Artisan有晶状体眼人工晶状体植入术矫正近视后的视功能疗效和患者满意度研究

来源 :世界核心医学期刊文摘.眼科学分册 | 被引量 : 0次 | 上传用户:fengrui0216
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Purpose:To determine patient satisfaction after Artisan phakic intraocular lens(PIOL)implantation to correctmyopia.Design:Non-comparative prospective case series.Methods:One hundred twenty eyes of 60 patients who had undergone Artisan PIOL implantation to correct myopia were analyzed.A validated questionnaire that consisted of 66 satisfaction items were self-administered by patients 12 months after surgery.Clinical parameters(PIOL decentration,the difference between pupil size and PIOL optical zone,and optical aberrations)were measured.Main outcome measures of satisfaction scale scores(global satisfaction,quality of uncorrected and corrected vision,night vision,glare,day and night driving)were analyzed.Correlations with clinical parameters were obtained.Results:After surgery,98.3% of patients were satisfied,and 73.3% of patients considered their night vision to be the same or better;44.1% of patients reported more bothersome glare.The night vision score correlated with spheric aberration(r=-0.303;P=.020).The glare score correlated with the difference between scotopic pupil size and PIOL optical zone(r=-0.280;P=.030)and vertical coma(r=-0.337;P=.009).The night driving score correlated with postoperative spheric equivalent(r=0.375;P=.009),total root mean square aberrations(r=-0.337;P=.017),higher order root mean square aberrations(r=-0.313;P=.027),and vertical coma(r=-0.297;P=.036).Conclusion:Overall satisfaction after Artisan PIOL implantation for myopia is excellent.The quality of night vision and night driving were related to scotopic pupil size,individual higher order aberrations,and residual refractive error. One hundred twenty eyes of 60 patients who had undergone Artisan PIOL implantation to correct myopia were analyzed. A validated questionnaire that consisted of 66 例 items were self-administered by patients 12 months after surgery. Clinical parameters (PIOL decentration, the difference between pupil size and PIOL optical zone, and optical aberrations) were measured. Main outcome measures of satisfaction scale scores (global Results: After surgery, 98.3% of patients were satisfied, and 73.3% of patients considered their night vision. Results: After surgery, 98.3% of patients were satisfied, and 73.3% of patients considered their night vision to be the same or better; 44.1% of patients reported more bothersome glare. The night vision score correlated with spheric aberrati (r = -0.230; P = .030) and vertical coma (r = -0.337; P = .020). The glare score correlated with the difference between scotopic pupil size and PIOL optical zone .009). The night driving score correlated with postoperative spheric equivalent (r = 0.375; P = .009), total root mean square aberrations (r = -0.337; -0.313; P = .027), and vertical coma (r = -0.297; P = .036) .Conlusion: After satisfaction with Artisan PIOL implantation for myopia is excellent. The quality of night vision and night driving were related to scotopic pupil size, individual higher order aberrations, and residual refractive error.
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