Dnipropetrovsk Regional Clinical Ophthalmological Hospital, Ukraine.
Rom J Ophthalmol. 2020 Oct-Dec;64(4):364-379. doi: 10.22336/rjo.2020.58.
to test the refractive and visual outcomes and the quality of vision after the bilateral implantation of three different multifocal intraocular lenses (MIOLs) in patients with age-related cataract. In this retrospective, comparative study including 90 eyes of 45 cataract patients, bilateral implantation of either the hydrophilic trifocal Liberty® 677MY capsular bag IOL, the hydrophilic AT LISA® tri 839M lens, or the hydrophobic AcrySof® IQ PanOptix® IOL was performed during routine cataract surgery. Refractive outcomes, visual acuities (VA) for far, intermediate and near distances, as well as visual quality, dysphotopic events and spectacle use were evaluated six months postoperatively. VA curves were similar for the three MIOLs, however the Liberty lens seemed to be superior for far and near, while AT LISA tri provided somewhat better VA in the intermediate range. Refractive correction was the most effective with the Liberty IOL (p=0.0131). Dysphotopic phenomena were usually perceived in low light conditions. Their frequency was lower with the AT LISA tri and Liberty lenses. Symptoms were significantly less disturbing for patients implanted with the Liberty lens, two-thirds of AT LISA tri and Liberty patients, while only 57% of PanOptix patients achieved spectacle independence. All examined MIOLs were found to be safe and efficient in presbyopia-correction of cataract patients, however different models had different advantages. The vision preferences of each patient should always be taken into consideration when choosing a MIOL, and the possible occurrence of dysphotopic events should be also clearly communicated in each case. ACD = Anterior chamber depth, ANOVA = Analysis of variance, AXL = Axial length, CDVA = Corrected distance visual acuity, CYL = Cylinder; Cylindric refraction, D = Diopter, IOL = Intraocular lens, K1; K2 = Keratometry values, MIOL = Multifocal intraocular lens, n = Number of cases, n.a. = Not applicable, Postop = Postoperative, QoV = Quality of Vision, SD = Standard deviation, SEQ = Spherical equivalent, SPH = Sphere; Spherical refraction, UDVA = Uncorrected distance visual acuity, UIVA = Uncorrected intermediate visual acuity, UNVA = Uncorrected near visual acuity, VA = Visual acuity.
为了测试三种不同的多焦点人工晶状体（MIOL）在年龄相关性白内障患者双侧植入后的屈光和视觉结果以及视觉质量。在这项回顾性、对照研究中，纳入了 45 例白内障患者的 90 只眼，在常规白内障手术中分别进行了亲水 trifocal Liberty® 677MY 囊袋内 IOL、亲水 AT LISA® tri 839M 晶状体或疏水 AcrySof® IQ PanOptix® IOL 的双侧植入。术后 6 个月评估屈光结果、远、中、近距视力（VA）以及视觉质量、光敏感事件和眼镜使用情况。三种 MIOL 的 VA 曲线相似，但 Liberty 晶状体在远距和近距方面似乎更优，而 AT LISA tri 在中距提供的 VA 稍好。Liberty IOL 的屈光矫正效果最有效（p=0.0131）。光敏感现象通常在低光照条件下被感知。AT LISA tri 和 Liberty 晶状体的发生率较低。植入 Liberty 晶状体的患者症状明显较轻，三分之二的 AT LISA tri 和 Liberty 患者，而只有 57%的 PanOptix 患者达到了无需戴镜的状态。所有检查的 MIOL 在白内障患者的老视矫正中均被证明是安全有效的，但不同的模型有不同的优势。在选择 MIOL 时，应始终考虑每个患者的视觉偏好，并且在每种情况下都应清楚地沟通可能发生的光敏感事件。AC =前房深度；ANOVA =方差分析；AXL =眼轴长度；CDVA =矫正距离视力；CYL =柱镜；圆柱折射；D =屈光度；IOL =人工晶状体；K1；K2 =角膜曲率值；MIOL =多焦点人工晶状体；n =病例数；n.a. =不适用；Postop =术后；QoV =视觉质量；SD =标准差；SEQ =球镜等效；SPH =球镜；球镜折射；UDVA =未矫正距离视力；UIVA =未矫正中间视力；UNVA =未矫正近视力；VA =视力。
