Abstract
Objetivo: Fornecer uma avaliacao objetiva e subjetiva da qualidade de vida e o nivel de satisfacao de pacientes que se submeteram a cirurgia de catarata, com implante de lentes bifocais, multifocais e monofocais. Metodos: Lentes bifocais foram implantadas em 72 pacientes; lentes multifocais asferica em 16 pacientes; lentes multifocais apodizada em 20 pacientes e lentes monofocais em 63 pacientes. Foi aplicado um questionario de 47 perguntas cujos resultados foram avaliados e analisados. Resultados: O nivel de satisfacao dos pacientes implantados com lentes bifocais e multifocais foi significantemente mais alto do que aqueles com lentes monofocais (teste Kruskal-Wallis p<0,01, seguido do teste Dunn, p<0,05). Quanto a comparacao de lentes monofocais com lentes bifocais e multifocais, a visao para perto sem correcao foi consideravelmente mais baixa em pacientes com lentes monofocais (teste Z, p<0,001). Os pacientes com lentes monofocais sem correcao apresentaram uma menor capacidade de ler jornais ou livros e no que diz respeito a trabalhos manuais do que aqueles com lentes bifocais e multifocais (teste Z, p<0,001). Conclusao: Os resultados deste estudo mostram que os pacientes que receberam as lentes bifocais e multifocais tiveram uma melhora notavel em sua acuidade visual para perto, estando satisfeitos com sua visao geral, sem oculos. A satisfacao foi atribuida ao fato de conseguirem ler livros e jornais, preencher cheques, preencher formularios, praticar esportes, se barbear ou se maquiar sem correcao.
Highlights
METHODSThe eye typically undergoes two physiological phenomena during its aging process: loss of ability to focus at varying distances and gradual opacification of the lens in most patients
Among patients implanted with monofocal intraocular lens (IOL), 58.7% were male and 41.3% were female; for bifocal IOLs, 43.1% were male and 56.9% were female; for multifocal IOLs, 50% were male and 50% were female, with an even distribution between sexes (86 males and 85 females)
There was no significant difference between aspheric and apodised IOLs in the ability to read small print (Z-test, p>0.05)
Summary
The eye typically undergoes two physiological phenomena during its aging process: loss of ability to focus at varying distances (presbyopia) and gradual opacification of the lens in most patients (cataract). Impaired accommodation is usually compensated with bifocal or multifocal glasses, while cataract is usually treated surgically by removing the lens and implanting an intraocular lens (IOL). Despite advances in cataract surgery in many parts of the world, cataract is the leading cause of surgically-preventable blindness. In 2002 cataract was responsible for an estimated 37 million cases of blindness among 161 million visually-impaired individuals. Cataract is believed to account for 48% of all visual impairments[1]. It is estimated that 10% of the population over 50 years of age has cataract, a prevalence that increases to 50% in persons aged 65-74 years and 75% in persons older than 75 years[2]
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.