Han Jeewon, Lee Yea Eun, Park Nahyun, Lee Chung Min, Jeon Yoo Young, Lee Hayoung, Eah Kyu Sang, Yoon Yeji, Chung Ho Seok, Kim Jae Yong, Jeong Jiwon, Lee Hun
Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea.
Department of Ophthalmology, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea.
Diagnostics (Basel). 2024 Dec 19;14(24):2862. doi: 10.3390/diagnostics14242862.
This study compared the visual outcomes and optical quality of two monofocal, aspheric intraocular lenses (IOLs; CT LUCIA 621P, Carl Zeiss Meditec; Eyhance ICB00, Johnson & Johnson Vision) by evaluating visual acuity, contrast sensitivity, and higher-order aberrations 1 month post-cataract surgery.
In this retrospective, comparative study, 120 eyes (72 patients) that underwent cataract surgery with either CT LUCIA 621P (Lucia group) or Eyhance ICB00 (Eyhance group) implantation (60 eyes/group) were retrospectively investigated. Visual acuity at various distances and defocus curves were measured 1 month postoperatively. Optical quality was assessed by comparing contrast sensitivity and internal coma, spherical, and total aberrations by using iTrace (Tracey Technology), a ray-tracing-type aberrometer.
The visual acuity and defocus curves were similar between the two IOLs 1 month postoperatively. The Lucia group showed better contrast sensitivity at higher spatial frequencies: 12 cpd ( < 0.001, 1.32 LogCS vs. 1.02 LogCS) and 18 cpd ( = 0.009, 0.74 LogCS vs. 0.47 LogCS) unilaterally and 18 cpd ( = 0.044, 0.94 LogCS vs. 0.60 LogCS) bilaterally. Postoperative internal spherical aberration was significantly lower in the Lucia group ( < 0.001, -0.04 µm vs. -0.003 µm). Internal coma and total aberrations were similar.
The visual acuity and defocus curves of the Lucia and Eyhance groups were comparable 1 month post-cataract surgery. The Lucia group's superior contrast sensitivity and lower postoperative internal spherical aberration were due to differences in IOL designs, particularly the power variation patterns.
本研究通过评估白内障手术后1个月的视力、对比敏感度和高阶像差，比较了两种单焦点非球面人工晶状体（IOL；CT LUCIA 621P，卡尔蔡司医疗技术公司；Eyhance ICB00，强生视力健公司）的视觉效果和光学质量。
在这项回顾性比较研究中，对120只眼（72例患者）进行了回顾性调查，这些患者接受了CT LUCIA 621P（Lucia组）或Eyhance ICB00（Eyhance组）植入的白内障手术（每组60只眼）。术后1个月测量不同距离的视力和散焦曲线。通过使用iTrace（Tracey Technology），一种光线追踪型像差仪，比较对比敏感度和内部彗差、球差及总像差来评估光学质量。
术后1个月，两种IOL的视力和散焦曲线相似。Lucia组在较高空间频率下显示出更好的对比敏感度：单侧12周/度（<0.001，1.32对数对比敏感度对1.02对数对比敏感度）和18周/度（=0.009，0.74对数对比敏感度对0.47对数对比敏感度），双侧18周/度（=0.044，0.94对数对比敏感度对0.60对数对比敏感度）。Lucia组术后内部球差显著更低（<0.001，-0.04µm对-0.003µm）。内部彗差和总像差相似。
白内障手术后1个月，Lucia组和Eyhance组的视力和散焦曲线具有可比性。Lucia组更高的对比敏感度和更低的术后内部球差是由于IOL设计的差异，特别是屈光力变化模式。
