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1、多焦點(diǎn)人工晶狀體植入術(shù)后的臨床觀察[摘要]目的探討該院白內(nèi)障超聲乳化聯(lián)合AcrysofRestor+3D(SN6AD1)多焦點(diǎn)人工晶狀體植入的術(shù)后療效。方法整群選取該院2013年1月一2014年12月93例(128眼)老年性白內(nèi)障患者,行白內(nèi)障超聲乳化術(shù),分為試驗(yàn)組(多焦組)64眼植入多焦點(diǎn)人工晶狀體AcrysofRestor+3D(SN6AD1),對照組(單焦組)64眼植入單焦點(diǎn)人工晶狀體AcrysofIQ(SN60WF),對術(shù)后視力及療效進(jìn)行分析。結(jié)果128眼手術(shù)均順利,術(shù)后1周裸眼遠(yuǎn)視力多焦組(4.93±0.08),單焦組(4.96±0
2、.05),兩組比較差異無統(tǒng)計(jì)學(xué)意義(P?0?05);裸眼近視力多焦組(4.85±0.08),單焦組(4.32±0.06),多焦組優(yōu)于單焦組,差異有統(tǒng)計(jì)學(xué)意義(P?0.05)0無嚴(yán)重局部及全身并發(fā)癥發(fā)生。結(jié)論白內(nèi)障超聲乳化聯(lián)合多焦點(diǎn)人工晶狀體植入術(shù)效果顯著,具有切口小,恢復(fù)快,良好的術(shù)后遠(yuǎn)視力及近視力,患者滿意度高,可以適合于白內(nèi)障術(shù)后不愿意配戴老花鏡的患者。[關(guān)鍵詞]白內(nèi)障;多焦點(diǎn)人工晶狀體;超聲乳化[中圖分類號]R77[文獻(xiàn)標(biāo)識碼]A[文章編號]1674-0742(2015)08(b)-0004-03[Abstract]ObjectiveT
3、oinvestigatetheclinicaleffectofphacoemu1sificationcataractsurgerycombinedwithAcrysoftRestor+3D(SN6AD1)multifocalintraocularlens(MIOL)implantationunderwentinourhospita1.Methods93elderlypatientswithcataract(128eyes)underwentphacoemulsificationcataractsurgeryinourhospitalfromJ
4、anuary,2013toDecember,2014wereenrolledinthisstudy.Theyweredividedintotwogroups.Patientsintrialgroup(MTOLgroup,64eyes)wereimp1antedMTOLAcrysofRestor+3D(SN6AD1)duringsurgery,andsinglefocusintraocularlensAcrysofIQ(SN60WF)wereusedforpatientsincontrolgroup(singlefocalgroup,64eye
5、s)?Thedataofvisualacuityandeffectaftersurgeryofthetwogroupswereanalyzed.ResultsAllofthe128surgerieswerecompletedsuccessfully.Oneweekaftersurgery,thenakedvisualacuityofMIOLgroupwas(4.93+0.08),andthatofthecontrolgroupwas(4.96±0.0.05)?Therewasnosignificantdifferencebetweenthet
6、wogroups(P>0.05)?Whilefornakednearvisualacuity,itwas(4.85±0.08)inthetrialgroupand(4.32±0.06)inthecontrolgroup.Therewassignificantdifferencebetweenthetwogroups(P<0.05)?Noseriousocularandgeneralcomplicationshappenedduringandafterthesurgery.ConclusionPhacoemu1sificationcatarac
7、tsurgerycombinedwithMIOLimplantationhassignificanteffectonelderlycataractpatientswithrapidervisualacuityrecoveryandsmal1erincision.Aftersurgerypatientscangetbetterdistantandnearvisualacuity.Itisamoresuitablechoiceforpatientswhodonotlikewearingpresbyopicglasses.[Keywords]Cat
8、aract;Multifocalintraocular1ens;Phacoemulsification近年來,白內(nèi)障超聲乳化手術(shù)已經(jīng)越來越普及,超聲乳化儀性能的完善