Long-term Visual Function and Patient Satisfaction After Bilateral Implantation and Combination of Two Similar Multifocal IOLs
Long-term Visual Function and Patient Satisfaction After Bilateral Implantation and Combination of Two Similar Multifocal IOLs
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DOI：
10.3928/1081597x-20150423-04
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发表时间：
2015-05-01
影响因子：
2.4
通讯作者：
Marchini, Giorgio
中科院分区：
文献类型：
--
作者：
Mastropasqua, Rodolfo;Pedrotti, Emilio;Marchini, Giorgio
目得：为了评价两个Acrysof ReSTOR（Alcon Laboratories，Inc.，方法：60例患者的120只眼植入双侧多焦点人工晶状体，分为3组，每组20例：SV 25 T0（T0组），SN 6AD 1（D1组），或SN 6AD 1和SV 25 T0的组合（组合组）。术后18个月观察患者的视力（40、50和60 cm，4 m）、散焦曲线（范围：+1.0至-4.0屈光度）和对比敏感度。视力质量、患者满意度和眼镜独立性通过国家眼科研究所屈光不正生活质量量表-42 questionnaire.RESULTS进行评估：D1组获得了更好的近视力结果（P < .01），而T0组获得了更好的中间视力（P = .01）。联合组在所有评价距离上显示出更大范围的眼镜独立性（P <0.05）。各组的对比敏感度相似。T0组的眩光发生率较低（P = 0.054）。联合组在预期（P = .021）和活动限制（P = .003）方面有更好的结果。结论：虽然双眼植入同一多焦点IOL可以最大限度地提高近距离或中距离的视力，但双眼联合这些IOL可以增加眼镜独立性的范围，而不会影响对比敏感度和视觉质量。
PURPOSE: To evaluate the visual outcome, spectacle independence, and patient satisfaction after implantation of two Acrysof ReSTOR (Alcon Laboratories, Inc., Fort Worth, TX) intraocular lenses (IOLs) with different addition power or their combination in both eyes.METHODS: One hundred twenty eyes of 60 patients with bilateral multifocal IOL implantation were divided into three groups of 20 consecutive patients each: the SV25T0 (the T0 group), the SN6AD1 (the D1 group), or a combination of both the SN6AD1 and SV25T0 (the combined group). Patients were observed 18 months postoperatively for visual acuity (40, 50, and 60 cm, and 4 m), defocus curves (range: +1.0 to -4.0 diopters), and contrast sensitivity. Quality of vision, patient satisfaction, and spectacle independence were evaluated by the National Eye Institute Refractive Error Quality of Life Instrument-42 questionnaire.RESULTS: The D1 group achieved better results for near vision (P < .01), whereas the T0 group achieved better intermediate vision (P = .01). The combined group showed a wider range of spectacle independence at all distances evaluated (P < .05). The contrast sensitivity was similar within the groups. The incidence of glare was lower for the T0 group (P = .054). The combined group had better results in terms of expectation (P = .021) and activity limitation (P = .003).CONCLUSION: Although the bilateral implantation of the same multifocal IOL can maximize the vision for near or intermediate distances, the combination of these IOLs in both eyes can increase the range of spectacle independence without compromising the contrast sensitivity and quality of vision.