Application of Femtosecond Laser + Piggyback Multifocal Intraocular Lens Implantation in Patients with Super-High Myopia Complicated with Cataract.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-01 Epub Date: 2023-11-23 DOI:10.1080/08820538.2023.2275618

Xian-Shan Liao, Hui-Yu Jin, Li-Ping Zhu, Wen-Jing Luo, Yong Wang, Shu-Qiong Hu

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引用次数: 0

Abstract

Objective: To observe the clinical effect of piggyback multifocal intraocular lens (IOL) implantation in treating patients with high myopia complicated with cataract.

Methods: This was a prospective controlled study. We compared 32 eyes of 32 patients who underwent femtosecond laser-assisted cataract surgery with piggyback IOL implantation (two IOLs were implanted into the capsule) with 32 eyes of 32 patients who also underwent the same surgery (one IOL implanted into the capsule) due to high myopia complicated with cataract at the Wuhan Aier Eye Expert Hospital between January 2019 and October 2020. All patients were followed up for three months after surgery. Uncorrected distance visual acuity (UCDVA), uncorrected intermediate visual acuity (UCIVA), uncorrected near visual acuity (UCNVA), best-corrected distance visual acuity, distance-corrected intermediate visual acuity (DCIVA), distance-corrected near visual acuity (DCNVA), postoperative spectacle independence, postoperative visual interference, equivalent spherical lens, defocus curve, and IOL tilt and eccentricity were evaluated.

Results: Three months after surgery, the patients' UCIVA, UCNVA, DCIVA, and DCNVA were 0.49 ± 0.07, 0.38 ± 0.15, 0.47 ± 0.09, and 0.36 ± 0.12, respectively, in the research group and 0.56 ± 0.18, 0.72 ± 0.22, 0.55 ± 0.13, and 0.69 ± 0.15, respectively, in the control group; the differences between the two groups were statistically significant (P < .05). The spectacle independence rate was higher in the research group (93%) than in the control group (13%). The overall satisfaction regarding postoperative visual quality was also higher in the research group than in the control group. The absolute mean value of the spherical equivalents was 0.48 ± 0.28 D in the research group and 0.62 ± 0.33 D in the control group; the difference between the two groups was statistically significant (P < .05).

Conclusion: Piggyback multifocal IOL implantation can expand the multifocal IOL application range, and satisfy the desire of patients with high myopia complicated with cataract to see both near and far.

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飞秒激光+背负式多焦人工晶状体植入术在高度近视合并白内障患者中的应用。

目的:观察背负式多焦人工晶状体植入术治疗高度近视合并白内障的临床效果。方法:前瞻性对照研究。我们比较了2019年1月至2020年10月在武汉爱尔眼科专科医院接受飞秒激光辅助白内障手术并背负式人工晶状体植入术的32例32眼患者(囊内植入2个人工晶状体)和同时接受相同手术(囊内植入1个人工晶状体)的32例32眼患者。所有患者术后随访3个月。评估未矫正的距离视力(UCDVA)、未矫正的中间视力(UCIVA)、未矫正的近视力(UCNVA)、最佳矫正的距离视力、距离矫正的中间视力(DCIVA)、距离矫正的近视力(DCNVA)、术后眼镜独立性、术后视力干扰、等效球面晶状体、离焦曲线、IOL倾斜和偏心率。结果:术后3个月，研究组患者UCIVA、UCNVA、DCIVA、DCNVA分别为0.49±0.07、0.38±0.15、0.47±0.09、0.36±0.12;对照组患者UCIVA、UCNVA、DCIVA、DCNVA分别为0.56±0.18、0.72±0.22、0.55±0.13、0.69±0.15;结论:背负式多焦人工晶状体植入术可扩大多焦人工晶状体的应用范围，满足高度近视合并白内障患者近视眼和远视眼的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.