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題 名 | 臺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 |
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作 者 | 謝靜茹; 何一滔; 林克忠; 尤之浩; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 49:2 2010.06[民99.06] |
頁 次 | 頁183-191 |
分類號 | 416.744 |
關鍵詞 | 人工水晶體; 生活品質; 視覺功能; Multifocal intraocular lens; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:探討植入非球面多焦點與單焦點人工水晶體,病患在(1)視覺功能與(2)視覺相關生活品質之組間差異。方法:前溯性、比較性之一年的臨床研究,收案植入工水晶體個案:(1)非球面多焦組為植入ReSTOR IQ及Tecnis ZM900,(2)單焦組植入Acrysof SA60AT,雙眼植入相同型號的人工水晶體。術後3個月評估治療的成效,採用下列測量方法:(1)視覺功能:遠、中、近距離的裸視力及最佳矯正視力及術後脫鏡率及對比敏感度。(2)視覺相關生活品質問卷:面談方式採美國眼科國家研究院25項視覺生活品質問卷。每項治療成效在組間的差異性,採用one-way analysis of variance (ANOVA)與x^2統計分析方法。結果:總共收集61位病患,單焦組21位,ReSTOR IQ組22位,Tecnis ZM900組18位。遠距裸視力三組間無顯著差異(p>.05),近距裸視力多焦組優於單焦組(mean log MAR:ReSTOR IQ 0.17±0.18;Tecnis ZM900 0.15±0.14;單焦組0.39±0.25) (p<.05)。多焦組術後脫鏡率約90%,單焦組約31.8% (p<.05)。但是眩光條件平均對比敏感值多焦組低於單焦組(mean log contrast sensitivity: ReSTOR 0.40±0.35;Tecnis ZM900 0.23±0.26;單焦組0.42±0.33) (p<.05)。三組病患術後視覺相關生活品質問卷的結果,在各向度的得分上,所有次向度及總分顯示出三組皆沒有顯著差異。結論:相較於單焦點組,多焦點組提供良好遠距及近距視力,並有較高的脫鏡率。雖然多焦點組夜間對比敏感度下降並且夜間駕駛光干擾現象高於單焦點組。無論是植入單焦點或多焦點人工水晶體,術後的整體視覺相關生活品質皆有明顯改善,顯示白內障手術不僅改善病患視力,同時也提升視覺相關生活品質。 |
英文摘要 | 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. |
本系統中英文摘要資訊取自各篇刊載內容。