Victor Danzinger, Marcus Lisy, Daniel Schartmüller, Nikolaus Mahnert, Markus Schranz, Claudette Abela-Formanek, Christina Leydolt
{"title":"两种混合匹配策略的3年比较：增强单焦点和三焦点与增强单焦点和三焦点EDOF iol。","authors":"Victor Danzinger, Marcus Lisy, Daniel Schartmüller, Nikolaus Mahnert, Markus Schranz, Claudette Abela-Formanek, Christina Leydolt","doi":"10.1097/j.jcrs.0000000000001808","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To assess and compare 3-year visual and subjective outcomes following mix-and-match implantation of enhanced monofocal and trifocal or trifocal EDOF IOLs.</p><p><strong>Setting: </strong>Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.</p><p><strong>Design: </strong>Single-center, prospective, clinical trial.</p><p><strong>Methods: </strong>50 patients (100 eyes) received bilateral cataract surgery with implantation of the enhanced monofocal Isopure IOL in the dominant eye and either the trifocal Finevision HP or trifocal EDOF Finevision Triumf IOL in the non-dominant eye (all PhysIOL s.a., Liège, Belgium). At the 3-year examination, binocular uncorrected distance (UDVA), intermediate (UIVA) and near (UNVA) visual acuities, binocular defocus curves, halo/glare simulation, Catquest-9SF questionnaire, spectacle dependence and Nd:YAG rate were evaluated.</p><p><strong>Results: </strong>In total, 34 patients (68 eyes) were available at the 3-year follow-up examination. In the Isopure-HP group, binocular UDVA, UIVA (80cm), UIVA (66cm), and UNVA were -0.04±0.10 (20/20), 0.06±0.07 (20/25), 0.10±0.08 (20/25) and 0.17±0.08 (20/32) logMAR, respectively. Corresponding values in the Isopure-Triumf group were 0.03±0.11 (20/20) (p=.08), 0.09±0.10 (20/25) (p=.40), 0.12±0.11 (20/25) (p=.56) and 0.27±0.07 (20/40) (p<.001) logMAR, p-values refer to the difference between both groups. Binocular defocus curves showed ≤0.2logMAR visual acuities up to -3.0D (Isopure-HP) and -2.0D (Isopure-Triumf). Halo, glare and Catquest-9SF scores were comparable (p>0.05). Nd:YAG treatment was required in 15 (44%) of Isopure eyes, 2 (13%) of Finevision HP eyes and 1 (6%) of Finevision Triumf eyes.</p><p><strong>Conclusions: </strong>Combined implantation of enhanced monofocal and trifocal/trifocal EDOF IOLs yields excellent distance and intermediate vision. Near visual acuity and spectacle independence was higher in the Isopure-HP group. Low incidence of photic phenomena and high patient satisfaction highlight the long-term effectiveness of both mix-and-match strategies.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"3-Year Comparison Of Two Mix-And-Match Strategies: Enhanced Monofocal And Trifocal Versus Enhanced Monofocal And Trifocal EDOF IOLs.\",\"authors\":\"Victor Danzinger, Marcus Lisy, Daniel Schartmüller, Nikolaus Mahnert, Markus Schranz, Claudette Abela-Formanek, Christina Leydolt\",\"doi\":\"10.1097/j.jcrs.0000000000001808\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To assess and compare 3-year visual and subjective outcomes following mix-and-match implantation of enhanced monofocal and trifocal or trifocal EDOF IOLs.</p><p><strong>Setting: </strong>Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.</p><p><strong>Design: </strong>Single-center, prospective, clinical trial.</p><p><strong>Methods: </strong>50 patients (100 eyes) received bilateral cataract surgery with implantation of the enhanced monofocal Isopure IOL in the dominant eye and either the trifocal Finevision HP or trifocal EDOF Finevision Triumf IOL in the non-dominant eye (all PhysIOL s.a., Liège, Belgium). At the 3-year examination, binocular uncorrected distance (UDVA), intermediate (UIVA) and near (UNVA) visual acuities, binocular defocus curves, halo/glare simulation, Catquest-9SF questionnaire, spectacle dependence and Nd:YAG rate were evaluated.</p><p><strong>Results: </strong>In total, 34 patients (68 eyes) were available at the 3-year follow-up examination. In the Isopure-HP group, binocular UDVA, UIVA (80cm), UIVA (66cm), and UNVA were -0.04±0.10 (20/20), 0.06±0.07 (20/25), 0.10±0.08 (20/25) and 0.17±0.08 (20/32) logMAR, respectively. Corresponding values in the Isopure-Triumf group were 0.03±0.11 (20/20) (p=.08), 0.09±0.10 (20/25) (p=.40), 0.12±0.11 (20/25) (p=.56) and 0.27±0.07 (20/40) (p<.001) logMAR, p-values refer to the difference between both groups. Binocular defocus curves showed ≤0.2logMAR visual acuities up to -3.0D (Isopure-HP) and -2.0D (Isopure-Triumf). Halo, glare and Catquest-9SF scores were comparable (p>0.05). Nd:YAG treatment was required in 15 (44%) of Isopure eyes, 2 (13%) of Finevision HP eyes and 1 (6%) of Finevision Triumf eyes.</p><p><strong>Conclusions: </strong>Combined implantation of enhanced monofocal and trifocal/trifocal EDOF IOLs yields excellent distance and intermediate vision. Near visual acuity and spectacle independence was higher in the Isopure-HP group. Low incidence of photic phenomena and high patient satisfaction highlight the long-term effectiveness of both mix-and-match strategies.</p>\",\"PeriodicalId\":15214,\"journal\":{\"name\":\"Journal of cataract and refractive surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-10-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of cataract and refractive surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/j.jcrs.0000000000001808\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of cataract and refractive surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/j.jcrs.0000000000001808","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
3-Year Comparison Of Two Mix-And-Match Strategies: Enhanced Monofocal And Trifocal Versus Enhanced Monofocal And Trifocal EDOF IOLs.
Purpose: To assess and compare 3-year visual and subjective outcomes following mix-and-match implantation of enhanced monofocal and trifocal or trifocal EDOF IOLs.
Setting: Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Methods: 50 patients (100 eyes) received bilateral cataract surgery with implantation of the enhanced monofocal Isopure IOL in the dominant eye and either the trifocal Finevision HP or trifocal EDOF Finevision Triumf IOL in the non-dominant eye (all PhysIOL s.a., Liège, Belgium). At the 3-year examination, binocular uncorrected distance (UDVA), intermediate (UIVA) and near (UNVA) visual acuities, binocular defocus curves, halo/glare simulation, Catquest-9SF questionnaire, spectacle dependence and Nd:YAG rate were evaluated.
Results: In total, 34 patients (68 eyes) were available at the 3-year follow-up examination. In the Isopure-HP group, binocular UDVA, UIVA (80cm), UIVA (66cm), and UNVA were -0.04±0.10 (20/20), 0.06±0.07 (20/25), 0.10±0.08 (20/25) and 0.17±0.08 (20/32) logMAR, respectively. Corresponding values in the Isopure-Triumf group were 0.03±0.11 (20/20) (p=.08), 0.09±0.10 (20/25) (p=.40), 0.12±0.11 (20/25) (p=.56) and 0.27±0.07 (20/40) (p<.001) logMAR, p-values refer to the difference between both groups. Binocular defocus curves showed ≤0.2logMAR visual acuities up to -3.0D (Isopure-HP) and -2.0D (Isopure-Triumf). Halo, glare and Catquest-9SF scores were comparable (p>0.05). Nd:YAG treatment was required in 15 (44%) of Isopure eyes, 2 (13%) of Finevision HP eyes and 1 (6%) of Finevision Triumf eyes.
Conclusions: Combined implantation of enhanced monofocal and trifocal/trifocal EDOF IOLs yields excellent distance and intermediate vision. Near visual acuity and spectacle independence was higher in the Isopure-HP group. Low incidence of photic phenomena and high patient satisfaction highlight the long-term effectiveness of both mix-and-match strategies.
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.
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