CAJ | 학술논문

目的比较多焦点与单眼视单焦点人工晶状体植入对双眼白内障患者术后视功能恢复的情况.方法采用前瞻性研究方法,从2013年6月至2014年12月本院双眼白内障55例(110只眼),随机分为多焦点人工晶状体组(MIOL组)25例(50只眼)和单眼视单焦点人工晶状体组(SIOL组)30例(60只眼).分别在双眼中均植入多焦点人工晶状体,以及植入单眼视设计双眼植入不同屈光度的单焦点人工晶状体.其中,SIOL组采用单眼视设计,即术后优势眼形成正视,而非优势眼形成近视.于术后90 d比较两组双眼裸眼视力、立体视、对比敏感度和满意度.结果术后90d,MIOL组与SIOL组的对比敏感度、63 cm和5 m的视力以及满意度,差异均无统计学意义(P＞0.05);而SIOL组30 cm(近距离)的视力优于MIOL组(P＜0.05).与MIOL组相比,SIOL组患者的立体视受损,MIOL组(P＜0.05).与MIOL组相比,SIOL未对患者的主观疗效评价造成显著影响(P＞0.05).结论患者双眼白内障多焦点人工晶状体植入和单眼视单焦点人工晶状体植入的效果均较理想,患者术后均可获得全程视力.但是与MIOL相比,SIOL的费用成本较低.在临床上适用证范围内者,似以采用SIOL为宜.
목적 비교다초점여단안시단초점인공정상체식입대쌍안백내장환자술후시공능회복적정황.방법 채용전첨성연구방법,종2013년6월지2014년12월본원쌍안백내장55례(110지안),수궤분위다초점인공정상체조(MIOL조)25례(50지안)화단안시단초점인공정상체조(SIOL조)30례(60지안).분별재쌍안중균식입다초점인공정상체,이급식입단안시설계쌍안식입불동굴광도적단초점인공정상체.기중,SIOL조채용단안시설계,즉술후우세안형성정시,이비우세안형성근시.우술후90 d비교량조쌍안라안시력、입체시、대비민감도화만의도.결과 술후90d,MIOL조여SIOL조적대비민감도、63 cm화5 m적시력이급만의도,차이균무통계학의의(P＞0.05);이SIOL조30 cm(근거리)적시력우우MIOL조(P＜0.05).여MIOL조상비,SIOL조환자적입체시수손,MIOL조(P＜0.05).여MIOL조상비,SIOL미대환자적주관료효평개조성현저영향(P＞0.05).결론 환자쌍안백내장다초점인공정상체식입화단안시단초점인공정상체식입적효과균교이상,환자술후균가획득전정시력.단시여MIOL상비,SIOL적비용성본교저.재림상상괄용증범위내자,사이채용SIOL위의.
Objective To compare the visual function recovery of bilateral cataract patients with bilateral multifocal intraocular lens implantation and monovision single-focus intraocular lens implantation.Methods The study was conducted using the prospective method.One hundred and ten eyes of 55 cases of bilateral cataract were enrolled.The patients were divided into two groups:monocular vision single-focus intraocular lens mplantation group (SIOL,60 eyes of 30 cases) and multifocal intraocular lens implantation group (MIOL,50 eyes of 25 cases).Patients in SIOL group adopted the monovision design the dominant eye was treated with emmetropization while the other was treated with hypometropia.Parameters were measured 90 days postoperatively which consisted of visual acuities,stereo scopic vision,contrast sensitivity,and patient' s satisfaction.Results The contrast sensitivity,63 cm intermediate visual function,5 m distance visual acuities,and patient's satisfaction had no significant differences between two groups (P ＞ 0.05).The 30 cm near visual acuities in SIOL group were significantly better than that in MIOL group (P ＜ 0.05).Compared with MIOL,SIOL affected the function of stereo scopic vision,but it did not affect the subjective feeling of patient (P ＞ 0.05).Conclusion Both SIOL and MIOL achieved distance vision and acceptable recovery of visual function for cataract patients.Compared with MIOL,SIOL had lower costs,there for it was visual recovery plan recommended for a clinical practice.