在單焦點和優質人工晶體患者自我報告結果量表研究中，與人工晶體植入相關的症狀和滿意度水平

Ophthalmology Volume 130, Number 7, July 2023

中文摘要

該研究旨在評估不同人工水晶體的白內障手術患者的視覺症狀和滿意度。使用問卷評估了14種症狀，包括眩光、模糊視覺、暈輪和浮遊物等。結果顯示，手術後視覺症狀明顯減少，除了深色新月形陰影(dark crescent-shaped shadow)。大多數患者報告手術後對視力感到滿意。該問卷被稱為「人工晶體植入症狀評估（Assessment of IntraOcular Lens Implant Symptoms, AIOLIS）」，可用於評估premium IOL（注重近視和中距離視覺）對視覺症狀和滿意度的影響。該研究凸顯了在決策和評估手術後結果時納入患者的觀點的重要性。神經適應和未矯正的屈光錯誤等因素可能對症狀和患者滿意度起到作用。研究結果可幫助眼科醫生選擇適當的IOL，並與患者進行關於他們的視覺目標和生活方式的知情討論。

English Abstract

Title : Symptoms and Satisfaction Levels Associated with Intraocular Lens Implants in the Monofocal and Premium IOL Patient Reported Outcome Measure Study

The study aimed to assess visual symptoms and patient satisfaction in individuals undergoing cataract surgery with different intraocular lenses (IOLs). An 86-item questionnaire with standardized images assessed the following 14 symptoms: glare, blurry vision, starbursts, hazy vision, snowballs, halos, floaters, double images, rings and spider webs, light flashes with eyes closed, distortion, light flashes with eyes open, shimmering images, and dark crescent-shaped
shadow. The majority of patients reported satisfaction with their vision after surgery. The questionnaire, called the Assessment of IntraOcular Lens Implant Symptoms (AIOLIS), can be used to evaluate visual symptoms and satisfaction with premium IOLs that target near and intermediate vision. The study highlighted the importance of incorporating the patient’s perspective in decision-making and assessing postoperative outcomes. Factors such as neural adaptation and uncorrected refractive error may contribute to symptoms and patient satisfaction. The findings can aid ophthalmologists in selecting appropriate IOLs and facilitating informed discussions with patients about their visual goals and lifestyle.