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.
Graefes Arch Clin Exp Ophthalmol. 2022 Oct;260(10):3275-3283. doi: 10.1007/s00417-022-05710-w. Epub 2022 May 28.
To compare visual outcomes between two types of mix-and-match implanted trifocal extended-depth-of-focus (EDoF) and trifocal intraocular lenses (IOLs).
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.
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.
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.
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。
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。
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。
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。