中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
2期
130-134
,共5页
人工晶状体%双通道%散射%视觉质量
人工晶狀體%雙通道%散射%視覺質量
인공정상체%쌍통도%산사%시각질량
Lens%Double-pass system%Straylight%Optical performance
目的 使用OQAS视觉质量分析系统比较超声乳化白内障摘除术后联合植入亲水性或疏水性丙烯酸酯人工晶状体(IOL)在4 mm瞳孔下眼内散射光和视觉质量的差异,并探讨眼内散射光与视觉质量的关系.方法 回顾性病例系列研究.收集2012年3～12月在天津市眼科医院就诊的年龄相关性白内障术后植入亲水性或疏水性丙烯酸IOL至少3个月的患者56例(68只眼).按照IOL的材质分为3组:分别为1组:一体肝素表面处理亲水性丙烯酸人工晶状体(HQ201HEP) 28只眼;2组:三体疏水丙烯酸酯Tecnis 9003 (ZA9003) 20只眼;3组:三体疏水性丙烯酸酯Sensar (AR40E) 20只眼.使用OQAS视觉质量分析系统定量测量在4 mm瞳孔下不同材质IOL的客观散射指数(OSI)和视觉质量:调制传递函数截止频率(MTF Cut off)、斯特尔比率(Strehl ratio,SR),并进行比较.结果 4mm瞳孔下HQ201HEP、ZA9003和AR40E的眼内OSI、MTF Cut off、SR之间的差异有统计学意义(F值分别为10.016、6.017、6.464,P值分别为0.000、0.004、0.003);两两比较:HQ201HEP组和ZA9003组,HQ201HEP组和AR40E组之间的OSI、MTF Cut off、SR的差异有统计学意义(P＜0.05).HQ201HEP组中OSI与MTF Cut off、SR及患者的年龄之间有相关性差异有统计学意义(P＜0.05);ZA9003组中OSI与MTF Cut off、SR之间有相关性差异有统计学意义(P ＜0.05); AR40E组OSI与MTF Cut off、SR之间有相关性差异有统计学意义(P＜0.05).结论 疏水性丙烯酸酯IOL的眼内散射值较亲水性丙烯酸酯IOL的眼内散射值小,并且视觉质量较好;散射光严重影响人工晶状体眼的视觉质量.
目的 使用OQAS視覺質量分析繫統比較超聲乳化白內障摘除術後聯閤植入親水性或疏水性丙烯痠酯人工晶狀體(IOL)在4 mm瞳孔下眼內散射光和視覺質量的差異,併探討眼內散射光與視覺質量的關繫.方法 迴顧性病例繫列研究.收集2012年3～12月在天津市眼科醫院就診的年齡相關性白內障術後植入親水性或疏水性丙烯痠IOL至少3箇月的患者56例(68隻眼).按照IOL的材質分為3組:分彆為1組:一體肝素錶麵處理親水性丙烯痠人工晶狀體(HQ201HEP) 28隻眼;2組:三體疏水丙烯痠酯Tecnis 9003 (ZA9003) 20隻眼;3組:三體疏水性丙烯痠酯Sensar (AR40E) 20隻眼.使用OQAS視覺質量分析繫統定量測量在4 mm瞳孔下不同材質IOL的客觀散射指數(OSI)和視覺質量:調製傳遞函數截止頻率(MTF Cut off)、斯特爾比率(Strehl ratio,SR),併進行比較.結果 4mm瞳孔下HQ201HEP、ZA9003和AR40E的眼內OSI、MTF Cut off、SR之間的差異有統計學意義(F值分彆為10.016、6.017、6.464,P值分彆為0.000、0.004、0.003);兩兩比較:HQ201HEP組和ZA9003組,HQ201HEP組和AR40E組之間的OSI、MTF Cut off、SR的差異有統計學意義(P＜0.05).HQ201HEP組中OSI與MTF Cut off、SR及患者的年齡之間有相關性差異有統計學意義(P＜0.05);ZA9003組中OSI與MTF Cut off、SR之間有相關性差異有統計學意義(P ＜0.05); AR40E組OSI與MTF Cut off、SR之間有相關性差異有統計學意義(P＜0.05).結論 疏水性丙烯痠酯IOL的眼內散射值較親水性丙烯痠酯IOL的眼內散射值小,併且視覺質量較好;散射光嚴重影響人工晶狀體眼的視覺質量.
목적 사용OQAS시각질량분석계통비교초성유화백내장적제술후연합식입친수성혹소수성병희산지인공정상체(IOL)재4 mm동공하안내산사광화시각질량적차이,병탐토안내산사광여시각질량적관계.방법 회고성병례계렬연구.수집2012년3～12월재천진시안과의원취진적년령상관성백내장술후식입친수성혹소수성병희산IOL지소3개월적환자56례(68지안).안조IOL적재질분위3조:분별위1조:일체간소표면처리친수성병희산인공정상체(HQ201HEP) 28지안;2조:삼체소수병희산지Tecnis 9003 (ZA9003) 20지안;3조:삼체소수성병희산지Sensar (AR40E) 20지안.사용OQAS시각질량분석계통정량측량재4 mm동공하불동재질IOL적객관산사지수(OSI)화시각질량:조제전체함수절지빈솔(MTF Cut off)、사특이비솔(Strehl ratio,SR),병진행비교.결과 4mm동공하HQ201HEP、ZA9003화AR40E적안내OSI、MTF Cut off、SR지간적차이유통계학의의(F치분별위10.016、6.017、6.464,P치분별위0.000、0.004、0.003);량량비교:HQ201HEP조화ZA9003조,HQ201HEP조화AR40E조지간적OSI、MTF Cut off、SR적차이유통계학의의(P＜0.05).HQ201HEP조중OSI여MTF Cut off、SR급환자적년령지간유상관성차이유통계학의의(P＜0.05);ZA9003조중OSI여MTF Cut off、SR지간유상관성차이유통계학의의(P ＜0.05); AR40E조OSI여MTF Cut off、SR지간유상관성차이유통계학의의(P＜0.05).결론 소수성병희산지IOL적안내산사치교친수성병희산지IOL적안내산사치소,병차시각질량교호;산사광엄중영향인공정상체안적시각질량.
Objective To compare the Objective Scatter Index and optical performance of intraocular lens using a double-pass method.Methods A retrospective case series study.Three different kinds of acrylic intraocular lenses were implanted into 68 eyes in cataract surgery,including hydrophilic acrylic intraocular lens HQ201HEP 28 eyes; hydrophobic acrylic intraocular lens ZA9003 20 eyes; hydrophobic acrylic intraocular lens (IOL) AR40E IOL 20eyes.Straylight on the retina and optical quality (MTF Cut off,SR) of the eyes at 4rm pupil size was measured with double-pass system.Difference among groups was evaluated by analysis of variance (ANOVA).Relationship between straylight parameters (OSI) and optical quality was evaluated by Pearson correlation analysis.Results At 4 mm pupil size,there was a significant difference between the objective scatter index (OSI),MTF Cut off,SR values of the HQ201HEP,ZA9003 and AR40E group (P ＜0.05).Pairwise comparisons,there was a significant differences between the HQ201HEP and ZA9003 group,the HQ201HEP and AR40E group (P ＜0.05).In HQ201HEP group,ZA9003 group,AR40E group,there was a significant correlation between the OSI and MTF Cut off,SR (P ＜0.05).Conclusions At 4 mm pupil size,the straylight in hydrophilic acrylic IOLs is higher than in hydrophobic acrylic IOLs,hydrophobic acrylic IOLs shows better visual quality than hydrophilic acrylic IOLs.There is a significant negative correlation between the straylight parameters (OSI) and optical luality.
