양안 위수정체안에 적용한 단안시의 시각 기능과 환자 만족도 평가

• 영문명: Visual Function and Patient Satisfaction in Pseudophakic Monovision
• 발행기관: 대한안과학회
• 저자명: 김윤전 전미현 고동아 김재용 김명준 차흥원,Yoon Jeon Kim, MD, Mi Hyun Cheon, MD, Dong Ah Ko, MD, Jae Yong Kim, MD, PhD,Myoung Joon Kim, MD, PhD, Hungwon Tchah, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number11, 1621~1629쪽, 전체 9쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.11.15

영문 초록

Purpose: To evaluate visual performance as well as patient satisfaction and to explore factors associated with clinical outcomes in pseudophakic monovision acquired after bilateral phacoemulsification and sequential monofocal intraocular lens (IOL) implantation. Methods: The present retrospective study examined patients with pseudophakic monovision. Preoperative and postoperative binocular uncorrected distant visual acuity (UCDVA), uncorrected near visual acuity (UCNVA), refractive errors and postoperative near stereopsis were measured. Postoperative measurements were obtained at least 6 months after the fellow eye surgery. Patient satisfaction and independence from glasses were evaluated using a questionnaire. Results: Preoperative and postoperative binocular UCDVA, UCNVA, and differences in spherical equivalent refractive error were statistically significant. Postoperative near stereopsis was 107.1 arcsec. Questionnaire responses showed that 71.4% of patients were less dependent on glasses and 85.7% were satisfied with the postoperative visual performance. Various designs of monovision, such as crossed monovision or customized minimonovision with moderate myopic defocus showed the same level of patient satisfaction. Patients who were older than 60 years or had poorer preoperative binocular UCDVA showed higher satisfaction. Conclusions: Pseudophakic monovision is an effective approach for managing loss of accommodation after cataract surgery, especially in patients older than 60 years.

키워드

Binocular uncorrected visual acuity, Monovision design, Patient satisfaction, Pseudophakic monovision, Stereopsis