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題名:台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     (18點)
QUALITY-OF-LIFE AND VISUAL FUNCTION ASSESSMENT FOLLOWING CATARACT EXTRACTION WITH MULTIFOCAL VERSUS MONOFOCAL INTRAOCULAR LENS IN TAIWAN
著者:謝靜茹(Ching-Ju Hsieh) ;何一滔(Eddie yi-tau Ho) ;林克忠(Keh-Chung Lin) ;尤之浩(Joseph Jy-Haw Yu)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:multifocal intraocular lens
刊名:中華民國眼科醫學會雜誌
卷期:49卷2期(2010.6)
頁碼:183-191
語言:繁體中文
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是長度。(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χ2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3 1. 8% (p < .05) 。但是眩光條件平均對比敏成 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) 。三是且病 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成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。
Purpose: To comp訂e the visua1 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 exarninations were performed 3 months after IOL implantation. Visual functions included uncorrected and best corrected visual acuity (UVN BCVA) at 6 m, 70 cm and 33cm, reports of spectacle independence, and contrast sensitivity (CS) with Rabin CS test. The Chinese version of the 25-item Nationa1 Eye Institute Visua1 Function Questionnaire (NEI-VFQ- 25) was measured. One-way ANOV A and Chi-square tests were used for data analysis. Results: The near UVAlBCVA of the multifoca1 groups were better th扭曲at of the monofocal group. Postoperative near spectacle independence of the multifocal groups (ReSTOR 90.9%; Tecnics ZM900 89.5%) was greater 血an that of the monofocal group (3 1. 8%) 。 < .05). The mean log CS value under glare conditions for the multifoca1 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 di旺'erent between the 3 groups. Conclusions: The multifocal IOLs demonstrated excellent near vision with high spectacle independence. There was no compromised CS in dirn and glare conditions and better vision-related QOL than monofocal IOLs.


    

本卷期目次
中華民國眼科醫學會雜誌 49卷2期 (2010.6)
誘導多功能幹細胞在網膜退化性疾病之應用/ 方怡謨
黃斑圓孔/ 游建章
氧化壓力(oxidative stress)與糖尿病視網膜病變/ 王律鈞
息肉狀脈絡朕血管病變/ 楊長豪
台北市低視能病患健康檢查及健康促進生活型態調查/ 蔡明足吳宗燕翁林仲蔡景耀
EARLY LASER TREATMENT FOR ADVANCED RETINOPATHY OF PREMATURITY/ Chia-Min WuJia-Kang Wang
QUANTIFICATION OF RETINAL NERVE FIBER LAYER THICKNESS IN HIGHL Y MYOPIC EYES USING OPTICAL COHERENCE TOMOGRAPHY/ Chi-Hsin HsuYung-Feng Shih
CLINICAL AND OCT CHARACTERISTICS OF PERIPAPILLARY DETACHMENT IN PATHOLOGIC MYOPIA/ Tien-Ying Fan ChiangShu-I YehWei-Chun ChanLee-Jen Chen
台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/ 謝靜茹何一滔林克忠尤之浩
LONG-TERM FOLLOW-UP OF CONGENITALANIRIDIA ──A CASE REPORT/ Yu-Hung GuoAn-Fei LiYu-Chi LiuShui-Mei Lee
ORBITAL EMPHYSEMA──A CASE REPORT/ Wei-Ting LiuChieh-Chih TsaiPei-Yu LinShu-Ching KaoShui-Mei Lee
LEUKEMIC INFILTRATION OF THE OPTIC NERVE WITH INTRAOCULAR EXTENSION IN RELAPSING ACUTE LYMPHOBLASTIC LEUKEMIA/ Yao-Chung ChangChun-Yuan Wang
IMMUNOHISTOCHEMICAL STUDIES OF CONJUNCTIVAL MUCOSA-ASSOCIATED LYMPHOID TISSUE LYMPHOMA/ Chia-Hung LiJiann-Tomg ChenHemg-Sheng LeeJy-Been Liang
UPPER EYELID COLOBOMAASSOCIATED WITH CONGENITAL HEART DISEASE──A RARE CASE REPORT/ Hsiu-Fen LinJui-Pin LaiWu-Ping LoHuan-Chen HsuHui YangChing-Liang Kuo
CORNELIA DE LANGE SYNDROME──A CASE REPORT/ Chia-Ming HsuChiu-Tung ChuangPao-Ching ChiuTsun-Tien WuShwu-Jiuan Shen
A RARE CASE OF ORBITAL ROSAI-DORFMAN DISEASE, WITH INTRACRANIAL EXTENSION/ Pei-Fen HsuSui-Chia SungJack Yu-Shin LinChien-Liang Wu
IRIS CYST WITH TREATMENT OF Nd:YAG LASER IRIDOCYSTOTOMY/ Chan-Wei NienHung-Yu LinChing-Yang LinShih-Chun Chao
DIFFUSE IRIS MALIGNANT MELANOMA WITH SECONDARY GLAUCOMA──A CASE REPORT/ Pei-Yuan SuJehn-Yu HuangChi-Huang Hsiao
KIMURA'S DISEASE OF ORBIT AND ELBOW IN AN ASIAN CHILD──A CASE REPORT/ Chin-yun ChenCheng-Hsien ChangShyh-Shih Chiou
UNILATERAL PANUVEITIS AND OCCLUSIVE RETINAL ARTERITIS IN A PATIENT WITH SYSTEMIC SCLEROSIS/ Chih-Jen LinYo-Chen ChangKai-Chun ChengWen-Chuan Wu
REFRACTORY ORBITAL PSEUDOTUMOR TREATED SUCCESSFULLY BY POSTERIORLY INTRAORBITAL INJECTION OF TRIAMCINOLONE ACETONIDE──A CASE REPORT/ Hsiang-Wen ChienSzu-Yuan LinI-hua WangJieh-Ren Jou
以雙眼弓漿蟲視網膜目良炎為起始表現的後天免疫缺乏症候群──病例報告/ 何采璇莊秋同龔雅欣吳宗典許淑娟
 
   
 
   

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