非衍射型景深延长型IOL在高度近视并发白内障患者中的临床效果OA
Clinical effect of non-diffractive extended depth of focus IOL in patients with high myopia complicated with cataract
目的:评估非衍射型景深延长型人工晶状体(EDOF IOL)在高度近视并发白内障(HMC)患者中的术后临床效果. 方法:回顾性分析 2022 年 1 月至 2024 年 12 月于我院诊断为HMC的临床资料,将患者按植入IOL类型分为观察组(行 FLACS 联合非衍射型 EDOF IOL 植入)与对照组(行FLACS联合非球面单焦点IOL植入).比较两组术后视力(LogMAR)、视觉质量、满意度. 结果:本研究最终纳入患者33 例 47 眼,其中观察组 10 例17 眼,对照组 23 例 30 眼.观察组年龄 59.0(52.8,63.8)岁,男8 例 13 眼,女 2 例 4 眼.对照组年龄 56.0(53.5,60.0)岁,男13 例17 眼,女10 例13 眼.术后3 mo,观察组与对照组最佳矫正远视力分别为 0.10(0.08,0.12)和0.20(0.10,0.40)(P=0.586).但观察组最佳矫正中视力[0.10(0.10,0.10)vs 0.50(0.40,0.90),P=0.032]和最佳矫正近视力[0.20(0.18,0.20)vs 0.60(0.45,1.45),P=0.044]显著优于对照组.离焦曲线显示,观察组在-2.00-+1.00 D范围内裸眼视力比较平缓,优于对照组.术后问卷调查表明,观察组脱镜率(76%)和总体满意度(88%)显著高于对照组(10%和60%). 结论:非衍射型EDOF IOL通过扩展焦深显著改善中近视力,减少眼镜依赖,同时维持远视力,为HMC患者提供了更优的术后视觉质量和生活满意度.
AIM:To evaluate the postoperative clinical efficacy of non-diffractive extended depth of focus intraocular lens(EDOF IOL)in patients with highly myopic cataract(HMC). METHODS:A retrospective analysis was conducted on the clinical data of patients diagnosed with HMC at the hospital from January 2022 to December 2024.Patients were divided into an observation group[undergoing femtosecond laser-assisted cataract surgery(FLACS)combined with non-diffractive EDOF IOL implantation]and a control group(undergoing FLACS combined with aspheric monofocal IOL implantation)according to the type of implanted IOL.Postoperative visual acuity(LogMAR),visual quality,and patient satisfaction were compared between the two groups. RESULTS:A total of 33 patients(47 eyes)were finally included in this study,including 10 patients(17 eyes)in the observation group and 23 patients(30 eyes)in the control group.The observation group had a median age of 59.0(52.8,63.8)y,with 8 males(13 eyes)and 2 females(4 eyes).The control group had a median age of 56.0(53.5,60.0)y,with 13 males(17 eyes)and 10 females(13 eyes).At 3 mo postoperatively,the best-corrected distance visual acuity(BCDVA)was 0.10(0.08,0.12)in the observation group and 0.20(0.10,0.40)in the control group(P=0.586).However,the best-corrected intermediate visual acuity(BCIVA)[0.10(0.10,0.10)vs 0.50(0.40,0.90),P=0.032]and best-corrected near visual acuity(BCNVA)[0.20(0.18,0.20)vs 0.60(0.45,1.45),P=0.044]in the observation group were significantly better than those in the control group.The defocus curve showed that the uncorrected visual acuity(UCVA)in the observation group was relatively stable within the range of-2.00 to+1.00 D,which was superior to that in the control group.Postoperative questionnaires showed that the spectacle independence rate(76%)and overall satisfaction(88%)in the observation group were significantly higher than those in the control group(10%and 60%,respectively). CONCLUSION:Non-diffractive EDOF IOL significantly improves intermediate and near visual acuity,reduces spectacle dependence,and maintains distance visual acuity by extending the depth of focus,providing better postoperative visual quality and life satisfaction for HMC patients.
贾艳红;梁雪梅;谭丽桃;傅方;庞远然;朱康铭;李莉
(530001)中国广西壮族自治区南宁市,南宁爱尔眼科医院白内障青光眼科(530001)中国广西壮族自治区南宁市,南宁爱尔眼科医院眼底科(530001)中国广西壮族自治区南宁市,南宁爱尔眼科医院白内障青光眼科(530001)中国广西壮族自治区南宁市,南宁爱尔眼科医院眼底科(530001)中国广西壮族自治区南宁市,南宁爱尔眼科医院白内障青光眼科(530001)中国广西壮族自治区南宁市,南宁爱尔眼科医院白内障青光眼科(530001)中国广西壮族自治区南宁市,南宁爱尔眼科医院白内障青光眼科
非衍射型景深延长型人工晶状体(IOL)高度近视白内障功能型IOL超声乳化白内障吸除术满意度
non-diffractive extended depth of focus intraocular lens(IOL)high myopiacataractfunctional IOLphacoemulsificationsatisfaction
《国际眼科杂志》 2026 (4)
700-705,6
湖南省自然科学基金项目(No.2023JJ70038) Natural Science Foundation of Hunan Province(No.2023JJ70038)
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