Asian Eye Institute, 9th Floor Phinma Plaza Bldg. Hidalgo Drive, Makati City, Philippines.
Cardinal Santos Medical Center, 10 Wilson St, Greenhills, San Juan City, Philippines.
Sci Rep. 2024 Nov 5;14(1):26732. doi: 10.1038/s41598-024-77699-7.
To evaluate the correlation between preoperative, postoperative, and change in angle kappa and alpha to visual outcomes following implantation of three multifocal intraocular lenses. This is a retrospective study which included 122 eyes of 61 patients. There were 38 eyes in the Synergy (Johnson & Johnson, USA) group and 42 eyes each from both the Panoptix (Alcon Laboratories, USA) and FineVision (Physiol BVI, Belgium) groups. Visual outcome parameters (uncorrected distance, intermediate, near vision, halo and starburst) and angle kappa and alpha were recorded preoperatively and at three months postoperatively. The preoperative, postoperative and the amount of change in angle kappa and alpha were correlated to visual outcomes and photic phenomena among the three different diffractive trifocal IOLs. There were no significant differences in the preoperative and postoperative magnitude of angle kappa and alpha among the Synergy, Panoptix, and FineVision groups. There was no significant correlation between the preoperative and postoperative magnitude, and change in angle kappa and alpha with the postoperative uncorrected distance, intermediate and near visual acuity, and halo and starburst scores of the three different diffractive IOLs. The frequency of eyes with greater than 0.5 mm angle kappa and alpha values were low. Visual outcomes can be good even in eyes in which the angle kappa and alpha were greater than 0.5 mm. The newer diffractive multifocal IOLs were observed to be more tolerant to low and intermediate levels of angle kappa and alpha.
评估三种多焦点人工晶状体植入术后术前、术后和角度 Kappa 和 Alpha 变化与视觉结果的相关性。这是一项回顾性研究，共纳入 61 例患者的 122 只眼。其中 Synergy（强生，美国）组 38 只眼，Panoptix（爱尔康实验室，美国）和 FineVision（Physiol BVI，比利时）组各 42 只眼。记录术前和术后 3 个月的视觉结果参数（未矫正远视力、中间视力、近视力、晕影和星爆）以及角度 Kappa 和 Alpha。比较三种不同的衍射性三焦点 IOL 之间术前、术后及角度 Kappa 和 Alpha 变化与视觉结果和光幻视的相关性。Synergy、Panoptix 和 FineVision 组之间术前和术后角度 Kappa 和 Alpha 的大小无显著差异。三种不同衍射性 IOL 的术前和术后大小以及角度 Kappa 和 Alpha 的变化与术后未矫正远视力、中间视力和近视力、晕影和星爆评分之间无显著相关性。角度 Kappa 和 Alpha 值大于 0.5mm 的眼的频率较低。即使角度 Kappa 和 Alpha 值大于 0.5mm，视力结果也可能良好。新型衍射多焦点 IOL 对低水平和中等水平的角度 Kappa 和 Alpha 值更具耐受性。
