多焦点人工晶状体植入术后的临床观察.doc

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1、多焦点人工晶状体植入术后的临床观察［摘要］目的探讨该院白内障超声乳化联合AcrysofRestor+3D(SN6AD1)多焦点人工晶状体植入的术后疗效。方法整群选取该院2013年1月一2014年12月93例(128眼)老年性白内障患者，行白内障超声乳化术，分为试验组(多焦组)64眼植入多焦点人工晶状体AcrysofRestor+3D(SN6AD1),对照组(单焦组)64眼植入单焦点人工晶状体AcrysofIQ(SN60WF),对术后视力及疗效进行分析。结果128眼手术均顺利，术后1周裸眼远视力多焦组(4.93±0.08),单焦组(4.96±0

2、.05),两组比较差异无统计学意义(P?0・05)；裸眼近视力多焦组(4.85±0.08),单焦组(4.32±0.06),多焦组优于单焦组，差异有统计学意义(P?0.05)0无严重局部及全身并发症发生。结论白内障超声乳化联合多焦点人工晶状体植入术效果显著，具有切口小，恢复快，良好的术后远视力及近视力,患者满意度高，可以适合于白内障术后不愿意配戴老花镜的患者。［关键词］白内障；多焦点人工晶状体；超声乳化［中图分类号］R77［文献标识码］A［文章编号］1674-0742(2015)08(b)-0004-03［Abstract］ObjectiveT

3、oinvestigatetheclinicaleffectofphacoemu1sificationcataractsurgerycombinedwithAcrysoftRestor+3D(SN6AD1)multifocalintraocularlens(MIOL)implantationunderwentinourhospita1.Methods93elderlypatientswithcataract(128eyes)underwentphacoemulsificationcataractsurgeryinourhospitalfromJ

4、anuary,2013toDecember,2014wereenrolledinthisstudy.Theyweredividedintotwogroups.Patientsintrialgroup(MTOLgroup,64eyes)wereimp1antedMTOLAcrysofRestor+3D(SN6AD1)duringsurgery,andsinglefocusintraocularlensAcrysofIQ(SN60WF)wereusedforpatientsincontrolgroup(singlefocalgroup,64eye

5、s)・Thedataofvisualacuityandeffectaftersurgeryofthetwogroupswereanalyzed.ResultsAllofthe128surgerieswerecompletedsuccessfully.Oneweekaftersurgery,thenakedvisualacuityofMIOLgroupwas(4.93+0.08),andthatofthecontrolgroupwas(4.96±0.0.05)•Therewasnosignificantdifferencebetweenthet

6、wogroups(P>0.05)・Whilefornakednearvisualacuity,itwas(4.85±0.08)inthetrialgroupand(4.32±0.06)inthecontrolgroup.Therewassignificantdifferencebetweenthetwogroups(P<0.05)•Noseriousocularandgeneralcomplicationshappenedduringandafterthesurgery.ConclusionPhacoemu1sificationcatarac

7、tsurgerycombinedwithMIOLimplantationhassignificanteffectonelderlycataractpatientswithrapidervisualacuityrecoveryandsmal1erincision.Aftersurgerypatientscangetbetterdistantandnearvisualacuity.Itisamoresuitablechoiceforpatientswhodonotlikewearingpresbyopicglasses.[Keywords]Cat

8、aract；Multifocalintraocular1ens；Phacoemulsification近年来，白内障超声乳化手术已经越來越普及，超声乳化仪性能的完善