三焦疏水人工晶体植入术后视力与角膜像差和瞳孔大小的关系。

Clinical ophthalmology (Auckland, N.Z.) Pub Date : 2024-12-31 eCollection Date: 2024-01-01 DOI:10.2147/OPTH.S500386
Camille Bosc, Eloïse Le Maléfan, Pauline Boury, Mélanie Bernier, Anne Barrucand
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引用次数: 0

摘要

目的:评价白内障手术植入三焦疏水人工晶状体(IOL)后的临床效果,并确定瞳孔大小和角膜像差分布是否与不同距离下的视力相关。方法:49例(98眼)行双侧白内障手术,植入FineVision HP人工晶状体治疗老花眼,分别于术后1个月、3 ~ 6个月进行评估。术后测量屈光度、单眼和双眼未矫正和矫正的距离视力(UDVA和CDVA)、未矫正的中间视力(UIVA)、未矫正的近视力(UNVA)及双眼离焦曲线。瞳孔大小与角膜像差(高阶和低阶像差);使用Scheimpflug 3D相机测量HOA和LOA。结果:术后球、柱、球当量均显著降低(p0.05)。79.2%的患者双眼UDVA为0 logMAR或更好,91.7%的患者双眼UNVA为0.1 logMAR或更好。双眼离焦曲线显示,远、中、近距离的平均最大视力值分别为-0.07±0.06 logMAR、0.01±0.06 logMAR和0.01±0.06 logMAR。UDVA和UNVA值与患者瞳孔直径均无相关性(UDVA: r=0.035, p=0.744;UNVA: r=-0.073, p=0.492)。UDVA和UNVA值与患者HOA或LOA均无相关性(UDVA vs HOA: r=0.016, p=0.872;UDVA vs LOA: r=0.032, p=0.759;UNVA vs HOA: r=0.056, p=0.582;UNVA vs LOA: r=0.059, p=0.568)。结论:FineVision HP人工晶状体在不同距离下具有良好的屈光和视力效果。瞳孔大小与UDVA和UNVA无关,视力质量似乎与角膜像差无关。
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Visual Performance Correlation with Corneal Aberrometric Profile and Pupil Size After Implantation of a Trifocal Hydrophobic IOL.

Purpose: To evaluate clinical outcomes obtained after cataract surgery involving the implantation of a trifocal hydrophobic intraocular lens (IOL) and to determine if pupil size and the corneal aberrometric profile correlate to visual acuity at different distances.

Methods: 49 patients (98 eyes) underwent bilateral cataract surgery with the placement of FineVision HP IOLs for presbyopia and were assessed at 1- and 3- to 6-months post-surgery. Postoperatively, refraction, monocular and binocular uncorrected and corrected distance visual acuity (UDVA and CDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA) and the binocular defocus curve were measured. Pupil size and corneal aberrations (higher-order and low-order aberrations; HOA and LOA) were also measured using a Scheimpflug 3D camera.

Results: Sphere, cylinder and spherical equivalent decreased significantly after surgery (p<0.05) and CDVA had improved significantly 1-month post-surgery (p=0.007). The sphere, cylinder, spherical equivalent and CDVA values remained stable at the 3- to 6-month follow-up (p>0.05). Binocular UDVA was 0 logMAR or better for 79.2% of patients and binocular UNVA was 0.1 logMAR or better for 91.7%. The binocular defocus curve showed average maximum visual acuity values at -0.07±0.06 logMAR, 0.01±0.06 logMAR, and 0.01±0.06 logMAR, for far, intermediate and near distances, respectively. Neither the UDVA nor UNVA values correlated with patient pupil diameter (UDVA: r=0.035, p=0.744; UNVA: r=-0.073, p=0.492). Neither the UDVA nor UNVA values correlated with patient HOA or LOA (UDVA versus HOA: r=0.016, p=0.872; UDVA versus LOA: r=0.032, p=0.759; UNVA versus HOA: r=0.056, p=0.582; UNVA versus LOA: r=0.059, p=0.568).

Conclusion: This study shows that the FineVision HP IOL provides excellent refractive and visual outcomes at different distances. Pupil size does not correlate with UDVA and UNVA and quality of vision does not seem to correlate with the corneal aberrometric profile.

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