ReSTOR +3D多焦点人工晶状体植入的初步观察

目的:评价ReSTOR +3D渐进衍射型多焦点人工晶状体植入术后临床效果。方法:收集我院2009-06/2009-11老年性白内障行白内障超声乳化联合AcrysofReSTOR +3D人工晶状体植入手术患者32例48眼。术后连续随访3～6(平均4±1.5)mo。观察术后末次随访时裸眼远、中、近视力及最佳矫正远、中,近视力、脱镜率、人工晶状体的位置。结果:术后裸眼远视力为0.85±0.17,术后裸眼中距离视力为0.65±0.15,术后裸眼近视力为0.64±0.13,术后最佳矫正远视力为0.96±0.14,术后最佳矫正中距离视力为0.69±0.17,术后最佳矫正近视力为0.77±0.15。脱镜率为84%。裂隙灯检查见人工晶状体居中,无倾斜。随访期间未发现后发性白内障。结论:ReSTOR+3D衍射型多焦点人工晶状体能为患者提供满意的全程视力。

Preliminary result of ReSTOR +3D apodized diffractive multifocal IOL implantation

AIM:To evaluate the visual performance of the Acrysof ReSTOR +3D intraocular lens (IOL) (SN6AD1,Alcon) implantation. ·METHODS:Totally 32 patients 48 eyes were implanted with the Alcon ReSTOR +3D apodized diffractive multifocal IOL. The mean follow-up was 4±1.5 months(range form 3 to 6 months). Distant uncorrected ,best-corrected visual acuity; near uncorrected,best-corrected visual acuity; intermediate visual acuity,best-corrected visual acuity,spectacle independency and the position of the IOLs were observed. ·RESULTS:Distance uncorrected visual acuity was 0.85±0.17 and distant best-corrected visual acuity was 0.96±0.14. Near uncorrected visual acuity was 0.64±0.13 and near best-corrected visual acuity was 0.77±0.15. Inter-mediate uncorrected visual acuity was 0.65±0.15 and intermediate best-corrected visual acuity was 0.69±0.17. Spectacle independency was 84%. No tilt or decentration of the IOL were observed. Posterior capsular opacification was not found in the follow-up. ·CONCLUSION:The Acrysof ReSTOR +3D IOL provides a satisfactory full range of vision.