Visual Outcomes after Bilateral Implantation of an Extended Depth of Focus Intraocular Lens: A Multicenter Study
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Purpose: To evaluate visual performance after bilateral implantation of an extended depth of focus (EDOF) intraocular lens(IOL). Methods: This multicenter, prospective, observational study included 100 patients who underwent bilateral cataract surgerywith a toric or non-toric EDOF IOL (Tecnis Symfony), and 96 patients completed the final assessment at 4 to 6 months. Binocularcorrected distance visual acuity and uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity(UIVA), and uncorrected near visual acuity (UNVA), spectacle independence, visual symptoms, and patient satisfaction wereevaluated. Results: Mean decimal visual acuity results showed a binocular corrected distance visual acuity of 1.10 ± 0.18, UDVA of 1.04 ±0.17, UIVA of 0.96 ± 0.16, and UNVA of 0.68 ± 0.18. Binocular UDVA and UIVA were 0.8 (decimal) or better in 98% and 94% ofpatients, respectively. Binocular UNVA was 0.63 (decimal) or better in 76% of patients. Overall, 76% of the patients achievedspectacle independence across all distances, and more than 85% reported no or mild dysphotoptic phenomena. On a scale of0 to 10, the median patient satisfaction score was 9 for far, 9.5 for intermediate, and 8 for near vision. Conclusions: The Symfony EDOF IOL provided excellent distance, intermediate visual outcome, and functional near visualacuity. The visual results were associated with prominent levels of spectacle independence and patient satisfaction.
Abstract
Purpose: To evaluate visual performance after bilateral implantation of an extended depth of focus (EDOF) intraocular lens(IOL). Methods: This multicenter, prospective, observational study included 100 patients who underwent bilateral cataract surgerywith a toric or non-toric EDOF IOL (Tecnis Symfony), and 96 patients completed the final assessment at 4 to 6 months. Binocularcorrected distance visual acuity and uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity(UIVA), and uncorrected near visual acuity (UNVA), spectacle independence, visual symptoms, and patient satisfaction wereevaluated. Results: Mean decimal visual acuity results showed a binocular corrected distance visual acuity of 1.10 ± 0.18, UDVA of 1.04 ±0.17, UIVA of 0.96 ± 0.16, and UNVA of 0.68 ± 0.18. Binocular UDVA and UIVA were 0.8 (decimal) or better in 98% and 94% ofpatients, respectively. Binocular UNVA was 0.63 (decimal) or better in 76% of patients. Overall, 76% of the patients achievedspectacle independence across all distances, and more than 85% reported no or mild dysphotoptic phenomena. On a scale of0 to 10, the median patient satisfaction score was 9 for far, 9.5 for intermediate, and 8 for near vision. Conclusions: The Symfony EDOF IOL provided excellent distance, intermediate visual outcome, and functional near visualacuity. The visual results were associated with prominent levels of spectacle independence and patient satisfaction.
참고문헌 (15)
- Lane SS, "Multifocal intraocular lenses", Ophthalmol Clin North Am, 19, pp.89~105 (2006)
- Alba-Bueno F, "Halos and multifocal intraocular lenses : origin and interpretation", Arch Soc Esp Oftalmol, 89, pp.397~404 (2014)
- Alfonso JF, "Visual function after implantation of an aspheric bifocal intraocular lens", J Cataract Refract Surg, 35, pp.885~892 (2009)
- Alfonso JF, "Visual acuity comparison of 2 models of bifocal aspheric intraocular lenses", J Cataract Refract Surg, 35, pp.672~676 (2009)
- Gatinel D, "Design and qualification of a diffractive trifocal optical profile for intraocular lenses", J Cataract Refract Surg, 37, pp.2060~2067 (2011)
- Cochener B, "Clinical outcomes of a new extended range of vision intraocular lens: International Multicenter Concerto Study", J Cataract Refract Surg, 42, pp.1268~1275 (2016)
- Pedrotti E, "Comparative analysis of the clinical outcomes with a monofocal and an extended range of vision intraocular lens", J Refract Surg, 32, pp.436~442 (2016)
- Madrid-Costa D, "Optical quality differences between three multifocal intraocular lenses: bifocal low add, bifocal moderate add, and trifocal", J Refract Surg, 29, pp.749~754 (2013)
- Akella SS, "Extended depth of focus intraocular lenses for presbyopia", Curr Opin Ophthalmol, 29, pp.318~322 (2018)
- Cochener B, "A comparative evaluation of a new generation of diffractive trifocal and extended depth of focus intraocular lenses", J Refract Surg, 34, pp.507~514 (2018)
- Attia MS, "Clinical evaluation of an extended depth of focus intraocular lens with the Salzburg reading desk", J Refract Surg, 33, pp.664~669 (2017)
- de Medeiros AL, "Comparison of visual outcomes after bilateral implantation of a diffractive trifocal intraocular lens and blended implantation of an extended depth of focus intraocular lens with a diffractive bifocal intraocular lens", Clin Ophthalmol, 11, pp.1911~1916 (2017)
- Pedrotti E, "Comparative analysis of visual outcomes with 4 intraocular lenses: monofocal, multifocal, and extended range of vision", J Cataract Refract Surg, 44, pp.156~167 (2018)
- Sachdev GS, "Visual outcomes of patients bilaterally implanted with the extended range of vision intraocular lens : a prospective study", Indian J Ophthalmol, 66, pp.407~410 (2018)
- Ganesh S, "Visual and refractive outcomes following bilateral implantation of extended range of vision intraocular lens with micromonovision", J Ophthalmol, 2018, pp.7321794~ (2018)
