JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (6): 68-71.doi: 10.6040/j.issn.1673-3770.0.2014.164

Previous Articles     Next Articles

Comparison of visual performance after implantation of intraocular lenses: accommodative, spherical monofocal and aspheric monofocal

WANG Jing1,3, LI Bin2, BI Hong-sheng3, ZHANG Miao-miao2, LI Ying-mei2, DING Gang2   

  1. 1. Graduate Student of Shandong University of Traditional Chinese Medicine, Jinan 250011, Shandong, China;
    2. Department of Ophthalmology, Jinan Second People's Hospital, Jinan 250001, Shandong, China;
    3. Ophthalmology Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250001, Shandong, China
  • Received:2014-05-14 Published:2014-12-16

PDF (PC)

1607

Abstract: Objective To compare the performance of accommodative, spherical monofocal and aspheric monofocal intraocular lenses (IOLs). Methods In this clinical control study, 3 types of IOL were implanted in 180 eyes of 180 patients with age-related cataract who underwent phacoemulsification. Accommodative (Tetraflex), aspheric monofocal (akreos advanced optics [AO]) (ZMA00), and spherical monofocal (Akreos Adapt) IOLs were implanted. The uncorrected, best-corrected distance, contrast sensitivity, and distancecorrected intermediate and near visual acuity (UCDVA, BCDVA, CSVA, DCIVA, and DCNVA, respectively), and amplitude of pseudoaccommodation were measured at 1, 3, and 12 months after surgery. Results Differences in CSVA at all contrast degrees, UCDVA, and BCDVA among the three groups were not significant. Patients in the tetraflex group exhibited a better DCIVA and DCNVA and experienced more pseudoaccommodation compared to patients in the other two groups at 3 and 12 months after surgery (P<0.01). Conclusion All the three types of IOLs allow greater distance visual acuity; However, tetraflex IOLs produced better DCIVA and DCNVA and more pseudoaccommodation.

Key words: Accommodative, Intraocular lens, pseudoaccommodation, Contrast sensitivity

CLC Number: 

  • R776.1
[1] Richdale K, Sinnott L T, Bullimore M A, et al. Quantification of age-related and per diopter accommodative changes of the lens and ciliary musclein the emmetropic human eye[J]. Invest Ophthalmol Vis Sci, 2013, 54(2):1162-1169.
[2] Lockhart T E, Shi W. Effects of age on dynamic accommodation[J]. Ergonomics, 2010, 53(7):892-903.
[3] Findl O, Kiss B, Petternel V, et al. Intraacular lens movement caused by eiliary muscle contraction[J]. J Cataract Refract Surg, 2003, 29(4):669-676.
[4] Javitt J C, Steinert R F. Cataract extraction with multifocal intraocular lens implantation: a multifocal clinical trial evaluating clinical, functional and quality-of-life outcomes[J]. Ophthalmology, 2000, 107(11):2040-2048.
[5] Ostrin L A, Liu Y, Choh V, et al. The role of the iris in chick accommodation[J]. Invest Ophthalmol Vis Sci, 2011, 52(7):4710-4716.
[6] Artal P, Guirao A, Berrio E, et al. Compensation of comeal abemtion by the intemal opIics in the human eye[J]. J Vis, 2001, 1(1):1-8.
[7] Smith G, Cox M J, Calver R, et al. The spherical aberration of the crystalline lens of human eye[J]. Vision Res, 2001, 41(2):235-243.
[8] Wolffsohn J S, Naroo S A, Motwani N K, et al. Subjective and objective performance of the Lenstec KH-350 accommodative intraocular lens[J]. Br J Ophthalmol,2006, 90(6):693-696.
[9] Sanders D R, Sandem M L. Visual performance results after Tetraflex accommodating intraocular lens implantation[J]. Ophthalmology, 2007, 114(9):1679-1684.
[10] Glasser A. Restoration of accommodation: surgical options for correction of presbyopia[J]. Clin Exp Optom, 2008, 91(3):279-295.
[11] Lockhart T E, Shi W. Effects of age on dynamic accommodation[J]. Ergonomics, 2010, 53(7):892-903.
[12] Bellucci R. Multifbcal intraocular lenses[J]. Curr Opin Ophthalmol. 2005, 16(1):33-37.
[13] Yamaguchi T, Negishi K, Ono T, et al. Feasibility of spherical aberration correction with aspheric intraocular lenses in cataract surgery based on individual pupil diameter[J]. J Cataract Refract Surg, 2009, 35(10):1725-1733.
[14] Hashemi H, Yazdani K, Khabazkhoob M, et al. Distribution of photopic pupil diameter in the Tehran eye study[J]. Curr Eye Res, 2009, 34(5):378-385.
[1] GAO Xue, HAO Linlin, LIU Shaohua, ZHANG Han. Comparison of two intraocular lens measurement formulas for prediction of postoperative refraction accuracy in patients with angle closure glaucoma and cataract [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 68-71.
[2] WANG Lei, ZHANG Han. The calculation of intraocular lens refractive power [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 21-28.
[3] WEI Chao, ZHANG Han. Multifocal intraocular lens: progress in clinical application. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 29-35.
[4] TIAN Jing, LIAO Xuan, LAN Changjun, TAN Qingqing, LIN Jia, WEN Baiwei. Comparison of high order aberrations in pseudophakia with spherical intraocular lens and aspheric intraocular lens implantation. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 13-17.
[5] JI Shuaifei, ZHANG Jie, YAN Hong. Selection of intraocular lens for patients with age-related macular degeneration. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 36-39.
[6] WANG Jing, WU Qin, WU Hao, LIU Chunlei, BI Hongsheng. Comparison of pseudoaccommodation measured by optical quality analysis system [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(3): 84-85.
[7] ZHU Zi-cheng, WEN Yue-chun, WU Zhang-you, KE Gen-jie. Effects of different intraocular lens on macula area of high myopia associated with cataract [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 40-43.
[8] TANG Dong-yong, TAN Shao-jian, LIANG Hao, HE Jian, LI Xia. Effect of posterior vitreous detachment in high myopia eyes after Bigbag intraocular lens implantation [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(3): 50-53.
[9] LI Jian-ping，ZHU Wei. Clinical individual case analysis of poor cases after cataract surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(2): 1-1.
[10] LIU Bei1, WANG Lili2, ZHU Zhongqiao1, DU Shanshuang1. Clinical curative effect of vitrectomy combined with implantation of Artisan iris-fixated intraocular  lens in traumatic dislocation of the lens [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(4): 87-89.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd