双眼植入新型衍射型三焦点人工晶体后的临床结果

双眼植入新型衍射型三焦点人工晶体后的临床结果
作者:Florian T. A. Kretz, Detlev Breyer, Vasilios F. Diakonis, Karsten Klabe, Franziska Henke, Gerd U. Auffarth, Hakan Kaymak
发表期刊:Journal of Ophthalmology
重点
Highlights
重建高效的远中近视力。
很好的视力及满意度:远中近视觉质量高,并且可以自如进行日常活动。
很好的对比敏感度。
非常好的屈光结果预测性。
90%的患者术后一个月内可以感受到光晕,80%意识到光晕但觉得无影响。
大多数三焦术后患者看到双光晕,随着时间推移,光晕很快就不太会被注意到了。
摘要
目的
研究评估双眼植入衍射型三焦点人工晶体以后的视力、屈光度、对比敏感度以及人工晶体术后的光干扰现象、患者满意度。
方式
这项前瞻性非随机的研究包括双眼植入三焦点以后三个月的远中近视力、离焦曲线、屈光结果、各种光线条件下的对比敏感度、患者满意度以及对光晕的感受。
结果
38个患者76只眼,90%的患者术后三个月显示SE在±0.50D之内;所有患者双眼未矫正远视力在LogMAR0.00或更好,未矫正中视力在LogMAR0.10或更好,85%患者术后未矫正近视力在LogMAR0.10或更好。
Clinical Outcomes after Binocular Implantation of a New Trifocal Diffractive Intraocular Lens
Author:Florian T. A. Kretz, Detlev Breyer, Vasilios F. Diakonis, Karsten Klabe, Franziska Henke, Gerd U. Auffarth, Hakan Kaymak
Journal:American Journal of Ophthalmology.
Highlights
Effective restoration of visual function for far, intermediate and near distances.Very good visual quality and high patient satisfaction (100%): ability to perform daily activities, quality of vision at all distances, independence from spectacles.Good contrast sensitivity.90% of patients experienced halos at 1 month after surgery, 80% perceived them as not disturbing.Most characteristic halos with AT LISA tri: double-halo formation oSignificant decrease of halos over time.Good refractive predictability. 
Abstract
Purpose
To evaluate visual, refractive, and contrast sensitivity outcomes, as well as the incidence of pseudophakic photic phenomena and patient satisfaction after bilateral diffractive trifocal intraocular lens (IOL) implantation. 
Method
This prospective nonrandomized study included consecutive patients undergoing cataract surgery with bilateral implantation of a diffractive trifocal IOL (AT LISA tri 839MP, Carl Zeiss Meditec). Distance, intermediate, and near visual outcomes were evaluated as well as the defocus curve and the refractive outcomes 3 months after surgery. Photopic and mesopic contrast sensitivity, patient satisfaction, and halo perception were also evaluated.
Results
Seventy-six eyes of 38 patients were included; 90% of eyes showed a spherical equivalent within ±0.50 diopters 3 months after surgery. All patients had a binocular uncorrected distance visual acuity of 0.00 LogMAR or better and a binocular uncorrected intermediate visual acuity of 0.10 LogMAR or better, 3 months after surgery. Furthermore, 85% of patients achieved a binocular uncorrected near visual acuity of 0.10 LogMAR or better.
来源:蔡司三焦点

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