양안 다초점인공수정체 삽입과 단초점과 다초점 인공수정체를 각각 삽입한 후의 시력 비교

• 영문명: Combined Implantation of Monofocal and Multifocal Intraocular Lenses in Senile Cataract Surgery
• 발행기관: 대한안과학회
• 저자명: 김지현 이준원 정재림 김응권 김태임,Ji Hyun Kim, MD, Jun Won Lee, MD, Jae Lim Chung, MD, Eung Kweon Kim, MD, Tai-Im Kim, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number11, 1632~1638쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.11.15

영문 초록

Purpose: To assess binocular visual outcomes in patients who were implanted with a monofocal IOL (intraocular lens) in one eye and a multifocal IOL in the contralateral eye or with a bilateral multifocal IOL. Methods: This study enrolled 15 patients (30 eyes) implanted with a monofocal IOL in one eye and a multifocal IOL in the contralateral eye (5 patients, group 1) or with a bilateral multifocal IOL (10 patients, group 2). Binocular visual acuity (uncorrected/best distance corrected near, intermediate, and distance vision), binocular uncorrected reading speed, and contrast sensitivity were assessed at 6 months following the last implantation. Patient’s quality of life (overall satisfaction, halos and glare presence, and spectacle dependence) was also assessed using a questionnaire at 6 months postoperatively. Results: There was significant difference in the uncorrected and corrected near visual acuity between the 2 groups in the mesopic condition. There was no significant difference in visual acuity, reading speed and contrast sensitivity in other conditions between the 2 groups. Spectacle dependence rate was 60% in group 1 and 20% in group 2. The glare symptom was present in 60% of patients in both groups and the halo symptom was present in 3 out of 10 patients in group 2. Overall satisfaction score was not significantly different between the groups. Conclusions: The combined implantation of a monofocal and a multifocal lens revealed similar visual outcomes compared to bilateral multifocal IOL implantation except for near vision. In addition, the results showed similar patient satisfaction in both groups. J Korean Ophthalmol Soc 2009;50(11):1632-1638

키워드

Cataract surgery, Combined implantation, Multifocal intraocular lens