Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (4): 109-114.doi: 10.6040/j.issn.1673-3770.0.2018.357

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Visual quality research on a custom selection of aspheric intraocular lenses in cataract patients

LIN Jia, LIAO Xuan, LAN Changjun, TAN Qingqing, WEN Baiwei, TIAN Jing   

  1. Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College, Department of Ophthalmology & Optometry of North Sichuan Medical College, Nanchong 637000, Sichuan, China
  • Online:2019-07-20 Published:2019-07-22

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Abstract: ObjectiveTo compare the visual quality after implanting aspheric and spherical intraocular lenses(IOLs)in cataract patients, to influence selectability of the better lens. Methods A prospective, non-random, controlled study was conducted on 59 age-related cataract patients(91 eyes)after phacoemulsification and IOL implantation. They were sorted into two groups; group A received aspheric IOLs and group B received spherical IOLs. Corneal, internal, and ocular high order aberrations(HOAs)including spherical aberration(SA), coma and trefoil, and total high order aberration(tHOA), were measured at 3 months postoperatively at pupil diameters(PD)of 4 mm and 6 mm using Topcon KR-1W. Objective scatter index(OSI), strehl ratio(SR), modulation transfer function(MTF)cut off, contrast visual acuity OV100%, OV20%, and OV9% were measured by OQASTMⅡ and the CSV-1 000. The independent samples t-test was used to analyze the data. Results There were no statistically significant differences between group A and B in uncorrected visual acuity and best corrected visual acuity. There was no statistically significant difference between the two groups in corneal tHOA, SA, coma, and trefoil at 4 mm and 6 mm PD. There was a statistically significant difference between the two groups in internal SA, but no significant difference in internal tHOA, coma, or trefoil at 4 mm and 6 mm PD. There was a statistically significant difference between the two groups in ocular SA but no significant difference in coma and trefoil at 4 mm PD. There was a statistically significant difference between the two groups in ocular tHOA, SA, but no significant difference in ocular tHOA, coma, and trefoil at 6 mm PD. There was a statistically significant difference between the two groups in OSI, MTF cut off, SR, OV100%, OV20%, and OV9%. With respect to CS, no significant difference was found at a spatial frequency of 3 cpd, but significant differences at 6 cpd, 12 cpd, and 18 cpd were observed between aspheric and spherical IOL groups. Conclusion The ocular tHOA, SA and internal SA in aspheric IOL group were lower than the spherical group at 4 mm and 6 mm PD; which demontrates that the visual quality parameters from the Optical Quality Analysis System and the middle and high frequency(6 cpd, 12 cpd, 18 cpd)in the aspheric IOL group were better than those of the spherical IOL group. Visual quality in aspheric IOL groups was better than spherical IOL groups.

Key words: Cataract, Spherical intraocular lenses, Aspheric intraocular lenses

CLC Number: 

  • R776
[1] Schuster AK, Tesarz J, Vossmerbaeumer U. The impact on vision of aspheric to spherical monofocal intraocular lenses in cataract surgery: a systematic review with meta-analysis[J]. Ophthalmology,2013,120(11):2166-2175. doi: 10.1016/j.ophtha.2013.04.011.
[2] Chang DH, Rocha KM. Intraocular lens optics and aberrations[J]. Curr Opin Ophthalmol, 2016, 27(4): 298-303. doi:10.1097/ICU.0000000000000279.
[3] 田靖, 廖萱, 兰长骏, 等. 不同球差非球面人工晶状体眼高阶像差比较[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 13-17. doi:10.6040/j.issn.1673-3770.1.2017.031. TIAN Jing, LIAO Xuan, LAN Changjun, et al. Comparison of high order aberrations in pseudophakia with spherical intraocular lens and aspheric intraocular lens implantation[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(4): 13-17. doi:10.6040/j.issn.1673-3770.1.2017.031.
[4] Wei YH, Chen WL, Su PY, et al. The influence of corneal wound size on surgically induced corneal astigmatism after phacoemulsification[J]. J Formos Med Assoc, 2012, 111(5): 284-289. doi:10.1016/j.jfma.2011.03.002.
[5] 王春红, 曹茜, 杨丽萍, 等. 年龄相关性白内障人群角膜球面像差的分布及影响因素[J]. 国际眼科杂志, 2015, 15(3): 531-533. doi:10.3980/j.issn.1672-5123.2015.3.41. WANG Chunhong, CAO Xi, YANG Liping, et al. Distribution and reIated factors of corneaI sphericaI aberration in age-reIated cataract patients[J]. International Eye Science, 2015, 15(3): 531-533. doi:10.3980/j.issn.1672-5123.2015.3.41.
[6] 王李松, 赵军民. 不同类型人工晶状体植入术后视觉质量的比较[J]. 中华眼外伤职业眼病杂志, 2016, 38(3): 203-206. WANG Lisong, ZHAO Junmin. Comparison of visual quality after the implantation of different types of intraocular lens[J]. Chin J Ocul Traum Occupat Eye Dis, 2016, 38(3): 203-206.
[7] Jia LX, Li ZH. Clinical study of customized aspherical intraocular lens implants[J]. Int J Ophthalmol, 2014, 7(5): 816-821. doi:10.3980/j.issn.2222-3959.2014.05.14.
[8] Santhiago MR, Netto MV, Barreto J Jr, et al. Wavefront analysis, contrast sensitivity, and depth of focus after cataract surgery with aspherical intraocular lens implantation[J]. Am J Ophthalmol, 2010, 149(3): 383-389. doi:10.1016/j.ajo.2009.09.019.
[9] 马立威, 仝真真, 周文凯, 等. 年龄相关性白内障患者高阶像差的研究[J]. 中国实用眼科杂志, 2017, 35(3): 261-266. doi:10.3760/cma.j.issn.1006-4443.2017.03.009. MA Liwei, TONG Zhenzhen, ZHOU Wenkai, et al. Study of higher-order aberrations induced by age-related cataract[J]. Chinese Journal of Practical Ophthalmology, 2017, 35(3): 261-266. doi:10.3760/cma.j.issn.1006-4443.2017.03.009.
[10] 文佰伟, 兰长骏, 廖萱, 等. 视觉质量评价方法的研究进展[J]. 眼科新进展, 2017, 37(8): 793-796. doi:10.13389/j.cnki.rao.2017.0201. WEN Baiwei, LAN Changjun, LIAO Xuan, et al. Research progress on visual quality assessment methods[J]. Recent Advances in Ophthalmology, 2017, 37(8): 793-796. doi:10.13389/j.cnki.rao.2017.0201.
[11] Yagci R, Uzun F, Acer S, et al. Comparison of visual quality between aspheric and spherical IOLs[J]. Eur J Ophthalmol, 2014, 24(5): 688-692. doi:10.5301/ejo.5000452.
[12] Schuster AK, Tesarz J, Vossmerbaeumer U. Ocular wavefront analysis of aspheric compared with spherical monofocal intraocular lenses in cataract surgery: Systematic review with metaanalysis[J]. J Cataract Refract Surg, 2015, 41(5): 1088-1097. doi:10.1016/j.jcrs.2015.04.005.
[13] Luo M, Ji J, Zhao C, et al. Clinical study of Acrysof IQ aspheric intraocular lenses[J]. Clin Experiment Ophthalmol, 2010, 38(4): 358-362.
[14] 丁晓霞, 张劲松. C-quant及OQAS对早期年龄相关性白内障散射光测量结果重复性和相关性[J]. 中国实用眼科杂志, 2016, 34(3): 241-245. doi:10.3760/cma.j.issn.1006-4443.2016.03.009. DING Xiaoxia, ZHANG Jinsong. The repeatability and correlation of scatter light measured by C-quant and OQAS in early age-related cataract[J]. Chinese Journal of Practical Ophthalmology, 2016, 34(3): 241-245. doi:10.3760/cma.j.issn.1006-4443.2016.03.009.
[15] 乔利亚, 蔡啸谷, 万修华, 等. 应用双通道客观视觉质量分析系统与光线追踪波阵面像差系统分析正常人眼调制传递函数[J]. 中华眼科杂志, 2015, 51(1): 20-25. doi:10.3760/cma.j.issn.0412-4081.2015.01.006. QIAO Liya, CAI Xiaogu, WAN Xiuhua, et al. Comparison of ocular modulation transfer function measurements by ray tracing wavefront technology and double-pass system[J]. Chinese Journal of Ophthalmology, 2015, 51(1): 20-25. doi:10.3760/cma.j.issn.0412-4081.2015.01.006.
[16] 王新, 马忠旭, 巩晨, 等. OQAS视觉质量分析系统比较不同材料人工晶状体眼内散射光及视觉质量[J]. 中国实用眼科杂志, 2014, 32(2): 130-134. doi:10.3760/cma.j.issn.1006-4443.2014.02.010. WANG Xin, MA Zhongxu, GONG Chen, et al. OQAS Double-pass system analysis of the Objective Scatter Index and optical performance of intraocular lens[J]. Chinese Journal of Practical Ophthalmology, 2014, 32(2): 130-134. doi:10.3760/cma.j.issn.1006-4443.2014.02.010.
[17] 肖显文, 张红, 田芳, 等. 双通道视觉质量分析系统在眼科的应用[J]. 国际眼科纵览, 2013, 37(2): 77-82. doi:10.3760/cma.j.issn.1673-5803.2013.02.002. XIAO Xianwen, ZHANG Hong, TIAN Fang, et al. Development of the double-pass Optical Quality Analysis System in ophthalmology[J]. International Review of Ophthalmology, 2013, 37(2): 77-82. doi:10.3760/cma.j.issn.1673-5803.2013.02.002.
[18] Liao X, Lin J, Tian J, et al. Evaluation of optical quality: ocular scattering and aberrations in eyes implanted with diffractive multifocal or monofocal intraocular lenses[J]. Curr Eye Res, 2018, 43(6): 696-701. doi:10.1080/02713683.2018.1449220.
[19] Lee H, Lee K, Ahn JM, et al. Double-pass system assessing the optical quality of pseudophakic eyes[J]. Optom Vis Sci, 2014, 91(4): 437-443. doi:10.1097/OPX.0000000000000190.
[20] 邢晓杰, 宋慧, 汤欣, 等. 应用OQAS双通道系统对人工晶状体眼视觉质量评估可重复性研究[J]. 中国实用眼科杂志, 2014, 32(10): 1163-1168. doi:10.3760/cma.j.issn.1006-4443.2014.010.008. XING Xiaojie, SONG Hui, TANG Xin, et al. Repeatability of measurements with a double-pass OQAS system after 3 IOLs implantations[J]. Chinese Journal of Practical Ophthalmology, 2014, 32(10): 1163-1168. doi:10.3760/cma.j.issn.1006-4443.2014.010.008.
[21] 肖显文, 田芳, 张红, 等. 非球面Toric人工晶状体植入术后视觉质量的临床研究[J]. 中华眼科杂志, 2015, 51(4): 263-269. doi:10.3760/cma.j.issn.0412-4081.2015.04.007. XIAO Xianwen, TIAN Fang, ZHANG Hong, et al. Clinical study of optical quality after implantation of aspheric toric intraocular lens in cataract surgery[J]. Chinese Journal of Ophthalmology, 2015, 51(4): 263-269. doi:10.3760/cma.j.issn.0412-4081.2015.04.007.
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