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Clinical outcomes in eyes with diffractive continuous depth-of-focus intraocular lenses enhanced for near vision: comparison with trifocal intraocular lenses.
Nomura, Yuya; Ota, Yuka; Fujita, Yoshifumi; Nishimura, Tomohisa; Bissen-Miyajima, Hiroko; Minami, Keiichiro.
Afiliación
  • Nomura Y; Fujita Eye Clinic, Tokushima, Japan.
  • Ota Y; Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital, Tokyo, Japan.
  • Fujita Y; Fujita Eye Clinic, Tokushima, Japan.
  • Nishimura T; Mikawa Eye Clinic, Saga, Japan.
  • Bissen-Miyajima H; Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital, Tokyo, Japan.
  • Minami K; Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital, Tokyo, Japan. minami@miyata-med.ne.jp.
BMC Ophthalmol ; 23(1): 475, 2023 Nov 21.
Article en En | MEDLINE | ID: mdl-37990206
ABSTRACT

BACKGROUND:

To prospectively evaluate visual functions and patient satisfaction after bilateral implantation of diffractive continuous depth-of-focus intraocular lens (CDF IOL) compared with trifocal IOLs.

METHODS:

This investigator-initiated study was approved by a certified local review board (registered jRCTs032210305). CDF IOL (Synergy, J&J, group S) and trifocal IOL (AcrySof PanOptix, Alcon, group P) were implanted bilaterally in 30 patients each. Three months postoperatively, binocular outcomes of uncorrected (BUCVA) and distance-corrected (BDCVA) visual acuities at distances of 0.3, 0.4, 0.5, 0.7, and 5 m were measured. Contrast sensitivities were binocularly measured using CSV-1000 (2.5 m) and Pelli-Robson charts at distances of 0.4 and 1 m. Symptoms of glare, halo, starburst, and waxy vision, and satisfaction for near, intermediate, and far visions were assessed with questionnaires. Differences between the two groups were examined.

RESULTS:

Twenty-seven patients each completed the follow-up. The mean age of the group S was lower than that of the group P (P < 0.001). The BUCVA at 0.4 m was better in the S group, while the mean manifest refraction of the P group showed a significant hyperopic shift (P < 0.001). BDCVA was significantly better in the S group. The contrast sensitivity results at three distances showed no discernible differences. Although more patients in the S group reported significant glare and halo, their satisfaction with near vision was higher.

CONCLUSIONS:

The binocular visual function of patients with CDF IOLs was comparable to or better than that of patients with trifocal IOLs. The patients were satisfied with near vision, despite the enhanced glare and halo. Understanding the differences between the two types of presbyopia-correcting IOLs is important to ensure patient satisfaction. TRIAL REGISTRATION This clinical trial was registered in the Japan Registry for Clinical Research (identifier jRCTs032210305) on September 13, 2021.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lentes Intraoculares / Miopía Límite: Humans Idioma: En Revista: BMC Ophthalmol Asunto de la revista: OFTALMOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Japón

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lentes Intraoculares / Miopía Límite: Humans Idioma: En Revista: BMC Ophthalmol Asunto de la revista: OFTALMOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Japón