■由于周边视网膜视图的像差,通过多焦点人工晶状体(IOL)进行激光视网膜固定术可能具有挑战性。这项研究调查了多焦点IOL与单焦点IOL对视网膜泪液激光视网膜固定术结果的影响。
■假晶状体眼(多焦点和单焦点IOL)因视网膜撕裂而接受了办公室激光视网膜固定术,至少随访三个月,进行回顾性分析。多焦点IOL的眼睛与单焦点IOL的对照以1:2的年龄比例相匹配,性别,number,和视网膜撕裂的位置。主要结果指标是并发症的发生率。
■我们在研究中纳入了168只眼。56只眼(51例)的多焦点IOL与112只眼(112例)的单焦点IOL相匹配。平均随访时间为26个月。两组的基线特征相似。在没有额外手术的情况下,激光视网膜固定术的成功率没有显着差异(91%与86%在3个月和79%74%在随访期间,在多焦点IOL和单焦点IOL组中,分别)。随后的RRD率没有观察到显著差异(多焦点,4%vs.monofocal,6%,P=0.716)或需要额外的激光视网膜固定术治疗新的眼泪(14%vs.15%;P=0.939)。玻璃体出血的手术率(0%vs.3%;P=0.537),ERM(2%与2%;P=0.553)和玻璃体漂浮物(5%vs.2%,P=0.422)无显著差异。视觉结果也相似。
■多焦点IOL似乎并未对视网膜撕裂的办公室激光视网膜固定术的结果产生负面影响。
Performing laser retinopexy through multifocal intraocular lenses may be challenging due to aberrations of the peripheral retinal view. This
study investigated the influence of multifocal versus monofocal intraocular lenses on outcomes of laser retinopexy for retinal tears.
Pseudophakic eyes (multifocal and monofocal intraocular lenses) that underwent in-office laser retinopexy for retinal tears, with a minimum follow-up of 3 months, were retrospectively analyzed. Eyes with multifocal intraocular lenses were matched to controls with monofocal intraocular lenses in a 1:2 ratio for age, gender, number, and location of retinal tears. The main outcome measure was the rate of complications.
We included 168 eyes in the
study. Fifty-six eyes (51 patients) with multifocal intraocular lenses were matched with 112 eyes (112 patients) with monofocal intraocular lenses. The mean follow-up was 26 months. Baseline characteristics were similar between two groups. No significant differences were noted in the rate of successful laser retinopexy without additional procedures (91% vs. 86% at 3 months and 79% vs. 74% during follow-up, in the multifocal intraocular lens and monofocal intraocular lens group, respectively). No significant differences were observed in the rate of subsequent rhegmatogenous retinal detachment (multifocal, 4% vs. monofocal, 6%, p=.716) or need for additional laser retinopexy for new tears (14% vs. 15%; p=.939). The surgery rates for vitreous hemorrhage (0% vs. 3%; p=.537), epiretinal membrane (2% vs. 2%; p=.553), and vitreous floaters (5% vs. 2%, p=.422) were not significantly different. Visual outcomes were also similar.
Multifocal intraocular lenses did not appear to negatively impact the outcomes of in-office laser retinopexy for retinal tears.