中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
23期
4-5,19
,共3页
陈良桔%赵广愚%刘利娟%洪林勇
陳良桔%趙廣愚%劉利娟%洪林勇
진량길%조엄우%류리연%홍림용
白内障%多焦点人工晶状体%超声乳化
白內障%多焦點人工晶狀體%超聲乳化
백내장%다초점인공정상체%초성유화
Cataract%Multifocal intraocular lens%Phacoemulsification
目的：探讨该院白内障超声乳化联合Acrysof Restor+3D (SN6AD1)多焦点人工晶状体植入的术后疗效。方法整群选取该院2013年1月—2014年12月93例(128眼)老年性白内障患者，行白内障超声乳化术，分为试验组(多焦组)64眼植入多焦点人工晶状体Acrysof Restor+3D (SN6AD1)，对照组(单焦组)64眼植入单焦点人工晶状体Acrysof IQ(SN60WF)，对术后视力及疗效进行分析。结果128眼手术均顺利，术后1周裸眼远视力多焦组(4.93±0.08)，单焦组(4.96±0.05)，两组比较差异无统计学意义(P﹥0.05)；裸眼近视力多焦组(4.85±0.08)，单焦组(4.32±0.06)，多焦组优于单焦组，差异有统计学意义(P﹤0.05)。无严重局部及全身并发症发生。结论白内障超声乳化联合多焦点人工晶状体植入术效果显著，具有切口小，恢复快，良好的术后远视力及近视力，患者满意度高，可以适合于白内障术后不愿意配戴老花镜的患者。
目的：探討該院白內障超聲乳化聯閤Acrysof Restor+3D (SN6AD1)多焦點人工晶狀體植入的術後療效。方法整群選取該院2013年1月—2014年12月93例(128眼)老年性白內障患者，行白內障超聲乳化術，分為試驗組(多焦組)64眼植入多焦點人工晶狀體Acrysof Restor+3D (SN6AD1)，對照組(單焦組)64眼植入單焦點人工晶狀體Acrysof IQ(SN60WF)，對術後視力及療效進行分析。結果128眼手術均順利，術後1週裸眼遠視力多焦組(4.93±0.08)，單焦組(4.96±0.05)，兩組比較差異無統計學意義(P﹥0.05)；裸眼近視力多焦組(4.85±0.08)，單焦組(4.32±0.06)，多焦組優于單焦組，差異有統計學意義(P﹤0.05)。無嚴重跼部及全身併髮癥髮生。結論白內障超聲乳化聯閤多焦點人工晶狀體植入術效果顯著，具有切口小，恢複快，良好的術後遠視力及近視力，患者滿意度高，可以適閤于白內障術後不願意配戴老花鏡的患者。
목적：탐토해원백내장초성유화연합Acrysof Restor+3D (SN6AD1)다초점인공정상체식입적술후료효。방법정군선취해원2013년1월—2014년12월93례(128안)노년성백내장환자，행백내장초성유화술，분위시험조(다초조)64안식입다초점인공정상체Acrysof Restor+3D (SN6AD1)，대조조(단초조)64안식입단초점인공정상체Acrysof IQ(SN60WF)，대술후시력급료효진행분석。결과128안수술균순리，술후1주라안원시력다초조(4.93±0.08)，단초조(4.96±0.05)，량조비교차이무통계학의의(P﹥0.05)；라안근시력다초조(4.85±0.08)，단초조(4.32±0.06)，다초조우우단초조，차이유통계학의의(P﹤0.05)。무엄중국부급전신병발증발생。결론백내장초성유화연합다초점인공정상체식입술효과현저，구유절구소，회복쾌，량호적술후원시력급근시력，환자만의도고，가이괄합우백내장술후불원의배대로화경적환자。
Objective To investigate the clinical effect of phacoemulsification cataract surgery combined with Acrysoft Restor+3D (SN6AD1) multifocal intraocular lens (MIOL) implantation underwent in our hospital. Methods 93 elderly patients with cataract (128 eyes) underwent phacoemulsification cataract surgery in our hospital from January, 2013 to December, 2014 were enrolled in this study. They were divided into two groups. Patients in trial group (MIOL group, 64 eyes) were implanted MIOL Acrysof Restor+3D (SN6AD1) during surgery, and single focus intraocular lens Acrysof IQ (SN60WF) were used for patients in control group (sin-gle focal group, 64 eyes). The data of visual acuity and effect after surgery of the two groups were analyzed. Results All of the 128 surgeries were completed successfully. One week after surgery, the naked visual acuity of MIOL group was (4.93±0.08), and that of the control group was (4.96±0.0.05). There was no significant difference between the two groups(P>0.05). While for naked near vi-sual acuity, it was (4.85±0.08) in the trial group and (4.32±0.06) in the control group. There was significant difference between the two groups(P<0.05). No serious ocular and general complications happened during and after the surgery. Conclusion Phacoemulsi-fication cataract surgery combined with MIOL implantation has significant effect on elderly cataract patients with rapider visual acuity recovery and smaller incision. After surgery patients can get better distant and near visual acuity. It is a more suitable choice for patients who do not like wearing presbyopic glasses.
