J Refract Surg. 2020 May 1;36(5):326-333. doi: 10.3928/1081597X-20200318-01.
To evaluate postoperative visual performance and patient-reported outcomes following combined implantation of an extended depth of focus (EDOF) intraocular lens (IOL) and a trifocal IOL.
The study enrolled consecutive patients undergoing refractive lens extraction or cataract surgery with combined implantation of an EDOF IOL (dominant eye) and a trifocal IOL in the nondominant eye. Uncorrected (UDVA) and corrected (CDVA) distance visual acuities, uncorrected intermediate (UIVA) and near (UNVA) visual acuities, defocus curves, and subjective questionnaires were evaluated 1 month postoperatively.
The study enrolled 100 consecutive patients (200 eyes). The postoperative mean binocular UDVA, UIVA, and UNVA were -0.08 ± 0.07, 0.13 ± 0.12, and 0.17 ± 0.11 logMAR, respectively. The percentage of eyes within ±0.50 and ±1.00 diopters of the refractive target was 65% and 96% with EDOF IOLs, and 76% and 99% with trifocal IOLs, respectively. Of all patients, 91% were satisfied or more than satisfied with the procedure, and 87% of patients were spectacle free for near vision. On a scale from 0 (not at all) to 3 (very), mean scores of 0.52 ± 0.83, 0.71 ± 0.83, and 0.34 ± 0.73 were reported for glare, halos, and starbursts. The mean daytime and nighttime Quality of Vision scores were 9.13 ± 0.91 and 7.96 ± 1.57, respectively.
The combination of an EDOF IOL and a trifocal IOL provides good unaided visual acuity for distance and near. This IOL combination provides high postoperative satisfaction and functional vision, but some early visual side effects were reported. [J Refract Surg. 2020;36(5):326-333.].
评估联合植入扩展景深（EDOF）人工晶状体（IOL）和三焦点 IOL 后的术后视觉效果和患者报告的结果。
本研究纳入了连续接受屈光性晶状体切除术或白内障手术的患者，这些患者在优势眼联合植入 EDOF IOL，在非优势眼联合植入三焦点 IOL。术后 1 个月评估未矫正（UDVA）和矫正（CDVA）远视力、未矫正中间（UIVA）和近（UNVA）视力、离焦曲线和主观问卷。
本研究共纳入 100 例（200 只眼）连续患者。双眼术后平均 UDVA、UIVA 和 UNVA 分别为-0.08±0.07、0.13±0.12 和 0.17±0.11 logMAR。EDOF IOL 组 65%和 96%的眼在屈光目标±0.50 和±1.00 屈光度范围内，三焦点 IOL 组分别为 76%和 99%。所有患者中，91%对手术满意或非常满意，87%的患者无需戴眼镜即可近距离阅读。在 0（一点也不）至 3（非常）的评分中，报告的眩光、晕影和星爆的平均得分为 0.52±0.83、0.71±0.83 和 0.34±0.73。日间和夜间的视觉质量平均得分为 9.13±0.91 和 7.96±1.57。
EDOF IOL 和三焦点 IOL 的联合使用可为远距和近距提供良好的裸眼视力。这种 IOL 组合提供了较高的术后满意度和功能性视力，但也报告了一些早期视觉副作用。[J Refract Surg. 2020;36(5):326-333.]。
