Comparing visual acuity, range of vision and spectacle independence in the extended range of vision and monofocal intraocular lens.
Clin Exp Ophthalmol
; 46(8): 854-860, 2018 11.
Article
em En
| MEDLINE
| ID: mdl-29726108
ABSTRACT
IMPORTANCE This study is the first to compare the extended range of vision (ERV) intraocular lens (IOL) targeted at micro-monovision to a monofocal targeted at binocular emmetropia. BACKGROUND:
Compares visual acuity, range of vision and spectacle independence in monofocal and ERV IOLs.DESIGN:
Assessor-blinded retrospective cohort study.PARTICIPANTS:
Eighty-eight participants (176 eyes) with bilateral IOL implants at 5+ month postoperative review.METHODS:
Regression analyses (general estimating equations and multiple linear regression) tested associations between IOL type (ZA9002 Tecnis 3-piece or Tecnis ZCT monofocal; and Tecnis Symfony ERV IOL) and visual acuity, adjusting for key confounders including residual astigmatism. MAIN OUTCOMEMEASURES:
Monocular and binocular visual acuity measured with and without distance refractive correction at distance (3.00 m), intermediate (1.00 and 0.63 m) and near (0.40 m) (logMAR units); near vision reading test used British 'N' notation; self-reported spectacle independence.RESULTS:
There was no significant difference between ERV and monofocal groups in uncorrected binocular visual acuity at distance (P = 0.595). Binocular uncorrected visual acuity at intermediate (0.63 m monofocal 0.24, ERV 0.09, P < 0.001) and near (0.40 m monofocal 0.42, ERV 0.18, P < 0.001) were significantly better in the ERV group. Binocular uncorrected near vision all the ERV group read N8 or better, compared to 36% in the monofocal group (P < 0.001); 93% of the ERV group reported spectacle independence at near compared to 33% in the monofocal group (P < 0.001). CONCLUSIONS AND RELEVANCE The ERV IOL, targeted to achieve micro-monovision, demonstrated superior range of visual acuity and spectacle independence compared to the monofocal targeted to achieve emmetropia.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Refração Ocular
/
Visão Binocular
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Acuidade Visual
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Pseudofacia
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Óculos
/
Lentes Intraoculares
Tipo de estudo:
Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article