Visual and Refractive Outcomes of Diffractive Trifocal Versus Hybrid Multifocal-extended Depth of Focus Intraocular Lenses

IF 0.1 Q4 OPHTHALMOLOGY
Ui Hwan Kim, Tae-Hoon Choi
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Abstract

Purpose: We compared the clinical outcomes of patients who received AcrySof IQ Panoptix TFNT00 (Alcon, Fort Worth, TX, USA), a diffractive trifocal intraocular lens (IOL), or TECNIS Synergy ZFR00V (Johnson & Johnson Vision, Santa Ana, CA, USA), a hybrid multifocal-extended depth of focus (EDOF) IOL.Methods: In total, 26 eyes of 13 patients who underwent bilateral implantation of the diffractive trifocal IOL (group A) and 24 eyes of 12 patients who underwent bilateral implantation of the hybrid multifocal-EDOF IOL (group B) were included. We assessed visual acuity using the logarithm of the minimal angle of resolution (logMAR) scale and evaluated the visual performance of both groups, including uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA) and the defocus curve at 1 month postoperatively. In addition, we measured contrast sensitivity and administered a satisfaction questionnaire at 3 months postoperatively.Results: At 1 month postoperatively, group B demonstrated significantly better monocular UDVA, UNVA and binocular UNVA compared to group A (0.07 ± 0.07, 0.24 ± 0.16, and 0.18 ± 0.15 vs. 0.13 ± 0.09, 0.33 ± 0.14, and 0.29 ± 0.11; p < 0.05). In addition, group B exhibited higher visual acuities in the monocular and binocular defocus curves at +1.00 diopters (D), -3.00 D, -3.50 D, and +1.00 D (p < 0.05). Notably, the binocular defocus curves of both groups demonstrated excellent logMAR visual acuities (better than 0.2) in the range of 0.00 to -3.00 D. However, no significant differences were observed between the groups in contrast sensitivity or satisfaction questionnaire responses for visual acuity at 3 months postoperatively (p > 0.05).Conclusions: The hybrid multifocal-EDOF IOL demonstrates superior near visual acuity compared to the diffractive trifocal IOL. However, both IOLs exhibit excellent visual acuity at distant, intermediate, and near distances.
衍射三焦点与混合多焦点延伸焦距眼内透镜的视觉和屈光结果
目的:我们比较了接受衍射性三焦点眼内人工晶体 AcrySof IQ Panoptix TFNT00(Alcon,Fort Worth,TX,USA)或混合多焦点-延伸焦深(EDOF)人工晶体 TECNIS Synergy ZFR00V(Johnson & Johnson Vision,Santa Ana,CA,USA)的患者的临床疗效:共纳入了 13 名接受双侧散光三焦点人工晶体植入术(A 组)的患者的 26 只眼睛和 12 名接受双侧混合多焦点-EDOF 人工晶体植入术(B 组)的患者的 24 只眼睛。我们使用最小分辨角对数(logMAR)量表评估视力,并评估两组患者术后 1 个月的视觉表现,包括未矫正远视力(UDVA)、未矫正中视力(UIVA)、未矫正近视力(UNVA)和散焦曲线。此外,我们还测量了对比敏感度,并在术后 3 个月进行了满意度问卷调查:术后 1 个月时,B 组的单眼 UDVA、UNVA 和双眼 UNVA 明显优于 A 组(0.07 ± 0.07、0.24 ± 0.16 和 0.18 ± 0.15 vs. 0.13 ± 0.09、0.33 ± 0.14 和 0.29 ± 0.11;P < 0.05)。此外,B 组在 +1.00、-3.00、-3.50 和 +1.00D(p < 0.05)时的单眼和双眼散焦曲线上显示出更高的视力。值得注意的是,两组患者的双眼离焦曲线在 0.00 至 -3.00 D 范围内均显示出极佳的对数 MAR 视力(优于 0.2)。然而,术后 3 个月时,两组患者在对比敏感度或视力满意度问卷调查中没有观察到显著差异(P > 0.05):结论:与散光三焦点人工晶体相比,混合多焦点-EDOF 人工晶体显示出更佳的近视力。然而,两种人工晶体在远距离、中距离和近距离都表现出极佳的视力。
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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
126
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