中国白内障患者5年三焦人工晶体植入术的疗效：视力、稳定性和满意度

IF 4.2 1区医学 Q1 OPHTHALMOLOGY

American Journal of Ophthalmology Pub Date : 2025-06-28 DOI:10.1016/j.ajo.2025.06.047

LULU CHEN , LU SUN , YONGXIANG TANG , WENDA SUI , AILING BIAN , XIA ZHANG , ZAOWEN WANG , YONG ZHONG , SHUNHUA ZHANG

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引用次数: 0

摘要

评价中国一队列患者在三焦人工晶状体植入术后的5年视力结果、屈光稳定性、人工晶状体浓度、患者满意度和并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

5-Year Trifocal Intraocular Lens Outcomes in Chinese Cataract Patients: Visual Performance, Stability, and Satisfaction

Purpose

To evaluate the 5-year visual outcomes, refractive stability, IOL centration, patient satisfaction, and complications following trifocal intraocular lens (IOL) implantation in a Chinese cohort.

Design

Retrospective study.

Subjects

This study included 33 patients (66 eyes) with bilateral implantation of the AT LISA 839MP trifocal IOL.

Methods

Postoperative assessments at 5 years included uncorrected and corrected distance, intermediate and near visual acuity, refractive outcomes, contrast sensitivity (CS), defocus curves, reading speed, and patient-reported outcomes (VFQ-25 questionnaire). IOL tilt/decentration and aberrometry were analyzed using anterior segment optical coherence tomography (AS-OCT) and iTrace visual function analyzer.

Main Outcome Measures

Postoperative outcomes at 5 years: uncorrected and corrected visual acuity (distance, intermediate, near), refractive results, and IOL centration.

Results

At 5 years, mean UDVA, UIVA, and UNVA were 0.06 ± 0.16, 0.10 ± 0.14, and 0.09 ± 0.12 logMAR, respectively. 92.4% of eyes achieved a postoperative spherical equivalent within ±1.0D. Over 87.9% of patients achieved spectacle independence. Mean IOL tilt was 4.19 ± 1.46° and mean IOL decentration was 0.21 ± 0.11 mm. Contrast sensitivity declined under glare, particularly at mesopic conditions. Moderate-to-severe halos were reported by 21.2% of patients, correlating significantly with IOL tilt. Posterior capsule opacification necessitated Nd:YAG capsulotomy in 63.6% of eyes (mean intervention time: 22.0 ± 9.9 months), with no complications post-procedure. Patient satisfaction remained high (VFQ-25 score: 93.9 ± 13.7), despite persistent dysphotopsias.

Conclusion

Trifocal IOLs provided long-term efficacy in visual acuity, refractive stability, and exceptional patient satisfaction among Chinese populations. However, PCO remains a prevalent late complication, requiring timely Nd:YAG intervention. IOL tilt significantly influences halo severity.

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来源期刊

American Journal of Ophthalmology 医学-眼科学

CiteScore

9.20

自引率

7.10%

发文量

406

审稿时长

36 days

期刊介绍： The American Journal of Ophthalmology is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. Published monthly since 1884, the full text of the American Journal of Ophthalmology and supplementary material are also presented online at www.AJO.com and on ScienceDirect. The American Journal of Ophthalmology publishes Full-Length Articles, Perspectives, Editorials, Correspondences, Books Reports and Announcements. Brief Reports and Case Reports are no longer published. We recommend submitting Brief Reports and Case Reports to our companion publication, the American Journal of Ophthalmology Case Reports. Manuscripts are accepted with the understanding that they have not been and will not be published elsewhere substantially in any format, and that there are no ethical problems with the content or data collection. Authors may be requested to produce the data upon which the manuscript is based and to answer expeditiously any questions about the manuscript or its authors.