同轴微切口超乳联合AcrySof ReSTOR人工晶状体植入治疗年龄相关性白内障

Curative effect of coaxial microincisional phacoemulsification combined with AcrySof ReSTOR intraocular lens implantation on senile cataract

摘要:

目的：探究同轴微切口白内障超声乳化联合AcrySof ReSTOR人工晶状体植入治疗年龄相关性白内障的疗效。

方法：选择2015-04/2017-08我院收治的66例66眼年龄相关性白内障患者纳入研究，所有患者均行同轴微切口白内障超声乳化联合人工晶状体植入治疗，其中32例患者植入AcrySof ReSTOR人工晶状体，纳入观察组，34例植入单焦点人工晶状体，纳入对照组，比较两组患者视力、对比敏感度、立体视锐度、拟调节力及视功能满意度等指标。

结果：术后3mo观察组裸眼近、中视力、近立体视锐度、视近拟调节力及视远拟调节力显著优于对照组(P<0.05)； 在空间频率为3、6、12、18c/d时，观察组在有眩光及无眩光条件下对比敏感度均显著低于对照组(P<0.05)； 观察组视功能相关生活质量量表、视近时满意度及戴镜评分均显著优于对照组(P<0.05)。

结论：同轴微切口超声乳化联合AcrySof ReSTOR人工晶状体植入治疗年龄相关性白内障疗效显著，与单焦点晶状体相比可提高视近视力，提高拟调节力及视觉相关生活质量，但对比敏感度有所降低。

Abstract:

AIM: To investigate the curative effect of coaxial microincisional phacoemulsification combined with AcrySof ReSTOR intraocular lens implantation on senile cataract.

METHODS: Totally 66 patients(66 eyes)with age-related cataract who were admitted to the hospital from April 2015 to August 2017 were enrolled in the study. All of them were treated with coaxial microincisional phacoemulsification combined with intraocular lens implantation. All 32 cases underwent AcrySof ReSTOR intraocular lens implantation were included in observation group, while 34 cases underwent monofocal intraocular lens implantation were included in control group. The visual acuity, contrast sensitivity, stereoacuity, pseudo-accommodation power and satisfaction with visual function were compared between the two groups.

RESULTS: The near and middle vision, near stereoacuity, near and distant pseudo-accommodation power of naked eyes in observation group were significantly better than those in control group at 3mo after surgery(P<0.05). When the spatial frequencies were 3, 6, 12 and 18 c/d, contrast sensitivities of observation group were significantly lower than those of control group under glare and no glare conditions(P<0.05). The scores of visual function-related quality of life scales, satisfaction with near vision and glass-wearing at near vision of observation group were significantly better than those of control group(P<0.05).

CONCLUSION: The curative effect of coaxial microincisional phacoemulsification combined with AcrySof ReSTOR intraocular lens implantation is significant on cataract. Compared with monofocal lens, it can improve the visual acuity, pseudo-accommodation power and visual related quality of life. However, the contrast sensitivity is reduced.