三焦点人工晶状体在屈光性白内障手术中的视功能变化

Visual function changes associated with trifocal intraocular lens implantation in refractive cataract surgery

摘要:

三焦点人工晶状体通过衍射、折射或混合光学设计，可同时矫正远、中、近全距离视力，逐渐成为白内障手术中替代传统单焦点人工晶状体的重要选择。然而，术后早期视功能恢复的动态变化、光干扰控制、患者适应性方面及与单焦点人工晶状体的差异仍需系统探讨。该文基于近期技术进展，系统综述了三焦点人工晶状体的光学原理、术后视功能改善特征及临床应用挑战，为临床决策与研究方向提供参考。

Abstract:

Trifocal intraocular lenses, designed based on diffractive, refractive, or hybrid optical principles, can simultaneously correct distance, intermediate, and near vision, and are gradually becoming an important alternative to conventional monofocal intraocular lenses in cataract surgery. However, the dynamic changes in the early postoperative visual function recovery, the control of optical disturbances, the patient's adaptability, and the differences from monofocal intraocular lenses still need to be systematically explored. Based on the recent technological advances, this article systematically reviews the optical principles of trifocal intraocular lens, the characteristics of postoperative visual function improvement, and the challenges in clinical applications, so as to provide a reference for clinical decision-making and research directions.