多焦人工晶状体置换术后视力严重受损的结果。

E Bartholomeeusen, J Rozema, M-J Tassignon
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引用次数: 0

摘要

目的:评价多焦人工晶状体植入术后出现视力损害的患者的手术效果。背景:比利时安特卫普大学医院眼科。方法:连续17例25眼患者行人工晶状体置换术。术前和术后评估包括:确定患者的主诉、人工晶状体置换前后的类型、眩光程度和像差(主要是术前数据)、术前和术后DCVA和NCVA。结果:衍射型晶状体晶状体的交换频率高于折射率型晶状体晶状体晶状体。术后DCVA、NCVA及主诉均有明显改善。由于激光治疗导致前玻璃体面破裂,既往行Nd:YAG激光囊切开术的眼在MIOL交换术中需要前玻璃体切除术。结论:对偏心MIOL术后严重视力不适的患者,可安全进行MIOL置换,视力效果良好。然而,在本系列的25只眼中,有7只眼的术后视力质量仍然较差。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcome after multifocal intraocular lens exchange because of severely impaired quality of vision.

Purpose: To evaluate the surgical outcome after intraocular lens exchange in patients implanted with a multifocal intraocular lens (MIOL) who presented impairing visual complaints

Setting: Department of Ophthalmology, Antwerp University Hospital, Belgium.

Methods: 25 eyes of 17 consecutive patients underwent IOL exchange. Pre- and postoperative evaluation consisted of: determining patient's complaints, type of IOL before and after IOL exchange, degree of glare and aberrometry (mainly preoperative data), pre and postoperative DCVA and NCVA.

Results: Diffractive MIOL were more frequently exchanged than refractive MIOLs and were exchanged when possible by a bag-in-lens IOL. DCVA, NCVA and postoperative subjective complaints improved significantly postoperatively. Eyes with prior Nd:YAG laser capsulotomy needed anterior vitrectomy during MIOL exchange procedure due to the presence of a ruptured anterior vitreous face by the laser treatment.

Conclusion: MIOL exchange can be performed safely and with very good visual outcome in patients with severe postoperative visual complaints related to decentered MIOL. Although, patient's postoperative quality of vision remained poor in 7 eyes out of the 25 in this series.

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