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中华眼科医学杂志(电子版) ›› 2025, Vol. 15 ›› Issue (02) : 65 -70. doi: 10.3877/cma.j.issn.2095-2007.2025.02.001

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把握多焦点人工晶状体的产品特点及合理使用
李泉永1, 万修华2,   
  1. 1. 250399 济南,山东中医药大学医学院2021级临床医学本科生
    2. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室
  • 收稿日期:2025-04-03 出版日期:2025-04-28
  • 通信作者: 万修华
  • 基金资助:
    国家自然科学基金项目(82171037,82471055)北京市科技新星交叉联合课题(20240484565)

Grasp the product characteristics and reasonable use of multifocal intraocular lenses

Quanyong Li1, Xiuhua Wan2,   

  1. 1. Bachelor degree 2021,School of Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250399,China
    2. Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Key Laboratory of Ophthalmology and Visual Sciences,Beijing100730,China
  • Received:2025-04-03 Published:2025-04-28
  • Corresponding author: Xiuhua Wan
引用本文:

李泉永, 万修华. 把握多焦点人工晶状体的产品特点及合理使用[J/OL]. 中华眼科医学杂志(电子版), 2025, 15(02): 65-70.

Quanyong Li, Xiuhua Wan. Grasp the product characteristics and reasonable use of multifocal intraocular lenses[J/OL]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2025, 15(02): 65-70.

多焦点人工晶状体(MIOL)通过折射或衍射原理形成多个焦点,使患者获得远、中、近全程视力,其光学设计包括折射型、衍射型及混合型三大类。折射型通过同心环或扇区分焦,易受瞳孔影响;衍射型利用阶梯光栅分光,光能均衡但对比敏感度降低;混合型结合折射与衍射优势,实现多焦点协同;景深延长型通过扩展焦深减少视觉干扰。把握MIOL的产品特点及合理使用有益于改善临床应用效果。

Multifocal intraocular lenses(MIOL)form multiple focal points through refractive or diffractive principles,enabling patients to achieve full-range vision for distance,intermediate,and near.Their optical designs are categorized into three main types:refractive,diffractive,and hybrid.Refractive types use concentric rings or sectors for focal division,being susceptible to pupil reflex;diffractive types employ step diffraction gratings for light distribution,balancing light energy but reducing contrast sensitivity;hybrid types combine the advantages of both refractive and diffractive principles to achieve multifocal synergy.Extended depth of focus types can reduce visual disturbances by expanding the depth of field.Grasping MIOL product characteristics and their appropriate application can enhance clinical outcomes.

图1 多焦点人工晶状体的示意图 图A为Rayner M-flex;图B为ReZoom NXG1;图C为SBL-3;图D为Mplus;图E为Tecnis ZMB00;图F为Tecnis ZM900;图G为FineVision;图H为普诺明全视;图I为AcrySof ReSTOR;图J为AT LISA tri 839MP;图K为AcrySof IQ PanOptix;图L为Intensity SeeLens;图M为Asqelio Trifocal TFLIO130C;图N为Tecnis Symfony;图O为Mini Well
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