A survey of intraocular lens preferences of UK refractive surgeons for cataract surgery and refractive lens exchange.

IF 1.7 4区医学 Q3 OPHTHALMOLOGY

BMC Ophthalmology Pub Date : 2024-09-06 DOI:10.1186/s12886-024-03639-8

Jamil Kabbani, Liam Price, Radhika Patel, Nizar Din, Mukhtar Bizrah

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Abstract

Background: To explore intraocular lens (IOL) preferences of United Kingdom-based (UK) refractive surgeons in cataract and refractive lens exchange (RLE) surgery.

Methods: An online survey on IOL preferences (and reasons for their choice) in cataract and RLE surgery was distributed. It also enquired about implementing mini-monovision with extended depth of field (EDoF) IOLs, about utilising IOL mix-and-match (different IOL types in each eye), and at what level of corneal astigmatism they prefer toric lenses.

Results: Following an 81.6% response rate, thirty responses were analysed; median years of refractive surgery experience was 12.5. The most popular IOL choices for cataract surgery were EDoF lenses (30%), monofocals (20%), and trifocals (20%). The most cited reason for each was better overall visual outcomes (88.9%), fewer unwanted symptoms (66.7%) and best spectacle independence (66.7%), respectively. For RLE, EDoF remained most popular (36.7%), followed by trifocals (30%), and multifocals (16.7%) with the same reasons for choice cited above. Mini-monovision with EDoF lenses was well-regarded (83% recommend for most/select patients), unlike utilising IOL mix-and-match (60% did not recommend). 40% prefer toric IOLs for astigmatism of 1 dioptre (D) or higher, whilst 30% opt for them at < 1D.

Conclusions: Experienced UK refractive surgeons prefer newer IOLs with enhanced optics; ≥50% of respondents favoured either EDoF or trifocals for a 'typical' cataract or RLE patient. Notably, respondents have a low corneal astigmatism threshold for toric lenses. Mini-monovision with EDoF IOLs was well-regarded, whilst mix-and-match of different IOL types was less recommended.

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英国屈光外科医生对白内障手术和屈光晶体交换的眼内晶体偏好调查。

背景：探讨英国屈光手术医生在白内障和屈光晶体交换手术中对人工晶体的偏好：探讨英国屈光外科医生在白内障和屈光性晶状体置换（RLE）手术中对人工晶体（IOL）的偏好：就白内障和屈光性晶体置换手术中人工晶体的偏好（及其选择原因）进行在线调查。结果：81.6%的受访者回答了有关白内障和角膜屈光手术中选择人工晶体的偏好（以及选择的原因），其中包括：在白内障和角膜屈光手术中选择人工晶体的偏好（以及选择的原因）；在角膜屈光手术中选择人工晶体的偏好（以及选择的原因）；在白内障和角膜屈光手术中选择人工晶体的偏好（以及选择的原因）：答复率为 81.6%，对 30 份答复进行了分析；屈光手术经验的中位数为 12.5 年。白内障手术中最受欢迎的人工晶体选择是电子驱动镜片（30%）、单焦点镜片（20%）和三焦点镜片（20%）。最常见的原因分别是更好的整体视觉效果（88.9%）、更少的不必要症状（66.7%）和最佳的眼镜独立性（66.7%）。就矫正视力而言，EDoF 仍然最受欢迎（36.7%），其次是三焦点（30%）和多焦点（16.7%），选择理由与上述相同。使用 EDoF 镜片的迷你单眼视力检查受到好评（83% 的人建议大多数/部分患者使用），这与使用人工晶体混配不同（60% 的人不建议使用）。40%的人倾向于使用散光度数为 1d 或更高的散光人工晶体，30%的人在得出结论时选择使用散光人工晶体：经验丰富的英国屈光外科医生更青睐具有增强光学功能的新型人工晶体；≥50% 的受访者倾向于为 "典型 "白内障或 RLE 患者配戴 EDoF 或三焦点人工晶体。值得注意的是，受访者对散光镜片的角膜散光阈值较低。使用 EDoF 人工晶体的迷你单眼视力得到了很好的评价，而不同类型人工晶体的混合搭配则不太被推荐。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Ophthalmology OPHTHALMOLOGY-

CiteScore

3.40

自引率

5.00%

发文量

441

审稿时长

6-12 weeks

期刊介绍： BMC Ophthalmology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of eye disorders, as well as related molecular genetics, pathophysiology, and epidemiology.