Clinical outcomes of a trifocal compared with an extended depth of focus IOL following bilateral cataract surgery

医学 眼科 视力 近视力 人工晶状体 白内障手术 验光服务 老花眼 小学生 光学 物理
作者
Marius A. Scheepers,Catey Bunce,Michel Michaelides,Brad Hall
出处
期刊:Canadian journal of ophthalmology [Elsevier]
卷期号:58 (5): 393-400 被引量:5
标识
DOI:10.1016/j.jcjo.2022.05.005
摘要

To compare the visual and patient reported outcomes of 2 presbyopia-correcting intraocular lenses (IOLs).A total of 134 eyes (67 patients) that underwent cataract surgery with either a trifocal IOL or an extended depth of focus (EDOF) IOL bilaterally and were assessed 3 months after surgery. Outcome measures were binocular distance-corrected visual acuity at near (40 cm), intermediate (60 cm), and distance (6 m); Akman modified Quality of Life (QOL) Questionnaire-14; and 10% contrast visual acuity at distance and near, with and without glare.Mean binocular logMAR visual acuity (VA) for the PanOptix compared with the Symfony lenses: distance-corrected near VA, 0.054 versus 0.228; distance-corrected intermediate VA, 0.019 versus 0.063; and distance-corrected distance VA, -0.016 versus -0.021. The QOL questionnaire showed that 62% of the PanOptix group and 48% of the Symfony group had little or no difficulty with all QOL-related tasks. In a multivariable model controlling for pupil size and angle kappa (chord mu distance, right eyes), the differences were -0.005 (range, -0.03-0.02) and 0.165 (range, 0.12-0.21), respectively. Also, 10% contrast acuity was comparable in the 2 different lenses and was unaffected by glare.Binocular distance-corrected near VA was significantly better in the PanOptix group (p < 0.0001). This result remained statistically significant after controlling for pupil size and chord mu distance (p < 0.001). Intermediate and distance VAs were similar between the 2 groups. QOL scores were higher in the PanOptix group.
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