Comparative Evaluation of Visual Outcomes in Combined Cataract and Vitrectomy for Idiopathic Epiretinal Membrane with an Advanced or Conventional Intraocular Lens.

IF 2 4区 医学 Q2 OPHTHALMOLOGY
Ophthalmic Research Pub Date : 2024-01-01 Epub Date: 2024-03-18 DOI:10.1159/000538316
Se Hyun Choi, In Hwan Cho, Gang Seok Jeon, In Boem Chang, Dae Joong Ma, In Hwan Hong
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引用次数: 0

Abstract

Introduction: The aim of this study was to investigate the efficacy of new monofocal intraocular lens (IOL) in comparison with conventional monofocal IOL in patients undergoing combined cataract and vitrectomy surgery for epiretinal membrane (ERM).

Methods: This prospective non-randomized comparative study included 65 eyes of 65 patients who underwent combined cataract and vitrectomy for ERM with implantation of advanced monofocal IOL (Eyhance ICB00, 33 patients) and standard monofocal IOL (Tecnis ZCB00, 32 patients). Monocular visual acuities were measured 6 months post-operatively, including corrected and uncorrected distance visual acuity (CDVA, UCDVA), uncorrected intermediate visual acuity (UCIVA), and uncorrected near visual acuity (UCNVA). Furthermore, contrast sensitivity and metamorphopsia were measured.

Results: There was no significant difference between two groups regarding operation time, post-operative CDVA, UCDVA, UCNVA, and spherical equivalent (p > 0.05). Monocular UCIVA was significantly higher in the Eyhance IOL group than in the Tecnis IOL group (p = 0.005). The photopic and mesopic contrast sensitivities were comparable between each group for any spatial frequency (p > 0.05). The correlation coefficients from correlations between retinal wrinkling ratio and M score did not differ significantly between groups (p = 0.877), and the degree of metamorphopsia was not significantly related to the type of IOL (p = 0.969).

Conclusions: In combined cataract and vitrectomy for ERM, Eyhance IOL provided significant better visual performance at intermediate distance than standard monofocal IOL without compromising operation time, distance vision, contrast sensitivity, and evaluating metamorphopsia. Eyhance IOL can be a useful option for both surgeons and patients.

白内障和玻璃体切除术联合治疗特发性视网膜外膜与先进或传统眼内透镜的视觉效果比较评估。
简介研究新型单焦点人工晶体(IOL)与传统单焦点人工晶体(IOL)在白内障和玻璃体切割联合手术治疗视网膜外膜(ERM)患者中的疗效比较:这项前瞻性非随机对比研究共纳入了 65 位接受白内障和玻璃体切割联合手术治疗 ERM 的患者,他们分别植入了先进的单焦点人工晶体(Eyhance ICB00,33 位患者)和标准单焦点人工晶体(Tecnis ZCB00,32 位患者)。术后 6 个月测量单眼视力,包括矫正和非矫正远视力(CDVA、UCDVA)、非矫正中视力(UCIVA)和非矫正近视力(UCNVA)。此外,还测量了对比敏感度和变形:结果:两组在手术时间、术后 CDVA、UCDVA、UCNVA 和球面等效视力方面无明显差异。(P>0.05)Eyhance IOL 组的单眼 UCIVA 明显高于 Tecnis IOL 组。(p = 0.005) 在任何空间频率下,各组的光镜和中镜对比敏感度相当。(p>0.05)视网膜皱折率与 M 评分之间的相关系数在各组间无显著差异(p = 0.877),变性程度与人工晶体类型无显著关系(p = 0.969):结论:在白内障和玻璃体切除术联合治疗 ERM 的过程中,Eyhance IOL 的中距离视觉效果明显优于标准单焦点 IOL,且不会影响手术时间、远视力、对比敏感度和偏视评估。对外科医生和患者来说,Eyhance IOL 都是一个有用的选择。
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来源期刊
Ophthalmic Research
Ophthalmic Research 医学-眼科学
CiteScore
3.80
自引率
4.80%
发文量
75
审稿时长
6-12 weeks
期刊介绍: ''Ophthalmic Research'' features original papers and reviews reporting on translational and clinical studies. Authors from throughout the world cover research topics on every field in connection with physical, physiologic, pharmacological, biochemical and molecular biological aspects of ophthalmology. This journal also aims to provide a record of international clinical research for both researchers and clinicians in ophthalmology. Finally, the transfer of information from fundamental research to clinical research and clinical practice is particularly welcome.
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