Crossed versus conventional pseudophakic monovision for high myopic eyes: a prospective, randomized pilot study.
Crossed versus conventional pseudophakic monovision for high myopic eyes: a prospective, randomized pilot study.
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交叉与传统人工晶状体单视治疗高度近视眼：一项前瞻性随机试点研究
DOI：
10.1186/s12886-020-01694-5
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发表时间：
2020-11-16
影响因子：
2
通讯作者：
Hu K
中科院分区：
文献类型：
--
作者：
Xun Y;Wan W;Jiang L;Hu K
传统的人工晶状体眼单视功能已被广泛应用于近视眼患者的双眼单焦点人工透镜植入术中，目的是实现眼镜的独立性。然而，一些研究已经提到，交叉单视（crossed monovision）对于高度近视的白内障患者是优选的，交叉单视用于矫正主视眼的近视力和矫正非主视眼的远视力。我们进行了这项研究，通过比较患者满意度、视功能和眼镜独立性，比较临床结果，评估传统和交叉单视对高度近视人工晶状体患者的可行性。将46例高度近视患者分为两组：22例交叉单视组，患者的屈光度目标为优势眼-2.00 D和非优势眼-0.50 D; 24例常规单视组，患者的屈光度目标为优势眼-0.50 D和非优势眼-2.00 D。术后2周、1个月、3个月分别检查双眼裸眼远视力（BUDVA）、双眼裸眼近视力（BUNVA）、双眼矫正远视力（BCDVA）、双眼矫正近视力（BCNVA）、对比视力和立体视锐度。患者在双眼手术后3个月完成问卷调查，以评估患者的满意度和眼镜独立性。术后2周、1个月、3个月常规单视组和交叉单视组BUDVA、BUNVA、BCDVA、BCNVA的均值差异无统计学意义（P> 0.05）。常规单视组与交叉单视组的双侧对比敏感度和立体视功能差异无统计学意义（P> 0.05）。两组患者对远近视力的满意度及对眼镜的依赖性差异无统计学意义（P> 0.05）。交叉人工晶状体单视技术与传统单视技术相比，具有相似的视觉功能，这表明对于考虑双侧白内障手术的高度近视患者，交叉人工晶状体单视技术是改善视觉功能和生活质量的有效选择。中国重庆市重庆医科大学附属第一医院机构审查委员会和伦理委员会。试验注册于2018年9月提交，2020年3月18日通过，注册号为：ChiCTR 2000030935。
Aiming at spectacle independence, conventional pseudophakic monovision has been widely used in myopia patients with bilateral monofocal intraocular lens implantation. However, the crossed monovision, which is to correct the dominant eye for near vision and the non-dominant eye for distant vision, has been mentioned preferable for high myopic cataract patients by some studies. We have conducted this study to compare clinical results to assess the feasibility of conventional and crossed monovision for high myopic pseudophakic patients by comparing patient satisfaction, visual function and spectacle independence. Forty-sixth high myopia patients were divided into two groups: 22 in crossed monovision group with patients whose refraction targeted to − 2.00 diopters (D) in the dominant eye and − 0.50D in the non-dominant eye; 24 in conventional monovision group with patients whose refraction targeted to − 0.50D in the dominant eye and − 2.00D in the non-dominant eye. Binocular uncorrected distance visual acuity (BUDVA), binocular uncorrected near visual acuity (BUNVA), binocular corrected distant visual acuity (BCDVA), binocular corrected near visual acuity (BCNVA), contrast visual acuity and stereoacuity were examined at postoperative 2 weeks, 1 month and 3 months. Questionnaires were completed by patients 3 months after binocular surgery to evaluate patients’ satisfaction and spectacle independence. The conventional monovision and the crossed monovision group showed no significant differences of mean BUDVA, BUNVA, BCDVA, BCNVA 2 weeks, 1 month or 3 months postoperatively (P > 0.05). There was no difference in the bilateral contrast sensitivity or stereoscopic function between the convention conventional and crossed monovision groups (P > 0.05). Patient satisfaction with near and distant vision, as well as spectacle dependence did not differ significantly between the two groups (P > 0.05). Crossed pseudophakic monovision exhibited similar visual function when compared with conventional monovision technique, which indicates that it is an effective option to improve the visual functionality and quality of life for high myopic patients who considering bilateral cataract surgery. The Institutional Review Board and Ethics committee of the First Affiliated Hospital of Chongqing Medical University, Chongqing, China. The trial registration was submitted in September 2018 and passed on March 18, 2020, and the registration number is: ChiCTR2000030935.
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影响因子：
4.2
作者：
Choudhury F;Meuer SM;Klein R;Wang D;Torres M;Jiang X;McKean-Cowdin R;Varma R;Chinese American Eye Study Group
通讯作者：
Chinese American Eye Study Group
影响因子：
2.8
作者：
Finkelman, Yaron M.;Ng, Jonathon Q.;Barrett, Graham D.
通讯作者：
Barrett, Graham D.
影响因子：
4.1
作者：
Kim, Jaeyoung;Shin, Hyun Jin;Shin, Ki Cheul
通讯作者：
Shin, Ki Cheul
DOI：
10.1001/jama.1910.04330050007004
发表时间：
1910-07-01
影响因子：
--
作者：
Durad, AC;Gould, GM
通讯作者：
Gould, GM
影响因子：
3.7
作者：
Jing Q;Tang Y;Qian D;Lu Y;Jiang Y
通讯作者：
Jiang Y