Department of Ophthalmology, The Fourth Affiliated Hospital of China Medical University and the Key Lenticular Laboratory of Liaoning Province , Shenyang, China.
Department of Ophthalmology, Shenyang Aier Excellence Eye Hospital , Shenyang, China.
Curr Eye Res. 2021 Mar;46(3):333-340. doi: 10.1080/02713683.2020.1798467. Epub 2020 Sep 16.
To compare the visual performance after implantation of three aberration-correcting aspherical intraocular lens (IOL).
Seventy-seven eyes of 77 cataract patients were divided into three groups: 26 eyes implanted with a non-constant aberration IOL (LUCIA 601P IOL, Zeiss Company, Germany); 26 eyes implanted with a spherical aberration -0.18μm IOL (CT ASPHINA 509M, Zeiss Company, Germany) and 27 eyes implanted with a spherical aberration -0.27μm IOL (AMO Tecnis ZCB00, Johnson & Johnson Surgical Vision, USA). Three months after operation, the distance visual acuity, wavefront aberrometry, contrast sensitivity, intraocular stray light, IOL decentration, and tilt were evaluated.
Three months postoperatively, no statistically significant differences were found in uncorrected distance visual acuity and corrected distance visual acuity (≥.83). The RMS for total ocular coma was statistically significantly lower in the Lucia group (=.03) and spherical aberration was statistically significantly lower in the Tecnis group (<.01). No statistically significant differences were observed among the three lenses in higher order aberration (=.85) and in contrast sensitivity under both photopic and mesopic lighting conditions (≥.05). The intraocular stray light was statistically significantly better in the Lucia group (=.04). No statistically significant differences were observed with respect to IOL decentration (=.75) and tilt (=.89).
Cataract surgery with non-constant aberration IOL resulted in lower coma and better intraocular stray light than with the spherical aberration -0.18μm and -0.27μm IOLs despite equivalent postoperative levels of visual acuity and contrast sensitivity.
比较三种像差矫正非球面人工晶状体（IOL）植入术后的视觉性能。
77 例（77 只眼）白内障患者分为三组：26 只眼植入非恒定像差 IOL（德国蔡司公司 LUCIA 601P IOL）；26 只眼植入球差-0.18μm IOL（德国蔡司公司 CT ASPHINA 509M）；27 只眼植入球差-0.27μm IOL（美国强生眼力健 AMO Tecnis ZCB00）。术后 3 个月，评估距离视力、波前像差、对比敏感度、眼内杂散光、IOL 偏心和倾斜。
术后 3 个月，未矫正远视力和矫正远视力（≥.83）无统计学差异。Lucia 组总眼彗差均方根值（RMS）（=0.03）和 Tecnis 组球差（<0.01）均统计学显著降低。三种晶状体高阶像差（=0.85）和明、中光条件下对比敏感度（≥0.05）均无统计学差异。Lucia 组眼内杂散光统计学显著改善（=0.04）。IOL 偏心（=0.75）和倾斜（=0.89）无统计学差异。
白内障术后植入非恒定像差 IOL 可降低彗差，改善眼内杂散光，尽管术后视力和对比敏感度相当。
