目的：使用电脑验光和OPD-Scan Ⅲ自动验光检查白内障患者植入景深延长型人工晶状体术后屈光状态。

方法：回顾性病例观察研究。收集2022-05/2023-05于上海市眼病防治中心行白内障超声乳化吸除术并植入TECNIS^®； Symfony ZXR00人工晶状体( IOL)患者61例76眼。所有患者术后同一天行电脑验光、OPD-Scan Ⅲ自动验光和综合验光仪主觉验光检查。

结果：电脑验光球镜、等效球镜与综合验光仪主觉验光球镜、等效球镜比较均有差异(均P<0.01)，球镜、等效球镜差异值分别为-0.67±0.37 D和-0.75±0.35 D，与综合验光仪主觉验光相比，电脑验光球镜、等效球镜均偏近视； 电脑验光柱镜与综合验光仪主觉验光柱镜有差异(P<0.01)，二者差异绝对值较小(0.21±0.24 D)。电脑验光球镜、柱镜、等效球镜与综合验光仪主觉验光球镜、柱镜、等效球镜均正相关(r=0.7994、0.7929、0.8118，均P<0.01)。OPD-Scan Ⅲ自动验光球镜、柱镜、等效球镜与综合验光仪主觉验光比较均有差异(P<0.01)，球镜、柱镜、等效球镜差异绝对值(0.63±0.36、0.35±0.26和0.53±0.36 D)较小。OPD-Scan Ⅲ自动验光球镜、柱镜、等效球镜与主觉验光球镜、柱镜、等效球镜均正相关(r=0.4410、0.4982、0.5224，均P<0.01)。

结论：景深延长型IOL植入术后电脑验光、OPD-Scan Ⅲ自动验光与综合验光仪主觉验光一致性较好，电脑验光球镜和等效球镜平均差异较大，但均呈现近视偏差，柱镜差异小； OPD-Scan Ⅲ自动验光与主觉验光平均差异较小，但差异方向不稳定，有时为近视偏差，有时为远视偏差。

METHODS: Retrospective observational study. A total of 61 cases(76 eyes)that received phacomulsification and implanted with TECNIS^® Symfony ZXR00 intraocular lens in Shanghai Eye Diseases Prevention & Treatment Center from May 2022 to May 2023 were collected. Measurements from the computer refractometer, OPD-Scan III auto refractometer, and subjective refraction, were taken from all patients on the same day postoperatively.

RESULTS: There were statistical significant difference in sphere(S)and spherical equivalent(SE)readings from the computer refractometer and subjective refraction(all P<0.01), with mean differences of -0.67±0.37 D and -0.75±0.35 D, respectively, and the S and SE obtained from computer refractometer more incline to myopia than those from subjective refraction; there were statistical significant difference in computer refractometer and subjective refraction(P<0.01), with a relative small absolute difference(0.21±0.24 D). The S, cylinder(C)and SE of computer refractometer(S, C, SE)were positively correlated with subjective refraction(r=0.7994, 0.7929, and 0.8118, respectively, all P<0.01). Additionally, there were statistical significant differences in S, C and SE of OPD-Scan Ⅲ and subjective refraction(P<0.01), and the absolute differences of S(0.63±0.36 D), C(0.35±0.26 D)and SE(0.53±0.36 D)were small. Furthermore, the S, C and SE of OPD-Scan Ⅲ were positively correlated with subjective refraction(r=0.4410, 0.4982, 0.5224, all P<0.01).

CONCLUSION: In patients who received implantation of EDOF lenses, the consistency of computer refractometer, OPD-Scan III auto refractometer and subjective refraction was good. The average difference of the S and SE obtained via computer refractometer was large, but both exhibited a myopic shift relative to those derived from subjective refraction, and the C values demonstrated minimal discrepancy. Furthermore, the differences between OPD-Scan III auto refractometer and subjective refraction were small, but the direction of the difference is unstable, sometimes it is myopic deviation, while sometimes it is hyperopic deviation.