Royal Surrey County Hospital, Egerton Road, Guildford, GU2 7XX, UK.
Imperial College Healthcare NHS Trust, Western Eye Hospital, 153-173 Marylebone Road, London, NW1 5QH, UK.
BMC Ophthalmol. 2024 Sep 6;24(1):397. doi: 10.1186/s12886-024-03639-8.
To explore intraocular lens (IOL) preferences of United Kingdom-based (UK) refractive surgeons in cataract and refractive lens exchange (RLE) surgery.
An online survey on IOL preferences (and reasons for their choice) in cataract and RLE surgery was distributed. It also enquired about implementing mini-monovision with extended depth of field (EDoF) IOLs, about utilising IOL mix-and-match (different IOL types in each eye), and at what level of corneal astigmatism they prefer toric lenses.
Following an 81.6% response rate, thirty responses were analysed; median years of refractive surgery experience was 12.5. The most popular IOL choices for cataract surgery were EDoF lenses (30%), monofocals (20%), and trifocals (20%). The most cited reason for each was better overall visual outcomes (88.9%), fewer unwanted symptoms (66.7%) and best spectacle independence (66.7%), respectively. For RLE, EDoF remained most popular (36.7%), followed by trifocals (30%), and multifocals (16.7%) with the same reasons for choice cited above. Mini-monovision with EDoF lenses was well-regarded (83% recommend for most/select patients), unlike utilising IOL mix-and-match (60% did not recommend). 40% prefer toric IOLs for astigmatism of 1 dioptre (D) or higher, whilst 30% opt for them at < 1D.
Experienced UK refractive surgeons prefer newer IOLs with enhanced optics; ≥50% of respondents favoured either EDoF or trifocals for a 'typical' cataract or RLE patient. Notably, respondents have a low corneal astigmatism threshold for toric lenses. Mini-monovision with EDoF IOLs was well-regarded, whilst mix-and-match of different IOL types was less recommended.
探索英国（UK）屈光外科医生在白内障和屈光性晶状体置换（RLE）手术中的人工晶状体（IOL）偏好。
在线调查了白内障和 RLE 手术中 IOL 偏好（及其选择原因）。还询问了在实施具有扩展景深（EDoF）的单视 IOL 时、在每只眼使用不同 IOL 类型的 IOL 混合和匹配时、以及在什么水平的角膜散光时更喜欢 toric IOL。
在 81.6%的回应率后，分析了 30 份回复；屈光手术经验的中位数为 12.5 年。白内障手术中最受欢迎的 IOL 选择是 EDoF 镜片（30%）、单焦点（20%）和三焦点（20%）。每个的主要选择原因分别是更好的整体视觉效果（88.9%）、更少的不想要的症状（66.7%）和最佳的眼镜独立性（66.7%）。对于 RLE，EDoF 仍然最受欢迎（36.7%），其次是三焦点（30%）和多焦点（16.7%），并引用了上述相同的选择原因。EDoF 的迷你单视受到高度评价（83%的人推荐给大多数/选择患者），而使用 IOL 混合和匹配则不然（60%的人不推荐）。40%的人更喜欢用于 1 屈光度（D）或更高的散光的 toric IOL，而 30%的人选择用于 <1D 的散光。
经验丰富的英国屈光外科医生更喜欢具有增强光学效果的新型 IOL；≥50%的受访者赞成 EDoF 或三焦点用于“典型”白内障或 RLE 患者。值得注意的是，受访者对 toric IOL 的角膜散光阈值较低。EDoF 的迷你单视受到高度评价，而混合和匹配不同的 IOL 类型则不太受推荐。
