Poostchi Ophthalmology Research Center, Department of Ophthalmology, School of Medicine, Shiraz University of Medical Sciences, Zand Street, Shiraz, Fars, Iran.
Int Ophthalmol. 2021 Feb;41(2):567-573. doi: 10.1007/s10792-020-01608-w. Epub 2020 Oct 10.
To compare the visual performance outcomes following bilateral cataract surgery using trifocal intraocular lens (Alcon Acrysof IQ® PanOptix) and extended depth of focus lens (Tecnis® Symfony® ZXR00 lens).
In this prospective, non-randomized, comparative trial, a total of 40 subjects (80 eyes) were divided into two different groups and submitted to bilateral cataract surgery and implantation of the two different IOLs, Alcon Acrysof IQ® PanOptix® TNFT00 in group A and Tecnis® Symfony® ZXR00 lens (Johnson & Johnson Vision) in group B, was assessed. The uncorrected and corrected near (33 cm), intermediate (60 cm), and far (4 m) binocular visual acuity was measured, and visual binocular defocus curves were also measured in the photopic condition with a long-distance visual acuity and the qualitative visual function was assessed by NEI VFQ-25.
Group A comprised 20 patients; 11 women (55%) and 9 men (45%) with a mean age of 62.1 ± 5.4. In group B 20 patients were recruited; 12 women (60%) and 8 men (40%) with a mean age of 63.2 ± 6.1. The postoperatively calculated mean sphere was + 0.35 ± 0.12 D and - 0.14 ± 0.13 D in groups A and B, respectively. The postoperative uncorrected distance visual acuity (UDVA) as well as uncorrected intermediate visual acuity (UIVA) were statistically equal in both groups (P = 0.12, P = 0.17); meanwhile, the postoperative uncorrected near visual acuity (UNVA) was significantly better in patients with PanOptix IOL implantation (P = 0.01) compared to the binocular defocus curve; the results of the PanOptix group were better than the Symfony group in intermediate and near distance (P = 0.089, P = 0.001) and according to the VFQ-25 questionnaire, then ear vision score as well as sum score turned out to be significantly higher in groups A than B (P = 0.001 and P = 0.015, respectively).
Both strategies were able to provide good vision for far, intermediate and near distances.
比较使用三焦点人工晶状体（Alcon Acrysof IQ® PanOptix）和扩展景深人工晶状体（Tecnis® Symfony® ZXR00 镜片）行双侧白内障手术后的视觉效果。
在这项前瞻性、非随机、对照试验中，将 40 名患者（80 只眼）分为两组，并分别接受双侧白内障手术和两种不同 IOL 的植入，A 组为 Alcon Acrysof IQ® PanOptix® TNFT00，B 组为 Tecnis® Symfony® ZXR00 镜片（Johnson & Johnson Vision）。测量未矫正和矫正的近（33cm）、中（60cm）和远（4m）双眼视力，并在明视条件下测量双眼视觉离焦曲线，用 NEI VFQ-25 评估定性视觉功能。
A 组包括 20 名患者；11 名女性（55%）和 9 名男性（45%），平均年龄为 62.1±5.4 岁。B 组有 20 名患者，12 名女性（60%）和 8 名男性（40%），平均年龄为 63.2±6.1 岁。术后计算的平均球镜度数分别为 A 组+0.35±0.12D 和 B 组-0.14±0.13D。两组术后未矫正远视力（UDVA）和未矫正中间视力（UIVA）统计学差异无意义（P=0.12，P=0.17）；同时，植入 PanOptix IOL 的患者术后未矫正近视力（UNVA）明显优于双眼离焦曲线（P=0.01）；PanOptix 组在中、近距视力（P=0.089，P=0.001）和 VFQ-25 问卷中结果优于 Symfony 组，然后在 A 组中的耳视力评分和总分均显著高于 B 组（P=0.001 和 P=0.015）。
两种策略都能提供良好的远、中、近视力。
