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中华眼科医学杂志(电子版) ›› 2024, Vol. 14 ›› Issue (05) : 300 -304. doi: 10.3877/cma.j.issn.2095-2007.2024.05.008

综述

景深延长型人工晶状体在不同眼轴白内障患者中应用效果对比的研究进展
左航嘉1, 林美婷1, 陈泳林1, 郑仕洁1, 胡柯1,()   
  1. 1.400042 重庆医科大学附属第一医院眼科重大致盲眼病防治重庆市重点实验室重庆市眼科研究所国家眼部疾病临床医学研究中心重庆分中心
  • 收稿日期:2024-08-06 出版日期:2024-10-28
  • 通信作者: 胡柯
  • 基金资助:
    国家自然科学基金项目(81870650,82000883,81970832,81900885)重庆市自然科学基金项目(CSTC2021JCYJMSXM3178)重庆市科学技术委员会项目基金(CSTC2021Jscx-GSXM3178)重庆市医学会项目基金(CSTC2021JCYJ-GSXM3178)

Research progress in the comparison of the application outcomes of extended depth of focus intraocular lenses in cataract patients with different axial lengths

Hangjia Zuo1, Meiting Lin1, Yonglin Chen1, Shijie Zheng1, Ke Hu1,()   

  1. 1.The First Affiliated Hospital of Chongqing Medical University,Chongqing Key Laboratory of Ophthalmology,Chongqing Eye Institute,Chongqing Branch(Municipality Division)of National Clinical Research Center for Ocular Diseases,Chongqing 400042,China
  • Received:2024-08-06 Published:2024-10-28
  • Corresponding author: Ke Hu
引用本文:

左航嘉, 林美婷, 陈泳林, 郑仕洁, 胡柯. 景深延长型人工晶状体在不同眼轴白内障患者中应用效果对比的研究进展[J/OL]. 中华眼科医学杂志(电子版), 2024, 14(05): 300-304.

Hangjia Zuo, Meiting Lin, Yonglin Chen, Shijie Zheng, Ke Hu. Research progress in the comparison of the application outcomes of extended depth of focus intraocular lenses in cataract patients with different axial lengths[J/OL]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2024, 14(05): 300-304.

有研究结果表明,景深延长型人工晶状体(IOL)在中距离视力矫正和减少光学干扰方面具有优势,尤其适用于眼轴>26 mm的高度近视眼患者。相比之下,三焦点IOL在近距离视力和整体患者满意度上表现更佳。尽管现有研究为临床实践提供了参考,但未来仍需更多高质量的随机对照试验以验证不同类型IOL的优缺点,为白内障患者制定更个性化的治疗方案。基于此,本文中笔者就景深延长型IOL在不同眼轴长度白内障患者中的应用效果进行综述,并重点比较景深延长型IOL与双焦点和三焦点IOL的术后视觉质量和患者满意度。

This review summarizes the application outcomes of extended depth of focus(EDOF)intraocular lenses(IOLs)in cataract patients with varying axial lengths,with a focus on comparing the postoperative visual quality and patient satisfaction between EDOF IOLs and bifocal or trifocal IOLs.The research indicates that EDOF IOLs have advantages in intermediate vision correction and reducing optical disturbances,making them particularly suitable for patients with high myopia with axial lengths greater than 26 mm.In contrast,trifocal lenses perform better in near vision and overall patient satisfaction.Although current studies provide valuable references for clinical practice,more high-quality randomized controlled trials are needed in the future to validate the advantages and disadvantages of different types of IOLs,in order to develop more personalized treatment plans for cataract patients.

表1 景深延长型人工晶状体在不同眼轴白内障患者中应用效果对比的文献汇总表
人工晶状体类型 研究对象 年份(年) 地区 眼数(只眼) 主要结论 文献序号
TFNT vs.AT LISA tri839vs.EDOF 白内障患者眼轴长度≤26mm 2022 德国 108 EDOF组患者夜间驾驶能力优于其他,而三焦点组患者近距离视力表现更佳 [35]
AT LISA tri839 vs.EDOF 白内障患者眼轴长度≤26mm 2022 英国 40 三焦点人工晶状体在近视力、阅读视力及患者满意度上优于EDOF人工晶状体,而EDOF人工晶状体在特定调焦范围和早期对比敏感度上表现更佳。 [36]
EDOF vs.AcrySof PanOptix 白内障患者眼轴长度≤26mm 2022 俄国 144 三焦点人工晶状体近视力更佳,EDOF人工晶状体中视力占优,患者满意度高。 [37]
EDOF vs.Biofocal IOLs 白内障患者眼轴长度≤26mm 2022 台湾 174 EDOF人工晶状体减少光学干扰、提高对比敏感度,视觉质量优于双焦点人工晶状体。 [41]
EDOF vs.Biofocal IOLs 白内障患者眼轴长度≤26mm 2020 中国 60 EDOF人工晶状体在中视力、对比敏感度和满意度方面优于双焦点和单焦点人工晶状体。 [42]
EDOF vs.Biofocal IOLs 白内障患者眼轴长度>26mm 2022 中国 186 混搭组近视力最佳,EDOF组中视力优于PanOptix三焦组,三焦组夜视力更佳。 [43]
EDOF vs.Biofocal IOLs 白内障患者眼轴长度>26mm 2022 中国 63 EDOF组在中距离视力和对比敏感度上优于ZMB00,而ZMB00在近视力表现更佳,两者总体视觉质量无显著差异 [44]
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