Patient satisfaction and visual function after pseudophakic monovision
Patient satisfaction and visual function after pseudophakic monovision
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DOI：
10.1016/j.jcrs.2009.01.035
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发表时间：
2009-06-01
影响因子：
2.8
通讯作者：
Barrett, Graham D.
中科院分区：
文献类型：
--
作者：
Finkelman, Yaron M.;Ng, Jonathon Q.;Barrett, Graham D.
目的：评价改良假性单视镜的视力效果和患者满意度。单位：三级教学医院。方法：本前瞻性研究纳入了第一眼白内障手术后的斜视患者，他们在第二眼手术中接受单眼视力治疗，目标屈光度为中等（-1.00 ~ -1.50屈光度[D]）。术前和术后3 ~ 4个月分别测量视力、对比敏感度、立体视觉、患者满意度和眼镜独立性。结果：该研究评估了26例患者的52只眼，近眼和远眼之间的平均屈光参差为1.16 d， 96%的患者未矫正的远眼视力至少为20/30,92%的患者达到N8 （J4）或更好的未矫正近眼视力。保持了良好的立体视觉和对比灵敏度。患者对手术总体满意。四分之一的患者完全不戴眼镜；1例完全依赖眼镜。没有患者需要人工晶状体（IOL）交换或其他屈光矫正手术。结论：屈光目标适中的单视镜获得了良好的视觉功能和患者满意度，没有多焦点iol相关的麻烦视觉症状的固有风险。J白内障屈光外科2009；[3] [C] 2009 ASCRS与ESCRS
PURPOSE: To evaluate the visual outcomes and patient satisfaction with modified pseudophakic monovision.SETTING: Tertiary teaching hospital.METHODS: This prospective study comprised patients with emmetropia after first-eye cataract Surgery who were offered monovision for the second-eye surgery with a moderate myopic target refraction (-1.00 to -1.50 diopters [D]). Visual acuity, contrast sensitivity, stereopsis, patient satisfaction, and degree of spectacle independence were measured preoperatively and 3 to 4 months postoperatively.RESULTS: The study evaluated 52 eyes of 26 patients with a mean anisometropia between the near eye and the distance eye of 1.16 D. Uncorrected distance visual acuity was at least 20/30 in 96% of patients, with 92% achieving N8 (J4) or better uncorrected near acuity. Good stereopsis and contrast sensitivity were maintained. Patients were generally satisfied with the surgery. One fourth of patients were completely independent of spectacles; 1 patient was totally dependent on spectacles. No patient required intraocular lens (IOL) exchange or other refractive corrective procedures.CONCLUSION: Monovision with modest refractive targets achieved good visual function and patient satisfaction without the inherent risk for troublesome visual symptoms associated with multifocal IOLs. J Cataract Refract Surg 2009; 35:998-1002 (C) 2009 ASCRS and ESCRS