Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (2): 90-95.doi: 10.6040/j.issn.1673-3770.0.2021.392

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A clinical study on the effect of using different intraocular lens implants on visual quality

LI Jing1, ZHANG Hui2, WANG Jing2   

  1. 1. College of Clinical Medicine, Weifang Medical College, Weifang, 261000 Shandong, China;
    2. Department of Ophthalmology, Jinan Second People's Hospital, Jinan, 250000 Shandong, China
  • Published:2022-04-15

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Abstract: Objective The objective of this study is to evaluate and compare the visual quality between bifocal intraocular lens(IOL)(AT LISA 809MP; Zeiss)and extended depth IOL(Tecnis Symfony)implantation. Methods Thirty-five patients(43 eyes)who underwent cataract phacoemulsification with IOL implantation from 2020 to 2021 were randomly divided into groups A and B according to the type of implanted IOL. Twenty-seven eyes implanted with the AT LISA 809MP IOL and were assigned to group A, and 16 eyes implanted with the Tecnis Symfony IOL were assigned to group B. Three months after surgery, the uncorrected distant visual acuity(UDVA), uncorrected intermediate visual acuity(UIVA), uncorrected near visual acuity(UNVA), best corrected distant visual acuity(BCDVA), distant corrected intermediate visual acuity(DCIVA), distant corrected near visual acuity(DCNVA), objective scatter index(OSI), modulation transfer function(MTF)cutoff, Strehl ratio(SR), contrast visual acuity(CVA), and defocus curve were measured and analyzed, and a subjective questionnaire was administered. Results Three months after surgery, there was no statistical difference in UDVA and BCDVA between the two groups(P>0.05). The UNVA and DCNVA of group A were better than that of group B(P<0.05), and the UIVA and DCIVA of group B were better than that of group A(P<0.05). There were no significant differences in OSI, SR, and visual acuity under 100% contrast between the two groups(P>0.05), and the visual acuity under 20% and 9% contrast under cutoff spatial frequency of MTF in group A was slightly lower than that in group B(P<0.05). There was no significant difference between the two groups at the defocus curve at 0D(far distance)(P>0.05); the visual acuity at -1.5D(middle distance)was better in group B than in group A, and the visual acuity at -2.5D(near distance)was better in group A than in group B, and is statistically significant(P<0.05). The rate of spectacle independence and postoperative satisfaction were good in both groups. There was no statistical difference in the probability of glare phenomenon. Conclusion Both types of IOLs can provide patients with better overall visual acuity and spectacle independence. Bifocal IOLs have better near visual acuity, and Symfony continuous IOLs have better middle visual acuity.

Key words: Bifocal intraocular lens, Extended depth intraocular lens, Visual quality, Defocus curve

CLC Number: 

  • R776.1
[1] Holden BA, Fricke TR, Ho SM, et al. Global vision impairment due to uncorrected presbyopia[J]. Arch Ophthalmol, 2008, 126(12): 1731-1739. doi:10.1001/archopht.126.12.1731.
[2] 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.
[3] Calladine D, Evans JR, Shah S, et al. Multifocal versus monofocal intraocular lenses after cataract extraction[J]. Sao Paulo Med J, 2015, 133(1): 68. doi:10.1590/1516-3180.20151331T2.
[4] Paik DW, Park JS, Yang CM, et al. Comparing the visual outcome, visual quality, and satisfaction among three types of multi-focal intraocular lenses[J]. Sci Rep, 2020, 10(1): 14832. doi:10.1038/s41598-020-69318-y.
[5] 冯珂, 陈瑞合, 李玉军. Symfony与两种不同附加度数双焦点人工晶状体植入术后患者视觉质量的对比研究[J]. 眼科新进展, 2021, 41(3): 271-275. doi:10.13389/j.cnki.rao.2021.0057. FENG Ke, CHEN Ruihe, LI Yujun. Comparative analysis of visual outcomes between symfony and two procedures of additional degrees multifocal intraocular lens[J]. Recent Advances in Ophthalmology, 2021, 41(3): 271-275. doi:10.13389/j.cnki.rao.2021.0057.
[6] 王文惠, 巫雷, 樊映川, 等. 比较两种人工晶状体矫正老视效果的临床研究[J]. 中华眼科医学杂志(电子版), 2020, 10(5): 294-299. doi:10.3877/cma.j.issn.2095-2007.2020.05.007. WANG Wenhui, WU Lei, FAN Yingchuan, et al. A comparative study of two kinds of intraocular lens for presbyopia correction[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2020, 10(5): 294-299. doi:10.3877/cma.j.issn.2095-2007.2020.05.007.
[7] 王晶, 李彬, 毕宏生, 等. 不同类型人工晶体植入后视觉效果的比较[J]. 山东大学耳鼻喉眼学报, 2014, 28(6): 68-71.doi:10.6040/j.issn.16733770.0.2014.164. WANG Jing, LI Bin, BI Hongsheng, et al. Comparison of visual performance after implantation of intraocular lenses: accommodative, spherical monofocal and aspheric monofocal[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2014, 28(6): 68-71. doi:10.6040/j.issn.16733770.0.2014.164.
[8] Alio JL, Plaza-Puche AB, Férnandez-Buenaga R, et al. Multifocal intraocular lenses: an overview[J]. Surv Ophthalmol, 2017, 62(5): 611-634. doi:10.1016/j.survophthal.2017.03.005.
[9] Fernández D, Barbero S, Dorronsoro C, et al. Multifocal intraocular lens providing optimized through-focus performance[J]. Opt Lett, 2013, 38(24): 5303-5306. doi:10.1364/OL.38.005303.
[10] Papadatou E, del Águila-Carrasco AJ, Esteve-Taboada JJ, et al. Assessing the in vitro optical quality of presbyopic solutions based on the axial modulation transfer function[J]. J Cataract Refract Surg,2016, 42(5): 780-787. doi:10.1016/j.jcrs.2015.11.049.
[11] Liao X, Haung X, Lan CJ, et al. Comprehensive evaluation of retinal image quality in comparing different aspheric to spherical intraocular lens implants[J]. Curr Eye Res, 2019, 44(10): 1098-1103. doi:10.1080/02713683.2019.1615512.
[12] Böhm M, Petermann K, Hemkeppler E, et al. Defocus curves of 4 presbyopia-correcting IOL designs: Diffractive panfocal, diffractive trifocal, segmental refractive, and extended-depth-of-focus[J]. J Cataract Refract Surg, 2019, 45(11): 1625-1636. doi:10.1016/j.jcrs.2019.07.014.
[13] 凌宇, 熊飞, 于璐, 等. 多焦点人工晶体植入术后双眼离焦曲线对视觉功能的评价[J]. 实用医学杂志, 2019, 35(10): 1635-1638. doi:10.3969/j.issn.1006-5725.2019.10.023. LING Yu, XIONG Fei, YU Lu, et al. Evaluation of visual function after multifocal intraocular lens implantation through defocus curves assess-ment[J]. The Journal of Practical Medicine, 2019, 35(10): 1635-1638. doi:10.3969/j.issn.1006-5725.2019.10.023.
[14] Plaza-Puche AB, Alio JL. Analysis of defocus curves of different modern multifocal intraocular lenses[J]. Eur J Ophthalmol, 2016, 26(5): 412-417. doi:10.5301/ejo.5000780.
[15] Mester U, Fahle M, Ott G, et al. Functional vision training after MIOL implantation[J]. Ophthalmologe, 2008, 105(6): 533-537. doi:10.1007/s00347-008-1746-7.
[16] Law EM, Aggarwal RK, Buckhurst H, et al. Visual function and subjective perception of vision after bilateral implantation of monofocal and multifocal IOLs: a randomized controlled trial[J]. J Cataract Refract Surg, 2020, 46(7): 1020-1029. doi:10.1097/j.jcrs.0000000000000210.
[17] Calladine D, Evans JR, Shah S, et al. Multifocal versus monofocal intraocular lenses after cataract extraction[J]. Cochrane Database Syst Rev, 2012(9): CD003169. doi:10.1002/14651858.CD003169.pub3.
[18] Vinas M, Aissati S, Romero M, et al. Pre-operative simulation of post-operative multifocal vision[J]. Biomed Opt Express, 2019, 10(11): 5801-5817. doi:10.1364/BOE.10.005801.
[19] Negishi K, Hayashi K, Kamiya K, et al. Nationwide prospective cohort study on cataract surgery with multifocal intraocular lens implantation in Japan[J]. Am J Ophthalmol, 2019, 208: 133-144. doi:10.1016/j.ajo.2019.07.019.
[20] Kim JH, Kim EJ, Kim YH, et al. In vivo effects of preservative-free and preserved prostaglandin analogs: mouse ocular surface study[J]. Korean J Ophthalmol, 2015, 29(4): 270-279. doi:10.3341/kjo.2015.29.4.270.
[21] Cochener B, Boutillier G, Lamard M, et al. A comparative evaluation of a new generation of diffractive trifocal and extended depth of focus intraocular lenses[J]. J Refract Surg, 2018, 34(8): 507-514. doi:10.3928/1081597X-20180530-02.
[22] 魏超, 张晗. 多焦点人工晶状体的临床应用进展[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 29-35.doi:10.6040 /j.Issn.1673-3770.1.2017.027. WEI Chao, ZHANG Han. Multifocal intraocular lens: progress in clinical application[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(4): 29-35. doi:10.6040 /j.Issn.1673-3770.1.2017.027.
[23] Schallhorn JM, Pantanelli SM, Lin CC, et al. Multifocal and accommodating intraocular lenses for the treatment of presbyopia: a report by the American academy of ophthalmology[J]. Ophthalmology,2021, 128(10): 1469-1482. doi:10.1016/j.ophtha.2021.03.013.
[24] Altemir-Gomez I, Millan MS, Vega F, et al. Comparison of visual and optical quality of monofocal versus multifocal intraocular lenses[J]. Eur J Ophthalmol, 2020, 30(2): 299-306. doi:10.1177/1120672119827858.
[25] Dyrda A, Martínez-Palmer A, Martín-Moral D, et al. Clinical results of diffractive, refractive, hybrid multifocal, and monofocal intraocular lenses[J]. J Ophthalmol, 2018, 2018: 8285637. doi:10.1155/2018/8285637.
[26] Sieburth R, Chen M. Intraocular lens correction of presbyopia[J]. Taiwan J Ophthalmol, 2019, 9(1): 4-17. doi:10.4103/tjo.tjo_136_18.
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