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双侧植入伪非衍射光束人工晶状体后的视觉质量和结果

Quality of vision and outcomes after bilateral implantation of pseudo-non diffracting beam IOL.

作者信息

Pedrotti Emilio, Bonacci Erika, Kilian Raphael, Pagnacco Camilla, Anastasi Marco, Ventura Mariacarmela, Marchini Giorgio

机构信息

Ophthalmic Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.

出版信息

Front Med (Lausanne). 2023 Mar 6;10:1085280. doi: 10.3389/fmed.2023.1085280. eCollection 2023.

DOI:10.3389/fmed.2023.1085280
PMID:36950509
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10025297/
Abstract

PURPOSE

To analyze the objective and subjective visual performances of a new hybrid refractive/aspheric extended depth of focus (EDOF) intraocular lens (IOL).

METHODS

In this monocentric prospective study patients with bilateral cataracts underwent cataract surgery and were implanted with a Lucidis IOL (SAV-IOL SA, Neuchâtel, Switzerland) in both eyes, 1 week apart from each other. At 3 months from implantation postoperative evaluations included monocular and binocular uncorrected and distance-corrected distant (4 m), intermediate (80 cm, 67 cm) and near (40 cm) visual acuities (UDVA/DCVA, UI80-67VA/DCI80-67VA, UNVA/DCNVA), binocular defocus curves, halometry, contrast sensitivity and objective quality-of-vision measurements. Also, patients were also asked to complete the national eye institute refractive error quality of life (NEI-RQL-42) questionnaire.

RESULTS

Twenty-five patients (50 eyes) were included. The mean postoperative binocular UDVA, UI80VA, UI67VA and UNVA were-0.02 ± 0.13, 0.05 ± 0.09, 0.05 ± 0.08 and 0.03 ± 0.1 LogMar, and did not significantly differ from their corrected counterparts. On binocular defocus curves a VA ≥0.05LogMar was found between +0.50 and - 2.50 D of vergence, whereas the mean distance from the central stimulus on halometry was 1.23 ± 0.01. Mean ocular and corneal radical mean square at 4 mm were 0.31 ± 0.28 and 0.19 ± 0.07, respectively; whereas the mean Strehl ratio was 0.2 ± 0.09.

CONCLUSION

Lucidis IOLs demonstrated excellent visual performances, especially at close distances while maintain good quality of vision, contrast sensitivity, and overall patient-satisfaction.

摘要

目的

分析一种新型折射/非球面扩展焦深(EDOF)人工晶状体(IOL)的客观和主观视觉性能。

方法

在这项单中心前瞻性研究中,双侧白内障患者接受了白内障手术,双眼植入Lucidis IOL(SAV-IOL SA,瑞士纳沙泰尔),手术间隔1周。植入后3个月,术后评估包括单眼和双眼未矫正及距离矫正的远距(4米)、中距(80厘米、67厘米)和近距(40厘米)视力(UDVA/DCVA、UI80 - 67VA/DCI80 - 67VA、UNVA/DCNVA)、双眼散焦曲线、眩光测量、对比敏感度和客观视觉质量测量。此外,还要求患者完成国家眼科研究所屈光不正生活质量(NEI-RQL-42)问卷。

结果

纳入25例患者(50只眼)。术后双眼平均UDVA、UI80VA、UI67VA和UNVA分别为-0.02±0.13、0.05±0.09、0.05±0.08和0.03±0.1 LogMar,与矫正后的对应值无显著差异。在双眼散焦曲线上,在+0.50至-2.50 D的聚散度之间发现视力≥0.05LogMar,而眩光测量中距中央刺激的平均距离为1.23±0.01。4毫米处的平均眼和角膜均方根分别为0.31±0.28和0.19±0.07;而平均斯特列尔比为0.2±0.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3004/10025297/cba4e5961aa2/fmed-10-1085280-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3004/10025297/cba7e8db601f/fmed-10-1085280-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3004/10025297/2d72e7b568f8/fmed-10-1085280-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3004/10025297/e16c58286977/fmed-10-1085280-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3004/10025297/cba4e5961aa2/fmed-10-1085280-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3004/10025297/cba7e8db601f/fmed-10-1085280-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3004/10025297/2d72e7b568f8/fmed-10-1085280-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3004/10025297/e16c58286977/fmed-10-1085280-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3004/10025297/cba4e5961aa2/fmed-10-1085280-g004.jpg

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J Ophthalmol. 2022 May 28;2022:5100861. doi: 10.1155/2022/5100861. eCollection 2022.
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J Refract Surg. 2022 Mar;38(3):158-166. doi: 10.3928/1081597X-20211220-01. Epub 2022 Mar 1.
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Advancements in intraocular lens power calculation formulas.人工晶体计算公式的进展。
Curr Opin Ophthalmol. 2022 Jan 1;33(1):35-40. doi: 10.1097/ICU.0000000000000822.
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Quantitative assessment of photic phenomena in the presbyopia-correcting intraocular lens.定量评估老视矫正型人工晶状体的光学离焦现象。
PLoS One. 2021 Dec 1;16(12):e0260406. doi: 10.1371/journal.pone.0260406. eCollection 2021.
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