使用 Catquest-9SF 评估双眼与单眼白内障手术的影响:随机对照试验。

IF 1.1 4区 医学 Q3 OPHTHALMOLOGY Arquivos brasileiros de oftalmologia Pub Date : 2024-09-23 eCollection Date: 2024-01-01 DOI:10.5935/0004-2749.2023-0268
Helmer Magalhães Antunes, Galton Carvalho Vasconcelos, Bruno Lovaglio Cançado Trindade
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引用次数: 0

摘要

目的:这项前瞻性、随机、无掩蔽临床试验旨在报告巴西患者双眼白内障手术与单眼白内障手术的视觉效果:研究对象包括患有双侧白内障且双眼视力低于或等于 0.3 最小分辨角对数的患者。患者被随机分配接受单眼(对照组)或双眼(一次一只眼;干预组)手术。术后,使用 Catquest-9SF 对自我报告的视觉功能(主要结果测量)、双眼视力、立体视和眼球优势(次要结果测量)进行比较:共有 151 名患者(对照组和干预组分别为 77 眼和 148 眼)完成了随访。接受双眼手术的患者自我报告的视觉功能(p=0.036)和立体视(p=0.026)明显优于单眼手术患者。双眼视力和眼球优势并不影响组间比较:结论:双眼手术的自我报告视觉功能和立体视明显优于单眼手术。
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Evaluation of the impact of binocular versus monocular cataract surgery using Catquest-9SF: a randomized controlled trial.

Purpose: This prospective, randomized, unmasked, clinical trial aimed to report the visual outcomes of cataract surgery on both eyes versus cataract surgery on one eye in Brazilian patients.

Methods: This study included patients with bilateral cataracts and binocular visual acuity worse than or equal to 0.3 logarithm of the minimum angle of resolution. The patients were randomly assigned to undergo surgery on one (Control Group) or both eyes (one eye at a time; Intervention Group). Postoperatively, self-reported visual function using Catquest-9SF (primary outcome measure), binocular visual acuity, stereopsis, and ocular dominance (secondary outcome measures) were compared.

Results: A total of 151 patients (77 and 148 eyes in the Control and Intervention Groups, respectively) completed the follow-up. Patients who underwent surgery on both eyes exhibited significantly better self-reported visual function (p=0.036) and stereopsis (p=0.026) than those who underwent surgery on one eye. Binocular visual acuity and ocular dominance did not affect the group comparisons.

Conclusions: Surgery on both eyes resulted in significantly better self-reported visual function and stereopsis than surgery on one eye.

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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
200
审稿时长
6-12 weeks
期刊介绍: The ABO-ARQUIVOS BRASILEIROS DE OFTALMOLOGIA (ABO, ISSN 0004-2749 - print and ISSN 1678-2925 - (ABO, ISSN 0004-2749 - print and ISSN 1678-2925 - electronic version), the official bimonthly publication of the Brazilian Council of Ophthalmology (CBO), aims to disseminate scientific studies in Ophthalmology, Visual Science and Health public, by promoting research, improvement and updating of professionals related to the field.
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