Abstract:AIM:To make better postoperative visual quality and satisfaction, we propose individualized plans of intraocular lens for age-related cataract patients.
METHODS:Patients with cataract who hospitalized in our department from July 2009 to April 2015 were recruited as objects. According to patients' implanted IOL types we divided them into 4 groups:spherical group, non-spherical group, astigmatism group and multi-focal group. Three months after the surgery, the patients were examined by subjective visual quality, satisfaction degree, visual acuity, total astigmatism and contrast sensitivity.
RESULTS:A total of 174 patients(254 eyes)were enrolled. The average satisfaction of the patients was 8.17±1.02 scores, and the satisfaction of the astigmatism group and the multi-focal group were higher than the other 2 groups(P<0.05). The postoperative visual acuity of the 4 groups were statistically significant higher(P<0.05)than the preoperative, in which the postoperative near visual acuity of multi-focal group was significantly higher than the other 3 groups(P<0.05). The day contrast sensitivity under 3, 6, 12 and 18c/d spatial frequency and the night contrast sensitivity under 18c/d spatial frequency of the astigmatism group was better than the other 3 groups(P<0.05).
CONCLUSION:Individualized plans of intraocular lens are aimed to recommend appropriate types of IOL according to the different ocular conditions and postoperative needs of patients. It has great significance to improve the patients' visual acuity, contrast sensitivity and satisfaction.