Oculentis MF30与Tecnis ZMB00多焦点人工晶状体视觉性能的比较。
Comparison of the visual performance between Oculentis MF30 and Tecnis ZMB00 multifocal intraocular lenses.
作者信息
Ye Lingying, Chen Tianyu, Hu Zhixiang, Yang Qingwen, Su Qiudong, Li Jin
机构信息
Cataract Department, Eye Hospital of Wenzhou Medical University, Wenzhou, China.
Retina Department, Eye Hospital of Wenzhou Medical University, Wenzhou, China.
出版信息
Ann Transl Med. 2021 Jan;9(2):144. doi: 10.21037/atm-20-7777.
BACKGROUND
To compare the visual performance of MF30 asymmetric refractive multifocal intraocular lenses (MIOLs) with ZMB00 all optic zone diffractive MIOLs.
METHODS
This is a prospective study. Patients that underwent phacoemulsification were divided into two groups according to the type of MIOLs used: 35 patients were implanted with asymmetric refractive MIOLs and 35 patients with all optic zone diffractive MIOLs. Visual acuity (VA), refraction, defocus curves, objective optical quality, and a questionnaire evaluating quality of life were measured at 3 months postoperatively.
RESULTS
There were no significant differences between the two groups in uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), best-corrected distance visual acuity (BCDVA), or distance-corrected near visual acuity (DCNVA). However, the uncorrected intermediate VA was 0.24±0.10 in the refractive group and 0.31±0.13 in the diffractive group (P<0.05), and the distance-corrected intermediate VA was 0.22±0.09 in the refractive group and 0.31±0.14 in the diffractive group (P<0.05). Defocus curves showed two peaks of maximum vision in both groups. However, the curve between the two peaks in the refractive group was smoother than that of the diffractive group. The modulated transfer function cut-off frequency was 22.74±12.29 c/d in the refractive group and 30.50±10.04 c/d in the diffractive group (P<0.05). The Optical Quality Analysis System (OQAS) values 100% (OV100%) was 0.75±0.41 in the refractive group and 1.02±0.34 in the diffractive group (P<0.05), while the OV20% was 0.52±0.34 in the refractive group and 0.71±0.25 in the diffractive group (P<0.05). There was no significant difference between the two groups in overall satisfaction, spectacle independence ratio, or visual interference phenomenon.
CONCLUSIONS
Both MIOLs achieve good VA at distance and near vision. Oculentis MF30 showed better intermediate VA, and Tecnis ZMB00 appears to have better objective visual quality.
TRIAL REGISTRATION
NCT02234635 (http://www.clinicaltrials.gov).
背景
比较MF30非对称折射型多焦点人工晶状体（MIOL）与ZMB00全光学区衍射型MIOL的视觉性能。
方法
这是一项前瞻性研究。接受超声乳化手术的患者根据所使用的MIOL类型分为两组：35例患者植入非对称折射型MIOL，35例患者植入全光学区衍射型MIOL。术后3个月测量视力（VA）、屈光、散焦曲线、客观光学质量，并进行评估生活质量的问卷调查。
结果
两组在未矫正远视力（UDVA）、未矫正近视力（UNVA）、最佳矫正远视力（BCDVA）或远矫正近视力（DCNVA）方面无显著差异。然而，非对称折射组的未矫正中视力为0.24±0.10，衍射组为0.31±0.13（P<0.05）；非对称折射组的远矫正中视力为0.22±0.09，衍射组为0.31±0.14（P<0.05）。散焦曲线显示两组均有两个最大视力峰值。然而，非对称折射组两个峰值之间的曲线比衍射组更平滑。非对称折射组调制传递函数截止频率为22.74±12.29周/度，衍射组为30.50±10.04周/度（P<0.05）。光学质量分析系统（OQAS）值100%（OV100%）在非对称折射组为0.75±0.41，衍射组为1.02±0.34（P<0.05），而OV20%在非对称折射组为0.52±0.34，衍射组为0.71±0.25（P<0.05）。两组在总体满意度、脱镜率或视觉干扰现象方面无显著差异。
结论
两种MIOL在远视力和近视力方面均能获得良好的视力。Oculentis MF30的中视力更佳，而Tecnis ZMB00的客观视觉质量似乎更好。
试验注册号
NCT02234635（http://www.clinicaltrials.gov）
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