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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/25040完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 賴美淑 | |
| dc.contributor.author | I-Chan Lin | en |
| dc.contributor.author | 林怡嬋 | zh_TW |
| dc.date.accessioned | 2021-06-08T06:00:51Z | - |
| dc.date.copyright | 2007-08-08 | |
| dc.date.issued | 2007 | |
| dc.date.submitted | 2007-07-28 | |
| dc.identifier.citation | 1. Tsai, C.Y., et al., The current status of visual disability in the elderly population of Taiwan. Jpn J Ophthalmol, 2005. 49(2): p. 166-72.
2. Tsai, S.Y., et al., Epidemiologic study of age-related cataracts among an elderly Chinese population in Shih-Pai, Taiwan. Ophthalmology, 2003. 110(6): p. 1089-95. 3. Cheng, C.Y., et al., Population-based study on prevalence and risk factors of age-related cataracts in Peitou, Taiwan. Zhonghua Yi Xue Za Zhi (Taipei), 2000. 63(8): p. 641-8. 4. Artal, P., et al., Contribution of the cornea and internal surfaces to the change of ocular aberrations with age. J Opt Soc Am A Opt Image Sci Vis, 2002. 19(1): p. 137-43. 5. Guirao, A., J. Tejedor, and P. Artal, Corneal aberrations before and after small-incision cataract surgery. Invest Ophthalmol Vis Sci, 2004. 45(12): p. 4312-9. 6. Mester, U., P. Dillinger, and N. Anterist, Impact of a modified optic design on visual function: clinical comparative study. J Cataract Refract Surg, 2003. 29(4): p. 652-60. 7. Bellucci, R., S. Morselli, and V. Pucci, Spherical aberration and coma with an aspherical and a spherical intraocular lens in normal age-matched eyes. J Cataract Refract Surg, 2007. 33(2): p. 203-9. 8. Munoz, G., et al., Spherical aberration and contrast sensitivity after cataract surgery with the Tecnis Z9000 intraocular lens. J Cataract Refract Surg, 2006. 32(8): p. 1320-7. 9. Kasper, T., J. Buhren, and T. Kohnen, Intraindividual comparison of higher-order aberrations after implantation of aspherical and spherical intraocular lenses as a function of pupil diameter. J Cataract Refract Surg, 2006. 32(1): p. 78-84. 10. Kasper, T., J. Buhren, and T. Kohnen, Visual performance of aspherical and spherical intraocular lenses: intraindividual comparison of visual acuity, contrast sensitivity, and higher-order aberrations. J Cataract Refract Surg, 2006. 32(12): p. 2022-9. 11. Rocha, K.M., et al., Wavefront analysis and contrast sensitivity of aspheric and spherical intraocular lenses: a randomized prospective study. Am J Ophthalmol, 2006. 142(5): p. 750-6. 12. Denoyer, A., et al., Quality of vision after cataract surgery after Tecnis Z9000 intraocular lens implantation Effect of contrast sensitivity and wavefront aberration improvements on the quality of daily vision. J Cataract Refract Surg, 2007. 33(2): p. 210-6. 13. Pandita, D., et al., Contrast sensitivity and glare disability after implantation of AcrySof IQ Natural aspherical intraocular lens: prospective randomized masked clinical trial. J Cataract Refract Surg, 2007. 33(4): p. 603-10. 14. Packer, M., et al., Improved functional vision with a modified prolate intraocular lens. J Cataract Refract Surg, 2004. 30(5): p. 986-92. 15. Bellucci, R., et al., Visual acuity and contrast sensitivity comparison between Tecnis and AcrySof SA60AT intraocular lenses: A multicenter randomized study. J Cataract Refract Surg, 2005. 31(4): p. 712-7. 16. Kershner, R.M., Retinal image contrast and functional visual performance with aspheric, silicone, and acrylic intraocular lenses. Prospective evaluation. J Cataract Refract Surg, 2003. 29(9): p. 1684-94. 17. Kasper, T., J. Buhren, and T. Kohnen, [Intraindividual comparison of higher order aberrations after implantation of aspherical and spherical IOLs depending on pupil diameter]. Ophthalmologe, 2005. 102(1): p. 51-7. 18. Liou, S.W. and C.J. Chiu, Myopia and contrast sensitivity function. Curr Eye Res, 2001. 22(2): p. 81-4. 19. Risse, J.F., et al., [Spatial contrast sensitivity in patients with severe myopia]. J Fr Ophtalmol, 1996. 19(4): p. 271-7. 20. Della Sala, S., et al., Impaired contrast sensitivity in diabetic patients with and without retinopathy: a new technique for rapid assessment. Br J Ophthalmol, 1985. 69(2): p. 136-42. 21. Tappin, M.J. and D.F. Larkin, Factors leading to lens implant decentration and exchange. Eye, 2000. 14 Pt 5: p. 773-6. 22. Denoyer, A., et al., Quality of vision after cataract surgery after Tecnis Z9000 intraocular lens implantation: effect of contrast sensitivity and wavefront aberration improvements on the quality of daily vision. J Cataract Refract Surg, 2007. 33(2): p. 210-6. 23. Vilarrodona, L., G.D. Barrett, and B. Johnson, High-order aberrations in pseudophakia with different intraocular lenses. J Cataract Refract Surg, 2004. 30(3): p. 571-5. 24. Mangione, C.M., et al., Development of the 'Activities of Daily Vision Scale'. A measure of visual functional status. Med Care, 1992. 30(12): p. 1111-26. 25. Steinberg, E.P., et al., The VF-14. An index of functional impairment in patients with cataract. Arch Ophthalmol, 1994. 112(5): p. 630-8. 26. Uusitalo, R.J., et al., Evaluating cataract surgery gains by assessing patients' quality of life using the VF-7. J Cataract Refract Surg, 1999. 25(7): p. 989-94. 27. Mangione, C.M., et al., Identifying the content area for the 51-item National Eye Institute Visual Function Questionnaire: results from focus groups with visually impaired persons. Arch Ophthalmol, 1998. 116(2): p. 227-33. 28. Mangione, C.M., et al., Development of the 25-item National Eye Institute Visual Function Questionnaire. Arch Ophthalmol, 2001. 119(7): p. 1050-8. 29. Kymes, S.M., et al., Quality of life in keratoconus. Am J Ophthalmol, 2004. 138(4): p. 527-35. 30. Bradley, E.A., et al., Evaluation of the National Eye Institute visual function questionnaire in Graves' ophthalmopathy. Ophthalmology, 2006. 113(8): p. 1450-4. 31. Hirneiss, C., et al., Visual quality of life after macular hole surgery: outcome and predictive factors. Br J Ophthalmol, 2007. 91(4): p. 481-4. 32. Hyman, L.G., et al., Treatment and vision-related quality of life in the early manifest glaucoma trial. Ophthalmology, 2005. 112(9): p. 1505-13. 33. 張雪會, 老人視力障礙與視覺功能生活品質之流行病學研究. 輔仁大學公共衛生研究所碩士論文, 2006. 34. 林人傑, 青光眼病人視覺功能與健康相關生活品質之相關性探討. 台大醫療機構管理研究所碩士論文2006 35. Espindle, D., et al., Quality-of-life improvements in cataract patients with bilateral blue light-filtering intraocular lenses: clinical trial. J Cataract Refract Surg, 2005. 31(10): p. 1952-9. 36. Oshika, T., et al., [Influence of cataract and intraocular lens surgery on health-related quality of life]. Nippon Ganka Gakkai Zasshi, 2005. 109(11): p. 753-60. 37. Owsley, C., et al., Impact of Cataract Surgery on Health-Related Quality of Life in Nursing Home Residents. Br J Ophthalmol, 2007. 38. Kazis, L.E., J.J. Anderson, and R.F. Meenan, Effect sizes for interpreting changes in health status. Med Care, 1989. 27(3 Suppl): p. S178-89. 39. Lee, J.E., et al., Health-related quality of life of cataract patients: cross-cultural comparisons of utility and psychometric measures. Ophthalmic Epidemiol, 2003. 10(3): p. 177-91. 40. Muftuoglu, O., F. Karel, and R. Duman, Effect of a yellow intraocular lens on scotopic vision, glare disability, and blue color perception. J Cataract Refract Surg, 2007. 33(4): p. 658-66. 41. Landers, J., et al., Comparison of visual function following implantation of Acrysof Natural intraocular lenses with conventional intraocular lenses. Clin Experiment Ophthalmol, 2007. 35(2): p. 152-9. 42. Reis, A., et al., Successful treatment of cystoid macular edema with valdecoxib. J Cataract Refract Surg, 2007. 33(4): p. 682-5. 43. Chan, F.M., et al., Rates of posterior capsule rupture during cataract surgery among different races in Singapore. Ann Acad Med Singapore, 2006. 35(10): p. 698-700. 44. Haddad, W.M., et al., Retinal detachment after phacoemulsification: a study of 114 cases. Am J Ophthalmol, 2002. 133(5): p. 630-8. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/25040 | - |
| dc.description.abstract | 白內障是導致全球中老年人視力障礙的主要原因之一, 白內障治療方式也逐漸由疾病本身的排除,走向提昇視覺功能及改善病人生活品質的治療型態。近年來人工水晶體發展日新月異,而自2001年以後,非球面人工水晶體的發明,其訴求為減少病患手術後的球面像差,也提供了病患一個新的選擇。
過去在國人植入非球面人工水晶體的研究尚未有文獻發表,我們希望藉由臨床隨機試驗的研究設計,來探討國內植入非球面人工水晶體病患與植入球面人工水晶體病患在視力、高階像差及視覺相關生活品質的差異,我們以台北市某醫學中心的白內障手術病患總計74個眼睛,隨機去接受球面人工水晶體(Acrysof SA60AT),或非球面人工水晶體(AcrySofIQ SN60WF)的植入。我們在收集了病患手術後高階像差及手術前後的視力資料,並以改編過之中文版NEI VFQ-25評估手術前後的視覺相關生活品質。 重要的研究結果如下: 1.置入球面人工水晶體病患手術後最佳矯正視力logMAR值為0.12± 0.08,置入非球面人工水晶體病患手術後最佳矯正視力logMAR為0.09±0.07,兩組沒有顯著差異(0.11)。 2.置入非球面人工水晶體病患手術後球面像差平均為0.33±0.21,置入球面人工水晶體病患手術後球面像差平均為0.12±0.23,兩組有顯著差異(P=0.001)。 3.以問卷評估視覺相關生活品質得分結果,置入球面人工水晶體病患手術前後總得分改變為9.49±5.28;置入非球面人工水晶體病患手術前後總得分改變為11.94±7.80,兩組沒有顯著差異(P=0.16)。但在眩光的次向度得分上,植入球面人工水晶體病患手術前後總得分改變為12.4±18.44;植入非球面人工水晶體病患手術前後總得分改變為22.5±20.60,兩組有顯著差異(P=0.04)。 我們的研究結果顯示出植入非球面人工水晶體可以減少病患手術後的球面像差,並且可以改善病患手術後炫光程度。 | zh_TW |
| dc.description.provenance | Made available in DSpace on 2021-06-08T06:00:51Z (GMT). No. of bitstreams: 1 ntu-96-R94846011-1.pdf: 562248 bytes, checksum: fcf9c3fe846a490a2dd40f72e24efaa5 (MD5) Previous issue date: 2007 | en |
| dc.description.tableofcontents | 中文摘要.................................................7
第一章 緒論 1.1研究背景..............................................9 1.2研究動機與目的........................................9 第二章文獻回顧 2.1球面像差的產生.......................................11 2.2白內障手術植入之人工水晶體的演進.....................11 2.3 非球面與球面人工水晶體術後視覺功能差異性之文獻報告..11 2.4視覺相關生活品質評估.................................17 2.5文獻綜合討論.........................................21 第三章 研究設計與方法 3.1研究對象.............................................29 3.2研究方法與測量指標...................................29 3.3資料處理與統計方法...................................33 第四章 研究結果 4.1 球面人工水晶體病患與非球面人工水晶體病患的基本資料的分析......................................................38 4.2球面人工水晶體病患與非球面人工水晶體病患的手術前後的視力及手術後高階像差的分析..................................39 4.3手術前後視覺相關生活品質問卷得分之分析...............39 第五章 討論 5.1 本研究的特點........................................52 5.2 討論................................................53 5.3 研究限制............................................59 第六章 結論...........................................61 參考資料................................................62 附錄1...................................................67 圖表目錄 表2-1:球面人工水晶體Acryosf SA60AT與非球面人工水晶體Acryosf IQ SN60WF,Technis Z9000的比較...................22 表2-2文獻整理: Intraindividual randomized trial (1).....23 表2-3文獻整理: Intraindividual randomized trial (2).....24 表2-4文獻整理: Interindividual randomized trial (1).....25 表2-5文獻整理: Interindividual randomized trial (2).....26 表2-6.視覺相關生活品質問卷的比較: VF-7、VF-14、NEI VFQ-25、NEI VFQ-51其問卷題目次向度之比較........................27 表3-1 本研究對象術前NEI VFQ-25各題組評分結果之內部一致性分析......................................................35 表 3-2. 本研究所用之問卷計分步驟之一:題目譯碼...........36 表 3-3. 本研究所用之問卷計分步驟二:各次向度的題組.......37 表 4-1: 兩組病患個人基本資料比較........................42 表4- 2:兩組病患個人基本資料.............................43 表4-3:兩組病患在手術前後臨床檢查結果....................44 表 4-4: 手術前兩組視覺相關生活品質問卷在各次向度得分及總得分......................................................45 表 4-5: 手術前後兩組視覺相關生活品質問卷的得分差異......47 表4-6:兩組病患在炫光(glare)相關題目問卷第9題、第26題及第27題手術前後得分之分析....................................50 圖1-1.傳統人工水晶體所造成的術後正值的球面像差..........28 圖4-1.兩組波前像差之測量結果............................45 圖4-2.球面人工水晶體病患手術前後問卷的評分結果表........48 圖4-3.非球面人工水晶體病患手術前後問卷的評分結果表......49 圖4-4:以standardized effect size來表示視覺生活品質問卷得分的改變..................................................51 | |
| dc.language.iso | zh-TW | |
| dc.subject | 球面像差 | zh_TW |
| dc.subject | 非球面人工水晶體 | zh_TW |
| dc.subject | 視覺相關生活品質 | zh_TW |
| dc.subject | 白內障 | zh_TW |
| dc.subject | cataract | en |
| dc.subject | spherical aberration | en |
| dc.subject | aspherical intraocular lens | en |
| dc.subject | vision-related quality of life | en |
| dc.title | 植入球面人工水晶體與非球面人工水晶體病患之術後視力、高階像差與視覺相關生活品質比較 | zh_TW |
| dc.title | Visual acuity, high order aberration and vision-related quality of life comparison between patients implanted with spherical and aspherical intraocular lens | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 95-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 林隆光,王一中,陳秀熙 | |
| dc.subject.keyword | 非球面人工水晶體,視覺相關生活品質,白內障,球面像差, | zh_TW |
| dc.subject.keyword | aspherical intraocular lens,vision-related quality of life,cataract,spherical aberration, | en |
| dc.relation.page | 78 | |
| dc.rights.note | 未授權 | |
| dc.date.accepted | 2007-07-30 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 預防醫學研究所 | zh_TW |
| 顯示於系所單位： | 流行病學與預防醫學研究所 | |
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