Visual and subject-reported outcomes of a wavefront shaping extended depth of focus intraocular lens implanted bilaterally with monovision.

IF 2.6 3区医学 Q2 OPHTHALMOLOGY

Journal of cataract and refractive surgery Pub Date : 2025-02-18 DOI:10.1097/j.jcrs.0000000000001636

Miguel A Teus, Thomas Kohnen, James Ball, Isabelle E Y Saelens, Gerard Sutton, Michael Lawless, Caridad Perez Vives, Ruth Lapid-Gortzak

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引用次数: 0

Abstract

Purpose: To report visual and subject-reported outcomes after bilateral implantation of non-diffractive extended-depth-of-focus (EDoF) intraocular lens (IOL) (AcrySof IQ Vivity) with monovision correction during cataract or refractive lens exchange (RLE) surgery.

Setting: Europe, Australia, and New Zealand.

Design: Subgroup analysis of Vivity registry.

Methods: Binocular uncorrected and corrected visual acuities at distance (UCDVA/CDVA), intermediate (UCIVA/DCIVA), and near (UCNVA/DCNVA) were assessed at 3-6 months after implantation. Subject-reported outcomes (satisfaction, spectacle independence, visual disturbances) were evaluated. Data were reported by surgery type and monovision level at low (>-0.75D and ≤-0.50D), medium (>-1.00D and ≤-0.75D), and high (≤-1.00D).

Results: Overall, 200 (of 885) subjects met the monovision criteria (cataract, n=170; RLE, n=24). Excellent binocular UCDVA and UCIVA and excellent/good UCNVA (mean±SD logMAR) were noted for cataract (0.031±0.102; 0.081±0.114; 0.217±0.144) and RLE (0.006±0.093; -0.003±0.089; 0.123±0.097) groups, respectively. Most subjects were spectacle-independent for distance and intermediate vision and very/fairly satisfied with sight; >87% from each surgery group reported no visual disturbances. Excellent UCDVA was preserved at low and medium monovision. Better UCNVA was observed for medium and high vs. low monovision levels, whereas spectacle independence for distance and intermediate was higher for medium vs. low/high monovision. High subject satisfaction and minimal visual disturbances were reported regardless of monovision level.

Conclusions: Monovision correction with the non-diffractive EDoF IOL demonstrated excellent-to-good VA at all distances, high levels of spectacle independence and subject satisfaction, and minimal visual disturbances after cataract and RLE surgeries. Overall, medium monovision level performed most favorably, achieving good near VA while preserving excellent distance and intermediate vision.

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双侧单视力植入波前整形扩展聚焦深度人工晶状体的视觉和受试者报告的结果。

目的：报道在白内障或屈光晶体置换术（RLE）手术中双侧单视力矫正非衍射扩展焦深（EDoF）人工晶体（IOL）（AcrySof IQ Vivity）植入术后的视力和受试者报告的结果。环境：欧洲、澳大利亚和新西兰。设计：Vivity注册表的亚组分析。方法：在植入术后3 ~ 6个月分别评估双眼未矫正视力和矫正视力（UCDVA/CDVA）、中间视力（UCIVA/DCIVA）和近距离视力（UCNVA/DCNVA）。评估受试者报告的结果（满意度、眼镜独立性、视觉障碍）。数据按手术类型和单视水平分为低（>-0.75D和≤-0.50D）、中（>-1.00D和≤-0.75D）和高（≤-1.00D）。结果：总体而言，885例受试者中有200例符合单视力标准(白内障，170例；RLE, n = 24)。白内障的双眼UCDVA和UCIVA优良，UCNVA优良/良好（mean±SD logMAR）(0.031±0.102；0.081±0.114;0.217±0.144)，RLE(0.006±0.093；-0.003±0.089;分别为0.123±0.097)组。大多数受试者的距离和中间视力不依赖眼镜，对视力非常/相当满意；各手术组87%的患者无视力障碍。在低、中单视条件下保持了良好的UCDVA。中、高单视水平比低单视水平的UCNVA更好，而中、低、高单视水平的距离和中等的眼镜独立性更高。无论单视水平如何，受试者满意度高，视觉障碍最小。结论：采用无衍射EDoF人工晶状体的单视矫正在所有距离下均具有优异至良好的视功能，高水平的眼镜独立性和受试者满意度，白内障和RLE手术后视力障碍最小。总体而言，中等单视力水平表现最好，在保持良好的距离和中等视力的同时，获得了良好的近VA。

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

$Journal of cataract and refractive surgery$

Journal of cataract and refractive surgery 医学-外科

CiteScore

5.60

自引率

14.30%

发文量

259

审稿时长

8.5 weeks

期刊介绍： The Journal of Cataract & Refractive Surgery (JCRS), a preeminent peer-reviewed monthly ophthalmology publication, is the official journal of the American Society of Cataract and Refractive Surgery (ASCRS) and the European Society of Cataract and Refractive Surgeons (ESCRS). JCRS publishes high quality articles on all aspects of anterior segment surgery. In addition to original clinical studies, the journal features a consultation section, practical techniques, important cases, and reviews as well as basic science articles.