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两种混合匹配植入式三焦点扩展景深和三焦点人工晶状体术后视觉效果的比较。

Comparison of visual outcomes after two types of mix-and-match implanted trifocal extended-depth-of-focus and trifocal intraocular lenses.

机构信息

BGN Jamsil Lotte Tower Eye Clinic, Seoul, South Korea.

Department of Ophthalmology, Korea University Ansan Hospital, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, 15355, South Korea.

出版信息

Graefes Arch Clin Exp Ophthalmol. 2022 Oct;260(10):3275-3283. doi: 10.1007/s00417-022-05710-w. Epub 2022 May 28.

Abstract

PURPOSE

To compare visual outcomes between two types of mix-and-match implanted trifocal extended-depth-of-focus (EDoF) and trifocal intraocular lenses (IOLs).

METHODS

A total of 212 eyes of 106 subjects with mix-and-match implanted FineVision Triumf and FineVision HP IOLs (Triumf-HP group) and 212 eyes of 106 subjects with mix-and-match implanted Zeiss AT LARA and AT LISA IOLs (AT LARA-LISA group) were enrolled in this retrospective case-control study. Uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), and binocular distance-corrected defocus curves were measured between 6 and 10 weeks after cataract surgery.

RESULTS

There was no significant difference in UDVA among the four IOLs. UNVA was the best in eyes with the FineVision HP IOL (0.04 ± 0.06 logMAR), followed by eyes with the AT LISA IOL (0.07 ± 0.07 logMAR), the FineVision Triumf IOL (0.09 ± 0.09 logMAR), and the AT LARA IOL (0.11 ± 0.08 logMAR), respectively. The AT LARA-LISA group had better visual acuity than the Triumf-HP group between - 1.00 D and - 1.50 D of defocus, and the Triumf-HP group had better visual acuity than the AT LARA-LISA group between - 3.00 D and - 4.00 D of defocus.

CONCLUSION

Mix-and-match implantation of trifocal EDoF and trifocal IOLs provided good visual outcomes in far, intermediate, and near distances. The mix-and-match implantation of Triumf-HP IOLs led to better visual outcomes in near vision, while that of the AT LARA-LISA IOLs led to better visual outcomes in intermediate vision.

摘要

目的

比较两种混合植入的三焦点扩展景深(EDoF)和三焦点人工晶状体(IOL)的视觉效果。

方法

本回顾性病例对照研究共纳入 212 只眼(106 例患者),这些患者混合植入 FineVision Triumf 和 FineVision HP IOL(Triumf-HP 组),212 只眼(106 例患者)混合植入 Zeiss AT LARA 和 AT LISA IOL(AT LARA-LISA 组)。白内障手术后 6-10 周,测量未矫正远视力(UDVA)、未矫正近视力(UNVA)和双眼离焦曲线。

结果

四组 IOL 的 UDVA 无显著差异。UNVA 以 FineVision HP IOL 最佳(0.04±0.06 logMAR),其次是 AT LISA IOL(0.07±0.07 logMAR)、FineVision Triumf IOL(0.09±0.09 logMAR)和 AT LARA IOL(0.11±0.08 logMAR)。在-1.00 D 至-1.50 D 离焦范围内,AT LARA-LISA 组的视力优于 Triumf-HP 组,在-3.00 D 至-4.00 D 离焦范围内,Triumf-HP 组的视力优于 AT LARA-LISA 组。

结论

三焦点 EDoF 和三焦点 IOL 的混合植入可提供良好的远、中、近视力。Triumf-HP IOL 混合植入可改善近视力,而 AT LARA-LISA IOL 混合植入可改善中视力。

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