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首页> 外文期刊>Journal of Optometry >Refractive-Error Quality of Life (RQL) in Patients with AcrySof IQ Aspherical Intraocular Lenses
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Refractive-Error Quality of Life (RQL) in Patients with AcrySof IQ Aspherical Intraocular Lenses

机译：AcrySof IQ非球面人工晶状体患者的屈光不正生活质量（RQL）

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Purpose To compare refractive-error quality of life, and spherical aberration in pseudophakic eyes with an aspherical intraocular lens (AcrySof IQ) vs. a conventional spherical intraocular lens (AcrySof Single-Piece). Methods 65 patients were randomized to implantation of either an aspherical IOL (Alcon AcrySof IQ) (30 eyes) or a spherical IOL (Alcon AcrySof Single-Piece (35 eyes). Three months postoperatively, complete ophthalmologic examinations including uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BCVA), and a wavefront analysis were performed. Patients completed the National Eye Institute Refractive Error Quality of life Instrument (NEI RQL) to evaluate vision-related quality of life. Results The mean postoperative best-corrected visual acuity was 0.09±0.07 logMAR in the aspherical group and 0.12±0.08 in the spherical group, and the difference was not statistically significant. Spherical aberrations were significantly lower in the aspherical group (0.12±0.23?μm), than in the spherical group (0.33±0.20?μm) ( P =0.001). Patients with aspherical AcrySof IQ IOLs implantation also experienced less difficulties driving at night ( P =0.04), but the difference was not significant after Bonferroni correction. Conclusion The NEI RQL instrument is sensitive enough to detect the visual benefit of cataract surgery. The aspherical AcrySof IQ IOL reduces both spherical aberration and total higher-order aberrations, compared with the performance achieved by the spherical AcrySof Single-Piece IOL. Although the difference between the two IOLs is not statistically significant, there is a tendency toward the association of objective optical performance of aspherical AcrySof IQ IOLs with a subjective improvement in patients’ night driving.
机译：目的比较非球面人工晶状体（AcrySof IQ）与传统球面人工晶状体（AcrySof Single-Piece）在伪晶状体眼中的屈光不正生活质量和球差。方法65例患者被随机植入非球面人工晶体（Alcon AcrySof IQ）（30眼）或球形人工晶体（Alcon AcrySof单片）（35眼），术后三个月，进行了完整的眼科检查，包括未矫正的视力（UCVA） ，进行最佳眼镜矫正视力（BCVA）和波前分析，患者完成了美国国家眼科学院屈光不正生活质量仪器（NEI RQL），以评估与视力相关的生活质量。非球面组的视力为0.09±0.07 logMAR，球面组的视力为0.12±0.08，差异无统计学意义;非球面组的球差（0.12±0.23？μm）显着低于球面组（0.33±0.20？μm）（P = 0.001）。非球面AcrySof IQ IOL植入患者的夜间驾驶困难也较小（P = 0.04），但差异无统计学意义。 Bonferroni更正后的ficant。结论NEI RQL仪器足够灵敏，可以检测白内障手术的视觉效果。与球面AcrySof单件IOL相比，非球面AcrySof IQ IOL降低了球面像差和总高阶像差。尽管两种IOL之间的差异在统计上并不显着，但存在一种趋势，即非球面AcrySof IQ IQ IOL的客观光学性能与患者夜间驾驶的主观改善相关。

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