临床误诊误治2024,Vol.37Issue(3) :125-129.DOI:10.3969/j.issn.1002-3429.2024.03.025

超声乳化术联合SBL-3区域折射型非球面IOL治疗年龄相关白内障的效果及对视觉质量的影响

Effect of Phacoemulsification Combined with SBL-3 Regional Refractive Aspheric IOL in the Treatment of Age-related Cataract and Its Impact on Visual Quality

王彦 杨立东 张立友
临床误诊误治2024,Vol.37Issue(3) :125-129.DOI:10.3969/j.issn.1002-3429.2024.03.025

超声乳化术联合SBL-3区域折射型非球面IOL治疗年龄相关白内障的效果及对视觉质量的影响

Effect of Phacoemulsification Combined with SBL-3 Regional Refractive Aspheric IOL in the Treatment of Age-related Cataract and Its Impact on Visual Quality

王彦 1杨立东 1张立友1
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作者信息

  • 1. 061000 河北 沧州,沧州市中心医院 沧州眼科医院白内障科
  • 折叠

摘要

目的 探究超声乳化术联合SBL-3 区域折射型非球面人工晶状体(IOL)治疗年龄相关白内障的效果及对视觉质量的影响.方法 选取2022 年1-12 月收治的年龄相关白内障110 例,采用随机数字表法分为单焦点组55例和SBL-3 组55 例,单焦点组予超声乳化术联合ADAPT AO非球面单焦点IOL植入,SBL-3 组给予超声乳化术联合SBL-3 区域折射型非球面IOL植入.比较2 组术后3 个月对比敏感度[明光、暗光、明光炫光、暗光炫光],术前和术后3 个月视觉质量[客观散射指数(OSI)、斯特列尔比(SR)、调制传递函数截止频率(MTF cut off)]、视力[最佳矫正近视力(BCNVA)、最佳矫正远视力(BCDVA)、远视矫正下的近视力(DCNVA)]及生活质量[视功能与生存质量问卷(VF-QOL)].结果 术后 3 个月,SBL-3 组对比敏感度高于单焦点组(P<0.05);术后 3 个月,2 组 OSI、BCNVA、BCDVA、DCNVA水平均较术前降低,SBL-3 组低于单焦点组(P<0.05);术后 3 个月,2 组 SR、MTF cut off 水平及VF-QOL评分均较术前升高,SBL-3 组高于单焦点组(P<0.05).结论 超声乳化术联合SBL-3 区域折射型非球面IOL能够提高年龄相关白内障患者对比敏感度及视觉质量,改善视力水平及生活质量.

Abstract

Objective To explore the effect of phacoemulsification combined with SBL-3 regional refractive aspheric intraocular lens(IOL)in the treatment of age-related cataract and its impact on visual quality.Methods In total,110 pa-tients with age-related cataract admitted to our hospital from January 2022 to December 2022 were selected and divided into single focus group(n =55)and SBL-3 group(n =55)by the random number table method.The single focus group was given phacoemulsification combined with ADAPT AO aspheric single focus IOL implantation,and the SBL-3 group was treated with phacoemulsification combined with SBL-3 regional refractive aspheric IOL implantation.Contrast sensitivity(bright light,dark light,bright glare,dark glare),visual quality[objective scatter index(OSI),strehl ratio(SR),modulation transfer func-tion cutoff frequency(MTF cut off)]at 3 months after surgery,visual acuity[best corrected near vision acuity(BCNVA),best corrected distance visual acuity(BCDVA),distance corrected near visual acuity(DCNVA)]and quality of life[Visual Function and Quality of Life Questionnaire(VF-QOL)]before surgery and at 3 months after surgery were compared between the two groups.Results At 3 months after surgery,the contrast sensitivity in SBL-3 group was higher than that in single fo-cus group(P<0.05).The OSI,BCNVA,BCDVA and DCNVA levels in both groups at 3 months after surgery were reduced compared with those before surgery,and the above indicators in SBL-3 group were lower than those in single focus group(P<0.05).At3 months after surgery,the SR,MTF cut off and VF-QOL scores in the two groups were enhanced compared to those before surgery,and the indicators were higher in SBL-3 group than in single focus group(P<0.05).Conclusion ty,and improve the visual acuity and quality of life in patients with age-related cataract.

关键词

年龄相关白内障/超声乳化白内障吸除术/区域折射型非球面人工晶状体/视觉质量/客观散射指数/对比敏感度/视力/生活质量

Key words

Age-related cataract/Phacoemulsification/Regional refractive aspheric intraocular lens/Visual quality/Objective scatter index/Contrast sensitivity/Vision/Quality of life

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基金项目

河北省医学科学研究课题(2020)(20200343)

出版年

2024
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
参考文献量25
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