Сравнительная оценка зрительных функций и степени удовлетворенности качеством зрения пациентов с миопией высокой степени после имплантации мультифокальных и факичных интраокулярных линз

Abstract

Purpose. Comparative analysis of the achieved clinical refraction and the state of visual functions in patients with high myopia after implantation of multifocal and phakic intraocular lenses (IOL), subjective patients satisfaction of the quality of vision when working at close range. Material and methods. The clinical material consisted of 23 patients (46 eyes) with high myopia. 1st group – 10 people (20 eyes), who underwent phacoemulsification with implantation phakic and toric phakic IOLs (IPSL V 2.0) in both eyes, 2nd group – 13 people (26 eyes) – with implantation multifocal and multifocal toric IOLs (Alcon, USA) in both eyes. Uncorrected visual acuity (UCVA) at various distances and subjective patients satisfaction of visual functions using a standard questionnaire were investigated. Results. UCVA indices for the three distances turned out to be comparably high in both groups and did not reveal a statistically significant difference. But for long distance 12 months after the operation, the average UCVA index turned out to be statistically significantly higher in the 2nd group, amounting to 0.65 (0.6; 1) versus 0.5 (0.5; 0.6) in the 1st group. According to the result of the total calculation of the scores of the questionnaire, there was no statistical difference in the obtained indicators; p=0.13. Conclusion. Comparative analysis showed that both methods of IOL implantation in patients with high myopia made it possible to achieve high indicators of visual functions and high satisfaction of quality of vision at any distance. Key words: high myopia, IPCL, phakic IOL, multifocal IOL.