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首页> 外文期刊>Experimental and therapeutic medicine >Visual performance of Acrysof ReSTOR compared with a monofocal intraocular lens following implantation in cataract surgery
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Visual performance of Acrysof ReSTOR compared with a monofocal intraocular lens following implantation in cataract surgery

机译:白内障手术后植入Acrysof ReSTOR与单焦点人工晶状体的视觉性能

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The aim of this study was to compare the visual performance of Acrysof ReSTOR and Acrysof Natural intraocular lenses (IOLs) following cataract surgery. A randomized prospective study was performed in which 64 eyes (51 patients) were divided randomly into two groups. Monofocal IOLs (Acrysof Natural) were implanted into 34 eyes (27 patients) and multifocal IOLs (Acrysof ReSTOR) were implanted into 30 eyes (24 patients) using phacoemulsification surgery. The corrected distance visual acuity, near visual acuity, pseudoaccommodation, contrast sensitivity (CS) and wavefront analysis were measured at 1 week, 1 month and 3 months after surgery. The distance vision of the monofocal and ReSTOR patients improved equally with glasses (P<0.05). A greater improvement in near vision without glasses was observed in the ReSTOR-implanted patients (P<0.01). The CS values of the multifocal IOL group were significantly lower than those of the monofocal IOL group for all spatial frequencies tested (P<0.05). The spherical aberration was significantly higher in the multifocal IOL group compared with the monofocal IOL group (P<0.05). We observed no differences in coma between the two groups. The difference in the amplitude of pseudoaccommodation between the two groups was statistically significant (-3.14 +/- 0.91 D in the ReSTOR group vs. -1.03 +/- 0.33 D in the Natural group, P<0.01). The improvement in near vision was significantly more evident in the ReSTOR patients. Compared with the monofocal IOL lens, the multifocal lens is able to increase the amplitude of pseudoaccommodation. However, increased spherical aberration may contribute to lower CS values in the multifocal IOL group.
机译:这项研究的目的是比较白内障手术后Acrysof ReSTOR和Acrysof Natural人工晶状体(IOL)的视觉性能。一项随机前瞻性研究将64眼(51例患者)随机分为两组。使用超声乳化手术将单焦点人工晶体(Acrysof Natural)植入34眼(27例患者),将多焦点人工晶体(Acrysof ReSTOR)植入30眼(24例)。术后1周,1个月和3个月测量校正后的远视力,近视力,假适应,对比敏感度(CS)和波前分析。配戴眼镜的单焦点和ReSTOR患者的远距离视力均得到改善(P <0.05)。植入ReSTOR的患者在不戴眼镜的情况下近视力有较大改善(P <0.01)。对于所有测试的空间频率,多焦点IOL组的CS值均显着低于单焦点IOL组的CS值(P <0.05)。与单焦点IOL组相比,多焦点IOL组的球差明显更高(P <0.05)。我们观察到两组之间的昏迷没有差异。两组之间假性适应幅度的差异具有统计学意义(ReSTOR组为-3.14 +/- 0.91 D,自然组为-1.03 +/- 0.33 D,P <0.01)。 ReSTOR患者的近视力改善更为明显。与单焦点IOL透镜相比,多焦点透镜能够增加伪调节的幅度。但是,增加的球面像差可能会导致多焦点IOL组的CS值降低。

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