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
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