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Comparison of 3-month clinical outcomes between two enhanced monofocal intraocular lenses: A single-center prospective study

医学 眩光 人工晶状体 眼科 视力 白内障手术 前瞻性队列研究 人工晶状体 散光 验光服务 外科 光学 化学 物理 有机化学 图层(电子)
作者
Vito Spagnuolo,Giulio Vicini,Ginevra Marincolo,Alessandro Franchini,Fabrizio Giansanti,Cinzia Mazzini
出处
期刊:European Journal of Ophthalmology [SAGE]
被引量:1
标识
DOI:10.1177/11206721241298031
摘要

Purpose This study aims to compare the 3-month clinical outcomes between two enhanced monofocal intraocular lenses (IOLs) following cataract surgery. Setting: Eye Clinic of Careggi University Hospital, Florence, Italy. Design Single-center prospective study. Methods We included patients with cataract and corneal astigmatism less than 0.75 D, with no ocular comorbidities, who underwent unilateral cataract surgery with implantation of either the Tecnis Eyhance ICB00 ( N = 25) or Evolux ( N = 25) IOLs. Standard cataract procedures were performed without complications. The main outcome measures included uncorrected and corrected visual acuity at distance (4 m), intermediate (60 cm) and near (40 cm) at 3-month follow-up. Additionally, monocular defocus curves, aberrometric profiles, and perceptions of halo and glare were evaluated. Results The study involved 50 patients (26 male, 24 female) with a mean age of 68 ± 8 years. Preoperative characteristics were similar between the groups, and no intraoperative or postoperative complications were reported. Statistically significant differences were observed between the groups, with the Evolux IOL showing superior results ( p < 0.05) in terms of uncorrected and corrected visual acuity at near, intermediate, and distance, as well as in aberrometric profiles (lower-order aberration root-mean-square [RMS], higher-order aberration RMS, spherical equivalent RMS, and point spread function) and defocus curves. Conclusions Based on our experience, while both IOLs offer substantial visual performance for intermediate and distance vision, the Evolux IOL demonstrated superior mean visual outcomes and objective parameters at the 3-month follow-up compared to the Tecnis Eyhance IOL. This indicates a potential advantage of the Evolux IOL in providing better visual performance.
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