ReSTOR+3D多焦点人工晶状体临床效果观察

Clinical effects of the ReSTOR+3D multifocal intraocular lens

摘要:

目的：观察ReSTOR+3D多焦点人工晶状体的临床效果。 方法：选取40例80眼年龄相关性白内障患者，按同一标准分为两组，其中双眼非同期植入ReSTOR+3D多焦点人工晶状体者20例设为MIOL组；双眼非同期植入蓝光滤过型单焦点人工晶状体者20例设为SIOL组。均行透明角膜切口超声乳化白内障摘除联合人工晶状体植入术。术后1d观察术眼的裸眼远、近视力；术后1mo观察术眼的裸眼远、近视力,矫正远、近视力，最佳远矫下近视力，对比敏感度，问卷调查视觉质量、各视觉功能区满意度及脱镜率。 结果：两组患者术后均有良好的远视力；MIOL 组患者同时获得良好的近、中程视力。术后对比敏感度MIOL组较SIOL组有所下降，但无功能性意义。MIOL 组视近脱镜率85%。 结论：ReSTOR+3D多焦点人工晶状体植入可为患者提供良好的全程视力，安全有效，满意度高。

Abstract:

AIM:To observe the clinical effect of the ReSTOR+3D multifocal intraocular lens (MIOL). METHODS:Fouty cases (80 eyes) with age-related cataract were divided into two groups with the same standard. 20 cases were bilaterally implanted with the Alcon ReSTOR+3D MIOL and another 20 cases with Alcon Nature blue-filter monofocal intraocular lens(SIOL) in different time. Both groups were performed clear corneal incision phacoemulsification combined with intraocular lens(IOL) implantation. Distance visual acuity and near visual acuity were observed at postoperatively l day. At postoperative 30 days, distance/near visual acuity, corrected distance/near visual acuity, best-corrected near visual acuity and contrast sensitivity(CS) were also observed. Visual quality, postoperative satisfactory and spectacle independence rate of each visual functional area were evaluated by questionaires. RESULTS:Allcases had good distance visual acuity postoperatively. The MIOL group was better than the SIOL group in uncorrected near and middle visual acuity. CS in the MIOL group was lower than that in the SIOL group, but there was no functional significance. In the MIOL group, 85% of the cases achieved total spectacle independence. CONCLUSION:The ReSTOR+3D multifocal IOL provides a satisfactory full range of vision, which is safe, effective and has high satisfactory.