高度近视患者Panoptix三焦人工晶状体植入术后的视力及人工晶体稳定性。

IF 2.9 3区医学 Q1 OPHTHALMOLOGY

Journal of refractive surgery Pub Date : 2025-01-01 DOI:10.3928/1081597X-20241126-03

Yinying Zhao, Fuman Yang, Yiling Jiang, Wentao Tong, Jiayan Fang, Yun-E Zhao

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引用次数: 0

摘要

目的：观察和探讨高度近视眼三焦人工晶体植入术后视力结果与人工晶体稳定性的关系。方法：对高度近视白内障（眼轴长约26 mm）患者进行前瞻性研究。31只眼（31例）接受三焦人工晶状体植入术（acryysof IQ PanOptix TFNT00）。分别于术后1天、1周、4周和3个月评估未矫正距离、中、近视力（UDVA 5 m、uva 60 cm、UNVA 40 cm）和屈光状态。术后3个月绘制离焦曲线。分别于术后2小时、1周、4周和3个月评估人工晶状体倾斜、人工晶状体离体、术后水深和人工晶状体囊粘连情况。分析术后视力与人工晶状体定位动态变化的相关性。结果：29例患者共29只眼可供分析。术后3个月UDVA、UIVA、UNVA分别为最小分辨角（logMAR）的0.03±0.01、0.03±0.01、0.02±0.01对数（平均球面等效[SE]: -0.10±0.04 D），术后1 ~ 7天UIVA （P = 0.031）、UNVA （P = 0.02）改善，SE移至近视（P = 0.001）， IOL前移（P < 0.001）。双峰离焦曲线显示，在+0.50 ~ -2.50 D范围内，视力达到0.2 logMAR，在平面和-2.50 D处达到峰值，分别为0.04±0.01和0.08±0.01 logMAR。术后3个月，关节囊弯曲指数为3.35±0.06。在术后随访期间，倾斜和分散无明显变化。结论：该三焦人工晶状体可为高度近视患者提供良好的远、中、近距离视力。高度近视白内障术后人工晶状体的位置相对稳定。[J].中华眼科杂志，2015;41(1):556 - 564。

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Visual Outcomes and IOL Stability After Panoptix Trifocal Intraocular Lens Implantation in Eyes With High Myopia.

Purpose: To observe and explore the correlation between visual outcomes and intraocular lens (IOL) stability after tri-focal IOL implantation in eyes with high myopia.

Methods: Patients with highly myopic cataract (axial length > 26 mm) were enrolled in this prospective study. Thirty-one eyes (31 patients) received implantation of a trifocal IOL (AcrySof IQ PanOptix TFNT00). Uncorrected distance, intermediate, and near visual acuity (UDVA 5 m, UIVA 60 cm, UNVA 40 cm) and refractive status were evaluated at 1 day, 1 week, 4 weeks, and 3 months postoperatively. The defocus curve was plotted 3 months postoperatively. The IOL tilt, IOL decentration, postoperative aqueous depth, and adhesion of the capsule with IOL were evaluated at 2 hours, 1 week, 4 weeks, and 3 months postoperatively. The correlation between postoperative visual outcomes and dynamic changes in IOL positioning was analyzed.

Results: In total, 29 eyes of 29 patients were available for analysis. UDVA, UIVA, and UNVA were 0.03 ± 0.01, 0.03 ± 0.01, and 0.02 ± 0.01 logarithm of the minimum angle of resolution (logMAR) at 3 months postoperatively (mean spherical equivalent [SE]: -0.10 ± 0.04 D). From 1 to 7 days postoperatively, UIVA (P = .031) and UNVA (P = .02) improved, SE shifted to myopic (P = .001), and the IOL moved forward (P < .001). A bimodal defocus curve showed that the visual acuity achieved 0.2 logMAR from +0.50 to -2.50 D, and the peaks were at plano and -2.50 D, reaching 0.04 ± 0.01 and 0.08 ± 0.01 logMAR. The capsular bend index reached 3.35 ± 0.06 at 3 months postoperatively. There were no significant changes in tilt and decentration during the postoperative follow-up period.

Conclusions: This trifocal IOL provides excellent visual acuity at far, intermediate, and near distance in high myopia eyes. The postoperative position of the IOL was relatively stable in eyes with highly myopic cataracts. [J Refract Surg. 2025;41(1):e56-e64.].

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来源期刊

$Journal of refractive surgery$

Journal of refractive surgery 医学-外科

CiteScore

5.10

自引率

12.50%

发文量

160

审稿时长

4-8 weeks

期刊介绍： The Journal of Refractive Surgery, the official journal of the International Society of Refractive Surgery, a partner of the American Academy of Ophthalmology, has been a monthly peer-reviewed forum for original research, review, and evaluation of refractive and lens-based surgical procedures for more than 30 years. Practical, clinically valuable articles provide readers with the most up-to-date information regarding advances in the field of refractive surgery. Begin to explore the Journal and all of its great benefits such as: • Columns including “Translational Science,” “Surgical Techniques,” and “Biomechanics” • Supplemental videos and materials available for many articles • Access to current articles, as well as several years of archived content • Articles posted online just 2 months after acceptance.