10): 1635-1638. doi:10.3969/j.issn.1006-5725.2019.10.023. LING Yu, XIONG Fei, YU Lu, et al. Evaluation of visual function after multifocal intraocular lens implantation through defocus curves assess-ment[J]. The Journal of Practical Medicine, 2019, 35(10): 1635-1638. doi:10.3969/j.issn.1006-5725.2019.10.023.
[20] 吕炜亮, 刘欣华, 张静. 两焦点与三焦点人工晶状体植入术后视觉质量的比较[J]. 国际眼科杂志, 2020, 20(1): 41-44. doi:10.3980/j.issn.1672-5123.2020.1.09. LYU Weiliang, LIU Xinhua, ZHANG Jing. Comparison of visual quality between bifocal and trifocal intraocular lens implantation[J]. International Eye Science, 2020, 20(1): 41-44. doi:10.3980/j.issn.1672-5123.2020.1.09.
[21] Alió JL, Plaza-Puche AB, Javaloy J, et al. Comparison of the visual and intraocular optical performance of a refractive multifocal IOL with rotational asymmetry and an apodized diffractive multifocal IOL[J]. J Refract Surg, 2012, 28(2): 100-105. doi:10.3928/1081597x-20120110-01.
[22] Li L, Zheng GY, Zhao YT, et al. Long-term clinical observation of aspheric multifocal intraocular lens implantation[J]. Zhonghua Yan Ke Za Zhi, 2017, 53(8): 599-609. doi:10.3760/cma.j.issn.0412-4081.2017.08.008.
[23] Santhiago M, Netto M, Barreto J, et al. Wavefront analysis and modulation transfer function of three multifocal intraocular lenses[J]. Indian J Ophthalmol, 2010, 58(2): 109. doi:10.4103/0301-4738.60075.
[24] Papadatou E, del águila-Carrasco AJ, Esteve-Taboada JJ, et al. Assessing the in vitro optical quality of presbyopic solutions based on the axial modulation transfer function[J]. J Cataract Refract Surg, 2016, 42(5): 780-787. doi:10.1016/j.jcrs.2015.11.049.
[25] 崔嵬, 杨松霖, 晏晓明. 区域折射型多焦点人工晶状体与非球面单焦点人工晶状体植入术后患者客观视觉质量的短期对比研究[J]. 中华眼科医学杂志(电子版), 2018, 8(3): 103-109. doi:10.3877/cma.j.issn.2095-2007.2018.03.002. CUI Wei, YANG Songlin, YAN Xiaoming. Short-term objective visual quality comparison between after implantation of segmental refractive multifocal intraocular lens and aspheric-surface monofocal intraocular lens[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2018, 8(3): 103-109. doi:10.3877/cma.j.issn.2095-2007.2018.03.002.
[26] 刘慧, 樊映川, 巫雷. 双通道客观视觉质量分析系统评估多焦点人工晶状体植入术后视觉质量[J]. 国际眼科杂志, 2019, 19(4): 609-613. doi:10.3980/j.issn.1672-5123.2019.4.18. LIU Hui, FAN Yingchuan, WU Lei. Evaluation of visual quality in eyes implanted with different types of multifocal intraocular lenses by optical quality analysis system[J]. International Eye Science, 2019, 19(4): 609-613. doi:10.3980/j.issn.1672-5123.2019.4.18.
[27] Hayashi K. Correlation between pupillary size and intraocular lens decentration and visual acuity of a zonal-progressive multifocal lens and a monofocal lens[J]. Ophthalmology, 2001, 108(11): 2011-2017. doi:10.1016/s0161-6420(01)00756-4.
[28] Alio JL, Plaza-Puche AB, Férnandez-Buenaga R, et al. Multifocal intraocular lenses: an overview[J]. Surv Ophthalmol, 2017, 62(5): 611-634. doi:10.1016/j.survophthal.2017.03.005.
[29] Artigas José M, Menezo José L, Cristina Peris, et al. Image quality with multifocal intraocular lenses and the effect of pupil size: comparison of refractive and hybrid refractive-diffractive designs[J]. J Cataract Refract Surg, 2007, 33: 2111-2117. doi: 10.1016/j.jcrs.2007.07.035.
[30] Alió J, Salerno L, Tiveron M. Multifocal intraocular lenses: Types, outcomes, complications and how to solve them[J]. Taiwan J Ophthalmol, 2017, 7(4): 179. doi:10.4103/tjo.tjo_19_17.
[31] Alió JL, Plaza-Puche AB, Fernandez-Buenaga R et al. Multifocal intraocular lenses: an overview[J]. Survey of Ophthalmol, 2017, 62(5): 611-634. doi: 10.1016/j.survophthal.2017.03.005.
[32] Findl O, Buehl W, Bauer P, et al. Interventions for preventing posterior capsule opacification[J]. Cochrane Database Syst Rev, 2010, 17(2)CD003738. doi:10.1002/14651858.cd003738.pub3.
[33] Hood Christopher T, Sugar Alan. Subjective complaints after cataract surgery: common causes and management strategies[J]. Curr Opin Ophthalmol, 2015, 26: 45-49. doi: 10.1097/ICU.0000000000000112.
[34] de Castro A, Rosales P, Marcos S. Tilt and decentration of intraocular lenses in vivo from Purkinje and Scheimpflug imaging[J]. J Cataract Refract Surg, 2007, 33(3): 418-429. doi:10.1016/j.jcrs.2006.10.054.
[35] Holladay JT, Zhao HW, Reisin CR. Negative Dysphotopsia: The enigmatic penumbra[J]. J Cataract Refract Surg, 2012, 38(7): 1251-1265. doi:10.1016/j.jcrs.2012.01.032.
[36] Erie JC, Simpson MJ, Bandhauer MH. A modified intraocular lens design to reduce negative Dysphotopsia[J]. J Cataract Refract Surg, 2019, 45(7): 1013-1019. doi:10.1016/j.jcrs.2019.01.019.
[37] Erie JC, Simpson MJ, Bandhauer MH. Effect of a sulcus-fixated piggyback intraocular lens on negative Dysphotopsia: Ray-tracing analysis[J]. J Cataract Refract Surg, 2019, 45(4): 443-450. doi:10.1016/j.jcrs.2018.10.041.
[38] Makhotkina NY, Dugrain V, Purchase D, et al. Effect of supplementary implantation of a sulcus-fixated intraocular lens in patients with negative Dysphotopsia[J]. J Cataract Refract Surg, 2018, 44(2): 209-218. doi:10.1016/j.jcrs.2017.11.013.
[39] Chang DH, Rocha KM. Intraocular lens optics and aberrations[J]. Curr Opin Ophthalmol, 2016, 27(4): 298-303. doi:10.1097/icu.0000000000000279.
[40] Rosa AM, Miranda ÂC, Patrício M, et al. Functional magnetic resonance imaging to assess the neurobehavioral impact of Dysphotopsia with multifocal intraocular lenses[J]. Ophthalmology, 2017, 124(9): 1280-1289. doi:10.1016/j.ophtha.2017.03.033.
[41] Rosa AM, Miranda ÂC, Patrício MM, et al. Functional magnetic resonance imaging to assess neuroadaptation to multifocal intraocular lenses[J]. J Cataract Refract Surg, 2017, 43(10): 1287-1296. doi:10.1016/j.jcrs.2017.07.031.
[42] Palomino Bautista C, Carmona González D, Castillo Gómez A, et al. Evolution of visual performance in 250 eyes implanted with the tecnis ZM900 multifocal IOL[J]. Eur J Ophthalmol, 2009, 19(5): 762-768. doi:10.1177/112067210901900513.
[43] Mester U, Vaterrodt T, Goes F, et al. Impact of personality characteristics on patient satisfaction after multifocal intraocular lens implantation: results from the “happy patient study”[J]. J Refract Surg, 2014, 30(10): 674-678. doi:10.3928/1081597x-20140903-05.
[1] 王新萌,姬俊雅,于浩南,付鸿臣,王翔,郑泽坤,李艳,钟莹莹. 急性闭角型青光眼超声乳化联合房角分离术后屈光预测准确性分析[J]. 山东大学耳鼻喉眼学报, 2026, 40(2): 74-79.
[2] 刘振,周维维,刘涵婧,张艺,朱玉广,朱艳. 人工晶状体Alpha角对连续视程人工晶状体眼视觉质量的影响[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 47-53.
[3] 卢朝阳, 翟兆雪, 王慧康, 邵丽婷, 张宇. 新冠肺炎治疗引发糖尿病酮症酸中毒合并鼻眶脑型毛霉菌病1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 90-94.
[4] 黄旗,邓旭雯,王佩佩,陈烨群,古学军. 基于EyeSi手术模拟器评估眼科医师白内障手术水平[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 83-88.
[5] 汪盛,黄旭东. 铁死亡与年龄相关性白内障的研究新进展[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 161-168.
[6] 马馨,董凌康,吴红敏,易红良,邹建银. 外展悬吊缝合技术在阻塞性睡眠呼吸暂停治疗中的改良及应用进展[J]. 山东大学耳鼻喉眼学报, 2025, 39(3): 81-88.
[7] 孙鸿翔,曹娟. 老年白内障患者心理脆弱现状及其与希望水平和述情障碍的相关性[J]. 山东大学耳鼻喉眼学报, 2025, 39(1): 89-95.
[8] 马莉,高瞻,李鹏起,倪前伟. 鼻眶筛并发颧骨骨折伴发症解剖研究现状[J]. 山东大学耳鼻喉眼学报, 2024, 38(5): 126-130.
[9] 马继玲,王晓明,李琰,穆延潇,靳琳,孔慧,杨乃甫,党光福. 基于CASIA2评价白内障术后3种非球面人工晶状体囊袋内倾斜和偏心的研究[J]. 山东大学耳鼻喉眼学报, 2024, 38(4): 76-85.
[10] 李浩,杨丽媛,张守凯. 鼻窦药物缓释支架在难治性鼻窦炎中的短期临床观察[J]. 山东大学耳鼻喉眼学报, 2024, 38(3): 38-42.
[11] 李洋,马萍,张晗. 不同术式对青光眼术后角膜散光的影响[J]. 山东大学耳鼻喉眼学报, 2024, 38(3): 137-143.
[12] 王道光,马元孝,王玉成,任梦佳,蔡可丽. AT LISA 809M双焦点及Proming A1-UV单焦点人工晶状体植入术后视功能的对照研究[J]. 山东大学耳鼻喉眼学报, 2024, 38(1): 39-45.
[13] 鲁欢,何本超,廖红明. 儿童急性鼻窦炎合并眶眼蜂窝织炎并发颅内感染1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(1): 46-50.
[14] 买尔哈巴·玉素甫,克里木江·阿不拉,丁琳,秦艳莉,陈雪艺. 伴发于后巩膜葡萄肿的高度近视性白内障眼底病变相关研究[J]. 山东大学耳鼻喉眼学报, 2023, 37(5): 107-114.
[15] 李婉玉,古学军. 抗中性粒细胞胞浆抗体相关性血管炎并发巩膜炎及白内障1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(4): 149-152.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!