A survey of the quality of life in high myopia in implantable Collamer lens and Artisan PIOL recipients

Daowei Qian, Hongyang Zhang, Y. Niu, Yanqiu Liao
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Abstract

Objective To compare vision-related quality of life (QOL) in implantable Collamer lens (ICL) recipients and Artisan iris-fixed Phakic intraocular lens (Artisan PIOL) recipients in high myopia. Methods Retrospective study. There were ICL patients 17 cases (34 eyes), and Artisan PIOL patients 15 cases (30 eyes).in Department of Ophthalmology, Guangdong General Hospital. QOL was measured with quality of life impact of refractive correction (QIRC) in consecutive patients at 3 months after ICL or Artisan PIOL implantation in high myopia. Independent-sample t tests (version 13.00, SPSS, Inc.) were used for statistical comparison of overall QIRC scores and in an exploratoryanalysis of scores for individual questionnaire items between ICL group and Artisan PIOL group. Results Before surgery, the average age (27.59±6.07 vs 26.87±4.84), spherical equivalent (-11.07±1.91D vs-11.51±2.11D) were similar in ICL recipients and Artisan PIOL respectively (P=0.715, 0.383). QIRC scores were significantly higher (P=0.001) in ICL recipients (47.98±3.60) than in Artisan PIOL (43.54±2.87). The score of item 2, 12, 20 in ICL recipients were significant difference than in Artisan PIOL (P=0.010, 0.043, 0.002). Conclusions ICL implantation may offer significant QOL advantages over Artisan PIOL in patients with high myopia. Key words: Implantable collamer lens; Phakic; Quality of life; High myopia
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高度近视眼植入式人工晶状体和Artisan PIOL受术者的生活质量调查
目的比较高度近视植入式人工晶状体(ICL)与Artisan固定虹膜晶状体人工晶状体(Artisan PIOL)的视力相关生活质量(QOL)。方法回顾性研究。ICL患者17例(34眼),Artisan PIOL患者15例(30眼)。广东省总医院眼科。采用屈光矫正生活质量(QIRC)对高度近视患者在ICL或Artisan PIOL植入术后连续3个月的生活质量进行测量。采用独立样本t检验(13.00版本,SPSS, Inc.)对总体QIRC评分进行统计比较,并对ICL组和Artisan PIOL组之间的单项问卷得分进行探索性分析。结果ICL受术者和Artisan PIOL受术者术前平均年龄(27.59±6.07 vs 26.87±4.84)、球体等效度(-11.07±1.91D vs-11.51±2.11D)相似(P=0.715, 0.383)。ICL患者的QIRC评分(47.98±3.60)明显高于Artisan PIOL患者(43.54±2.87),差异有统计学意义(P=0.001)。ICL受者的第2、12、20项评分与Artisan PIOL组比较差异均有统计学意义(P=0.010、0.043、0.002)。结论ICL植入术对高度近视患者的生活质量优于Artisan PIOL。关键词:植入式屈光透镜;Phakic;生活质量;高度近视
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