{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:34:17Z","timestamp":1760574857948,"version":"build-2065373602"},"reference-count":32,"publisher":"Akademiai Kiado Zrt.","issue":"26","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,6,29]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> Napjainkban a sz\u00fcrkeh\u00e1lyog-m\u0171t\u00e9ttel szembeni elv\u00e1r\u00e1s\n                    a lehet\u0151 legjobb refrakt\u00edv eredm\u00e9ny el\u00e9r\u00e9se, v\u00e9g\u00fcl azonban a l\u00e1t\u00e1si eredm\u00e9ny\n                    sz\u00e1mos esetben szuboptim\u00e1lis, ami tov\u00e1bbi m\u0171t\u00e9ti korrekci\u00f3t tehet sz\u00fcks\u00e9gess\u00e9. A\n                    m\u0171t\u00e9ti korrekci\u00f3 optim\u00e1lis lehet\u0151s\u00e9ge gyakran egy m\u00e1sodlagos kieg\u00e9sz\u00edt\u0151 m\u0171lencse\n                    be\u00fcltet\u00e9se a sulcus ciliarisba. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Vizsg\u00e1latunk c\u00e9lja\n                    a hossz\u00fa t\u00e1v\u00fa l\u00e1t\u00e1si eredm\u00e9nyek felm\u00e9r\u00e9se volt a 1stQ AddOn<jats:sup>\u00ae<\/jats:sup>\n                    (Medicontur Orvostechnikai Kft.) m\u0171lencse sulcusba t\u00f6rt\u00e9n\u0151 m\u00e1sodlagos be\u00fcltet\u00e9se\n                    ut\u00e1n, k\u00fcl\u00f6n\u00f6s tekintettel a m\u0171lencse stabilit\u00e1s\u00e1ra \u00e9s biokompatibilit\u00e1s\u00e1ra.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> Olyan betegek adatait elemezt\u00fck, akikn\u00e9l a\n                    sz\u00fcrkeh\u00e1lyog-m\u0171t\u00e9t szuboptim\u00e1lis l\u00e1t\u00e1si eredm\u00e9nnyel z\u00e1rult, \u00e9s korrekci\u00f3k\u00e9nt\n                    monofok\u00e1lis 1stQ AddOn m\u0171lencse be\u00fcltet\u00e9s\u00e9n estek \u00e1t. A m\u0171t\u00e9t el\u0151tt \u00e9s ut\u00e1n\n                    vizsg\u00e1ltuk a nyers \u00e9s korrig\u00e1lt t\u00e1voli l\u00e1t\u00f3\u00e9less\u00e9get, az objekt\u00edv \u00e9s szubjekt\u00edv\n                    (manifeszt) refrakci\u00f3t, a szaruh\u00e1rtya endothelsejt-s\u0171r\u0171s\u00e9g\u00e9t, illetve komplex\n                    r\u00e9sl\u00e1mp\u00e1s szem\u00e9szeti vizsg\u00e1latot v\u00e9gezt\u00fcnk, az applan\u00e1ci\u00f3s szemnyom\u00e1sm\u00e9r\u00e9st is\n                    bele\u00e9rtve. A m\u00e1sodlagos m\u0171lencse be\u00fcltet\u00e9s\u00e9t k\u00f6vet\u0151en 1\u20134 \u00e9vvel ultrahangos\n                    biomikroszk\u00f3pi\u00e1val is vizsg\u00e1ltuk a k\u00e9t m\u0171lencse helyzet\u00e9t. A statisztikai\n                    \u00f6sszehasonl\u00edt\u00e1sokat p\u00e1ros\u00edtatlan k\u00e9tmint\u00e1s <jats:italic>t<\/jats:italic>-pr\u00f3b\u00e1val (norm\u00e1lis\n                    eloszl\u00e1s eset\u00e9n) vagy Wilcoxon-teszt seg\u00edts\u00e9g\u00e9vel v\u00e9gezt\u00fck el. A szignifikancia\n                    hat\u00e1ra 5% volt. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> \u00d6sszesen 12 beteg 14 szem\u00e9t\n                    vizsg\u00e1ltuk. Az \u00e1tlagos k\u00f6vet\u00e9si id\u0151 34,34 \u00b1 16,13 h\u00f3nap volt. A 1stQ AddOn\n                    m\u0171lencs\u00e9vel a nyers korrig\u00e1latlan logMAR l\u00e1t\u00f3\u00e9less\u00e9g szignifik\u00e1ns javul\u00e1st\n                    mutatott a posztoperat\u00edv 1 h\u00f3nap \u00e9s 1\u20134 \u00e9v ut\u00e1n is (p = 0,0002, illetve p =\n                    0,0001). A korrig\u00e1lt l\u00e1t\u00f3\u00e9less\u00e9g stabil maradt. Az endothelsejtsz\u00e1m nem mutatott\n                    szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9get a m\u0171t\u00e9t el\u0151ttihez k\u00e9pest. Nem tapasztaltunk\n                    szemnyom\u00e1s-emelked\u00e9st, kr\u00f3nikus gyullad\u00e1st, pigmentdiszperzi\u00f3t, illetve egy\u00e9b\n                    sz\u00f6v\u0151dm\u00e9nyt, a be\u00fcltetett m\u0171lencs\u00e9k stabilak voltak. A k\u00e9t m\u0171lencse k\u00f6z\u00f6tt m\u00e9rt\n                    \u00e1tlagos t\u00e1vols\u00e1g 0,38 \u00b1 0,16 mm volt. <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> A\n                    sz\u00fcrkeh\u00e1lyog-m\u0171t\u00e9t ut\u00e1ni szuboptim\u00e1lis l\u00e1t\u00e1si eredm\u00e9nnyel b\u00edr\u00f3 p\u00e1ciensek\n                    eset\u00e9ben a 1stQ AddOn m\u0171lencse be\u00fcltet\u00e9se j\u00f3l tervezhet\u0151, \u00e9s hossz\u00fa t\u00e1von is\n                    stabil eredm\u00e9nyt ad, sz\u00f6v\u0151dm\u00e9nyek n\u00e9lk\u00fcl. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A\n                    m\u00e1sodlagos m\u0171lencse-be\u00fcltet\u00e9s megfelel\u0151 alternat\u00edv\u00e1t k\u00edn\u00e1l a posztoperat\u00edv\n                    korrekci\u00f3ra szuboptim\u00e1lis l\u00e1t\u00e1si eredm\u00e9ny eset\u00e9n. Orv Hetil. 2025; 166(26):\n                    1031\u20131037.<\/jats:p>","DOI":"10.1556\/650.2025.33346","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:09:05Z","timestamp":1751242145000},"page":"1031-1037","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Sz\u00fcrkeh\u00e1lyog-m\u0171t\u00e9t ut\u00e1ni szuboptim\u00e1lis eredm\u00e9nyek korrekci\u00f3ja m\u00e1sodlagosan implant\u00e1lt AddOn m\u0171lencs\u00e9vel"],"prefix":"10.1556","volume":"166","author":[{"given":"Amanda","family":"Argay","sequence":"first","affiliation":[{"name":"P\u00e9terfy S\u00e1ndor Utcai K\u00f3rh\u00e1z-Rendel\u0151int\u00e9zet, Szem\u00e9szeti Oszt\u00e1ly Budapest, P\u00e9terfy S. u. 8\u201320., 1076 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"V\u00e1mosi","sequence":"additional","affiliation":[{"name":"P\u00e9terfy S\u00e1ndor Utcai K\u00f3rh\u00e1z-Rendel\u0151int\u00e9zet, Szem\u00e9szeti Oszt\u00e1ly Budapest, P\u00e9terfy S. u. 8\u201320., 1076 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n Zsolt","family":"Nagy","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szem\u00e9szeti Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Akhter, T., & Azad, A. 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