The Influence of Chromatic Aberration on Visual Quality in Patients With Trifocal Intraocular Lenses.

IF 2.9 3区 医学 Q1 OPHTHALMOLOGY
Helin S Güngör, Grzegorz Łabuz, Timur M Yildirim, Gerd U Auffarth, Ramin Khoramnia
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引用次数: 0

Abstract

Purpose: To investigate how varying levels of longitudinal chromatic aberration (LCA) affect visual quality in patients with trifocal intraocular lenses (IOLs).

Methods: Twenty-nine patients implanted with trifocal IOLs were assessed for corrected distance visual acuity (CDVA), defocus curves, the contrast sensitivity function, and the area under the logarithmic contrast sensitivity function (AULCSF). The measurements were performed under natural viewing conditions after introducing +1.00 and -1.00 diopters (D) of LCA using zero-power triplet lenses.

Results: CDVA was -0.10 ± 0.09, -0.07 ± 0.09, and -0.08 ± 0.08 logarithm of the minimum angle of resolution (logMAR) with natural, enhanced, and reduced LCA, respectively. At defocus levels of 0.00 to -1.50 D, visual acuity decrease was steeper under natural conditions than under conditions with more positive LCA. At a defocus level of -2.50 D, visual acuity was 0.02 ± 0.09, 0.03 ± 0.08, and 0.06 ± 0.14 logMAR with natural, elevated, and reduced LCA, respectively. The AULCSF was 1.19 ± 0.12 under natural and reduced LCA conditions. Increasing LCA lowered the AULCSF to 1.12 ± 0.13 (P ≤ .0001).

Conclusions: LCA elevation led to a slight enhancement of depth of focus while not substantially affecting vision at far focus. Reducing LCA with an achromatizing triplet lens failed to improve CDVA and contrast sensitivity. Likewise, at intermediate and near viewing distances, lowering LCA did not improve visual function. [J Refract Surg. 2024;40(10):e692-e698.].

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来源期刊
CiteScore
5.10
自引率
12.50%
发文量
160
审稿时长
4-8 weeks
期刊介绍: The Journal of Refractive Surgery, the official journal of the International Society of Refractive Surgery, a partner of the American Academy of Ophthalmology, has been a monthly peer-reviewed forum for original research, review, and evaluation of refractive and lens-based surgical procedures for more than 30 years. Practical, clinically valuable articles provide readers with the most up-to-date information regarding advances in the field of refractive surgery. Begin to explore the Journal and all of its great benefits such as: • Columns including “Translational Science,” “Surgical Techniques,” and “Biomechanics” • Supplemental videos and materials available for many articles • Access to current articles, as well as several years of archived content • Articles posted online just 2 months after acceptance.
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