单眼散光白内障患者.pdf

单眼角膜散光白内障患者不同人工晶状体组合植入的对比研究 田芳 张红 胡尊霞 【摘要】目的对比单眼散光的白内障患者混合植入TORIC和多焦点或单焦点人工晶状 体后的视功能。方法 30例单眼角膜散光的年龄相关性白内障患者按自愿原则，采用非随机 对照方式分成两组，试验组15例患者(30眼) ，按照双眼有无散光分别植入TORIC和 ReSTOR(SN6AD1)人工晶状体，对照组15例患者(30眼)，分别植人TORIC和AcrySof IQ人工晶 状体。术后6个月以ETDRS视力表检测患者双眼的裸眼及最佳矫正远视力，以及在最佳矫正远 视力基础上获得的近视力、中距离视力,综合验光仪检测其调节幅度，同时进行患者在明视 暗视及有无眩光状态下的对比敏感度检测，近立体视力，并行视功能和视觉不良症状调查问 卷。结果 随访期间试验组裸眼双眼远中近视力为0.05±0.05LogMAR，0.24±0.10LogMAR， 0.14±0.06LogMAR，与对照组相比，近视力上的差异有统计学意义（P=0.000 ）。试验组ReSTOR 植入眼在高频的对比敏感度下降。试验组近立体视较对照组略有降低，但视近脱镜率和满意 度明显提高 （80%:25.5%），两组患者均无明显的不良视觉症状。结论 双眼混合植入TORIC 和多焦点人工晶状体虽然对患者的近立体视略有影响，但可以提供更好的双眼全程视力，增 加焦深，提高脱镜率，对于单眼散光的白内障患者仍是一种合理的选择。 【关键词】 TORIC人工晶状体；多焦点人工晶状体；脱镜率 Comparison of different combination of intraocular lens implantation in cataract patients with unilateral astigmatism. TIAN Fang, ZHANG Hong,HU Zun-xia. Tianjin Medical University Eye Center, Tianjin 300384 【Abstract 】 Objective To assess the binocular visual function after combined implantation of TORIC and multifocal or monofocal intraocular lens in unilateral astigmatism cataract patients. Methods A total of 60 eyes from 30 unilateral astigmatism patients undergoing phacoemulsification were recruited. AcrySof TORIC IOLs were implanted in astigmatic eye of patients with ReSTOR or AcrySof IQ contralateral eyes. Six months postoperatively, patients were assessed for visual acuity (33.0 cm, 60.0 cm, 5.0 m), contrast sensitivity, and stereopsis. Patients were surveyed for visual disturbances and lifestyle visual quality. Results At 6 months postoperatively, of TORIC-ReSTOR patients, binocular uncorrected visual acuity at 33cm,60cm,5m were 0.05±0.05LogMAR，0.24±0.10LogMAR，0.14±0.06LogMAR respectively. These values did not achieved significant differences except near vision. The contrast sensitivity of ReSTOR eyes was lower at 18cpd than other e