Dell Steven J, Hannan Stephen J, Venter Jan A, Teenan David, Hannan Noelle C, Raju Dasi, Berry Colin W, Kiss Huba J, Schallhorn Julie M
Dell Laser Consultants, Austin, TX, USA.
Optical Express, Glasgow, UK.
Clin Ophthalmol. 2024 May 1;18:1157-1169. doi: 10.2147/OPTH.S456332. eCollection 2024.
To compare the outcomes of the Tecnis Eyhance ICB00 IOL, designed to enhance intermediate vision, to a conventional Tecnis Monofocal ZCB00 IOL.
This retrospective analysis compared two cohorts of patients undergoing lens replacement surgery with bilateral implantation of the Tecnis ICB00 or the Tecnis ZCB00 IOL (383 patients in each group). Monocular and binocular uncorrected distance (UDVA), intermediate (UIVA; 66cm), and near (UNVA; 40cm) visual acuities, refractive predictability, and patient-reported outcomes were compared. A sub-analysis of patients with the Eyhance IOL was performed to compare patients who achieved bilateral emmetropia to those with mini-monovision. One-month postoperative outcomes were analyzed.
Both groups had comparable UDVA outcomes. On average, both monocular and binocular UIVAs were approximately one Snellen line better in patients implanted with Eyhance IOL (monocular UIVA: ICB00 0.23 ± 0.18 logMAR, ZCB00 0.33 ± 0.19 logMAR; binocular UIVA: ICB00 0.18 ± 0.18 logMAR, ZCB00 0.26 ± 0.20 logMAR, p < 0.01). Likewise, the mean UNVA was also one Snellen line better with the ICB00 model (monocular UNVA: ICB00 0.51 ± 0.20 logMAR, ZCB00 0.61 ± 0.18 logMAR; binocular UNVA: ICB00 0.42 ± 0.19 logMAR, ZCB00 0.51 ± 0.22 logMAR, p < 0.01). There was no difference between the two groups in overall satisfaction or visual phenomena. A subgroup of patients who achieved mini-monovision with Eyhance IOL had, on average, one Snellen line better UIVA and UNVA compared to patients with bilateral emmetropia.
Patients receiving the enhanced monofocal IOL had better intermediate and near vision compared to those receiving the conventional monofocal IOL, with similar levels of patient-reported photic phenomena in both groups.
比较旨在改善中距离视力的Tecnis Eyhance ICB00人工晶状体与传统的Tecnis单焦点ZCB00人工晶状体的效果。
这项回顾性分析比较了两组接受晶状体置换手术并双侧植入Tecnis ICB00或Tecnis ZCB00人工晶状体的患者队列（每组383例患者）。比较了单眼和双眼未矫正远视力（UDVA）、中距离视力（UIVA；66cm）和近视力（UNVA；40cm）、屈光预测性以及患者报告的结果。对植入Eyhance人工晶状体的患者进行了亚分析，以比较实现双眼正视的患者与轻度单眼视力患者。分析了术后1个月的结果。
两组的UDVA结果相当。平均而言，植入Eyhance人工晶状体的患者单眼和双眼UIVA均比植入ZCB00人工晶状体的患者大约高一行Snellen视力表（单眼UIVA：ICB00为0.23±0.18 logMAR，ZCB00为0.33±0.19 logMAR；双眼UIVA：ICB00为0.18±0.18 logMAR，ZCB00为0.26±0.20 logMAR，p<0.01）。同样，ICB00型号的平均UNVA也比ZCB00型号高一行Snellen视力表（单眼UNVA：ICB00为0.51±0.20 logMAR，ZCB00为0.61±0.18 logMAR；双眼UNVA：ICB00为0.42±0.19 logMAR，ZCB00为0.51±0.22 logMAR，p<0.01）。两组在总体满意度或视觉现象方面没有差异。与双眼正视的患者相比，使用Eyhance人工晶状体实现轻度单眼视力的患者亚组平均UIVA和UNVA高一行Snellen视力表。
与接受传统单焦点人工晶状体的患者相比，接受增强型单焦点人工晶状体的患者具有更好的中距离和近视力，两组患者报告的光现象水平相似。
