Comparing an Advanced Monofocal With a Non-diffractive Extended Depth of Focus Intraocular Lens Using a Mini-Monovision Approach.

IF 4.1 1区医学 Q1 OPHTHALMOLOGY

American Journal of Ophthalmology Pub Date : 2024-10-28 DOI:10.1016/j.ajo.2024.10.014

Johannes Zeilinger, Martin Kronschläger, Andreas Schlatter, Stefan Georgiev, Manuel Ruiss, Caroline Pilwachs, Oliver Findl

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引用次数: 0

Abstract

Purpose: To compare interindividual differences in visual performance of an advanced monofocal with a nondiffractive extended depth of focus intraocular lens (IOL) using a mini-monovision approach.

Design: Single-center, randomized, controlled, double-masked study.

Methods: In total, 48 patients (96 eyes) with bilateral age-related cataract were enrolled. One group received an advanced monofocal IOL RAO200E (RayOne EMV; Rayner) and the other group a non-diffractive extended depth of focus IOL DFT015 (Acrysof IQ Vivity; Alcon) in both eyes. Target refraction for both groups was mini-monovision. After 3 months, monocular and binocular distance corrected and uncorrected distance (CDVA/UDVA), intermediate (DCIVA/UIVA), and near visual acuity (DCNVA/UNVA); contrast sensitivity; binocular defocus curves; halometry; and Quality of Vision questionnaire scores were compared.

Results: Binocular mean CDVA, DCIVA at 66 cm, and DCNVA at 40 cm were -0.10±0.10, 0.15±0.11, and 0.32±0.16 logMAR for the RAO200E and -0.10±0.10, 0.12±0.10, and 0.27±0.16 logMAR for the DFT015, respectively, with no significant difference. A significant difference could be shown for the dominant eye in monocular DCIVA and DCNVA and for the dominant and nondominant eye in monocular UNVA, with 0.28±0.14, 0.48±0.22, 0.46±0.21, and 0.41±0.20 logMAR for the RAO200E and 0.14±0.10 (P = .023), 0.35±0.16 (P = .008), 0.30±0.14 (P = .001), and 0.21±0.10 (P = .003) logMAR for the DFT015, respectively. Significantly smaller halo size in the RAO200E group and significantly better distance-corrected defocus curve at -2.5 (P = .031), -2.0 (P = .03), and -1 diopters (P = .03) of defocus in the DFT015 group could be shown.

Conclusions: Distance corrected or uncorrected binocular visual acuity for far, intermediate, and near distance between the advanced monofocal IOL RAO200E and the non-diffractive extended depth of focus IOL DFT015, when compared in a mini-monovision setting, showed no significant differences.

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使用迷你单焦法比较先进单焦与非衍射性延伸焦深眼内透镜：比较先进的微型单焦点眼内透镜。

目的：比较使用迷你单焦法的高级单焦与非衍射性延伸焦深眼内透镜在视觉表现上的个体差异：单中心、随机对照、双掩蔽研究：共招募了 48 名双侧老年性白内障患者（96 只眼）。一组接受先进的单焦点人工晶体 RAO200E（RayOne EMV™，雷纳公司），另一组双眼接受非屈光性扩展焦深人工晶体 DFT015（Acrysof IQ Vivity™，爱尔康公司）。两组患者的目标屈光度均为小单眼。3 个月后，对单眼和双眼的远距离矫正和未矫正视力（CDVA/UDVA）、中距离矫正视力（DCIVA/UIVA）和近距离矫正视力（CDNVA/UNVA）、对比敏感度、双眼散焦曲线、光晕测量和视力质量问卷进行了比较：RAO200E的双眼平均CDVA、66厘米处的DCIVA和40厘米处的DCNVA分别为-0.10±0.10、0.15±0.11和0.32±0.16 logMAR，而DFT015的双眼平均CDVA、66厘米处的DCIVA和40厘米处的DCNVA分别为-0.10±0.10、0.12±0.10和0.27±0.16 logMAR，无显著差异。在单眼 DCIVA、DCNVA 和单眼 UNVA 中，优势眼和非优势眼分别为 0.28±0.14、0.48±0.22、0.RAO200E分别为0.28±0.14、0.48±0.22、0.41±0.20 logMAR，DFT015分别为0.14±0.10 (p=0.023)、0.35±0.16 (p=0.008) 0.30±0.14 (p=0.001) 和 0.21±0.10 (p=0.003) logMAR。RAO200E 组的光晕明显较小，DFT015 组在散焦-2.5（p=0.031）、-2.0（p=0.03）和-1 斜度（0.03）时的距离校正散焦曲线明显较好：高级单焦点人工晶体 RAO200E 和非屈光性延伸焦深人工晶体 DFT015 在迷你单焦点环境下进行比较，远、中、近距离的距离校正或未校正双眼视力均无显著差异。

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

American Journal of Ophthalmology 医学-眼科学

CiteScore

9.20

自引率

7.10%

发文量

406

审稿时长

36 days

期刊介绍： The American Journal of Ophthalmology is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. Published monthly since 1884, the full text of the American Journal of Ophthalmology and supplementary material are also presented online at www.AJO.com and on ScienceDirect. The American Journal of Ophthalmology publishes Full-Length Articles, Perspectives, Editorials, Correspondences, Books Reports and Announcements. Brief Reports and Case Reports are no longer published. We recommend submitting Brief Reports and Case Reports to our companion publication, the American Journal of Ophthalmology Case Reports. Manuscripts are accepted with the understanding that they have not been and will not be published elsewhere substantially in any format, and that there are no ethical problems with the content or data collection. Authors may be requested to produce the data upon which the manuscript is based and to answer expeditiously any questions about the manuscript or its authors.