Lee Chia-Yi, Chen Hung-Chi, Lian Ie-Bin, Huang Chin-Te, Huang Jing-Yang, Yang Shun-Fa, Chang Chao-Kai
Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.
Nobel Eye Institute, Taipei 10041, Taiwan.
Diagnostics (Basel). 2024 Jul 12;14(14):1499. doi: 10.3390/diagnostics14141499.
We aim to investigate the potential risk factors for undercorrection in those who have received extend depth-of-focus (EDOF) intraocular lens (IOL) implantation. A retrospective case-control study was conducted in which patients who had received one type of EDOF IOL implantation were included. The patients were divided into the residual group and non-residual group according to the final postoperative sphere power. The preoperative data include the refractive, topographic, endothelial, and biometric parameters obtained. A generalized linear model was generated to yield the adjusted odds ratio (aOR) and 95% confidence interval (CI) of each parameter of the residual myopia. One month postoperatively, the UDVA was better in the non-residual group than in the residual group ( = 0.010), and the final SE was significantly higher in the residual group than in the non-residual group ( < 0.001). In the multivariable analysis, the high preoperative cycloplegia sphere power, higher TCRP, higher corneal cylinder power, and longer AXL significantly correlated to the presence of postoperative residual myopia (all < 0.05). Furthermore, the higher preoperative cycloplegia sphere power, higher TCRP, higher corneal cylinder power, longer AXL, larger ACD, and larger WTW were significantly associated with postoperative residual myopia in the high-myopia population (all < 0.001), while the higher preoperative cycloplegia sphere power, higher TCRP, and longer AXL were related to postoperative residual myopia in the low-myopia population (all < 0.05). In conclusion, high preoperative myopia and corneal refractive power correlate to high risk of residual myopia after EDOF IOL implantation, especially in the high-myopia population.
我们旨在研究接受扩展景深(EDOF)人工晶状体(IOL)植入术患者欠矫的潜在风险因素。进行了一项回顾性病例对照研究,纳入接受一种类型EDOF IOL植入术的患者。根据术后最终球镜度数将患者分为残余组和非残余组。获取术前的屈光、地形图、内皮和生物测量参数。生成广义线性模型以得出残余近视各参数的调整优势比(aOR)和95%置信区间(CI)。术后1个月,非残余组的最佳矫正视力(UDVA)优于残余组(P = 0.010),残余组的最终等效球镜度数(SE)显著高于非残余组(P < 0.001)。在多变量分析中,术前高散瞳球镜度数、较高的角膜曲率半径(TCRP)、较高的角膜柱镜度数和较长的眼轴长度(AXL)与术后残余近视的存在显著相关(均P < 0.05)。此外,术前高散瞳球镜度数、较高的TCRP、较高的角膜柱镜度数、较长的AXL、较大的前房深度(ACD)和较大的白到白距离(WTW)与高度近视人群术后残余近视显著相关(均P < 0.001),而术前高散瞳球镜度数、较高的TCRP和较长的AXL与低度近视人群术后残余近视相关(均P < 0.05)。总之,术前高度近视和角膜屈光力与EDOF IOL植入术后残余近视的高风险相关,尤其是在高度近视人群中。