台灣研究植入多焦點人工水晶體在生活品質及視覺功能之成果

Quality-of-Life and Visual Function Assessment Following Cataract Extraction with Multifocal Versus Monofocal Intraocular Lens in Taiwan

謝靜茹(Ching-Ju Hsieh) ； 何一滔(Eddie Yi-Tau Ho) ； 林克忠(Keh-Chung Lin) ； 尤之浩(Joseph Jy-Haw Yu)

《中華民國眼科醫學會雜誌》 49卷2期 (2010/06) Pp. 183-191

https://doi.org/10.30048/ACTASOS.201006.0009

摘要

Purpose: To compare the visual functions and quality of life (QOL) in eyes with multifocal versus monofocal intraocular lens (IOL) implantation in Taiwan.
Methods: A total of 61 patients with bilateral IOL implantation were divided into three groups as follows: ReSTOR (44 eyes), Tecnis ZM900 (36 eyes), SA60AT (42 eyes). All ophthalmic examinations were performed 3 months after IOL implantation. Visual functions included uncorrected and best corrected visual acuity (UVA/ BCVA) at 6 m, 70 cm and 33 cm, reports of spectacle independence, and contrast sensitivity (CS) with Rabin CS test. The Chinese version of the 25-item National Eye Institute Visual Function Questionnaire (NEI-VFQ-25) was measured. One-way ANOVA and Chi-square tests were used for data analysis.
Results: The near UVA/BCVA of the multifocal groups were better than that of the monofocal group. Postoperative near spectacle independence of the multifocal groups (ReSTOR 90.9%; Tecnics ZM900 89.5%) was greater than that of the monofocal group (31.8%) (p＜.05). The mean log CS value under glare conditions for the multifocal groups was worse than that of the monofocal group (ReSTOR 0.40±0.35; Tecnis ZM900 0.23±0.26; SA60AT 0.42±0.33, p＜.05) Postoperative scores of NEI-VFQ-25 were high, but not significantly different between the 3 groups.
Conclusions: The multifocal IOLs demonstrated excellent near vision with high spectacle independence. There was no compromised CS in dim and glare conditions and better vision-related QOL than monofocal IOLs.

並列摘要

Purpose: To compare the visual functions and quality of life (QOL) in eyes with multifocal versus monofocal intraocular lens (IOL) implantation in Taiwan.
Methods: A total of 61 patients with bilateral IOL implantation were divided into three groups as follows: ReSTOR (44 eyes), Tecnis ZM900 (36 eyes), SA60AT (42 eyes). All ophthalmic examinations were performed 3 months after IOL implantation. Visual functions included uncorrected and best corrected visual acuity (UVA/ BCVA) at 6 m, 70 cm and 33 cm, reports of spectacle independence, and contrast sensitivity (CS) with Rabin CS test. The Chinese version of the 25-item National Eye Institute Visual Function Questionnaire (NEI-VFQ-25) was measured. One-way ANOVA and Chi-square tests were used for data analysis.
Results: The near UVA/BCVA of the multifocal groups were better than that of the monofocal group. Postoperative near spectacle independence of the multifocal groups (ReSTOR 90.9%; Tecnics ZM900 89.5%) was greater than that of the monofocal group (31.8%) (p＜.05). The mean log CS value under glare conditions for the multifocal groups was worse than that of the monofocal group (ReSTOR 0.40±0.35; Tecnis ZM900 0.23±0.26; SA60AT 0.42±0.33, p＜.05) Postoperative scores of NEI-VFQ-25 were high, but not significantly different between the 3 groups.
Conclusions: The multifocal IOLs demonstrated excellent near vision with high spectacle independence. There was no compromised CS in dim and glare conditions and better vision-related QOL than monofocal IOLs.

並列關鍵字

multifocal intraocular lens