ARTIS® PL E 인공수정체를 이용한 백내장수술의 임상적 결과
Clinical Results of Cataract Surgery Using the ARTIS® PL E Intraocular Lens
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목적: 백내장수술시 ARTIS® PL E (Cristalens Industrie, Lannion, France) 인공수정체와 Tecnis® ZCB00 (Johnson & Johnson Vision, Santa Ana, CA, USA) 인공수정체를 삽입한 환자들의 임상 결과를 비교하였다. 대상과 방법: 동일한 술자로부터 백내장초음파유화술을 받고 ARTIS® PL E를 삽입한 33안(A군)과 Tecnis® ZCB00을 삽입한 45안(B군)의 의무기록을 후향적으로 분석하였다. 수술 후 1, 3개월 되는 시점에서의 최대교정시력, 굴절력 및 고위수차를 수술 전과 비교하였다. 결과: 수술 전 최대교정시력은 A군과 B군 간 유의한 차이는 없었다(p=0.494). 수술 후 최대교정시력은 각각 logMAR 0.01 ± 0.05, 0.01 ± 0.04로 두 군 모두 유의미한 호전을 보였으나(p<0.001), 두 군 간 유의한 차이는 없었다(p=0.289, p=0.471). 수술 후 1, 3개월 경과한 시점에서 전체, 구면, 코마수차는 모두 수술 전과 비교하여 유의하게 감소하였다(p<0.05). 두 집단 모두 수술 1, 3개월 후 목표 굴절력 ± 0.50 diopters 이내가 확인되어 예측도 면에서 유의한 차이는 없었다(p=0.390, p=0.959). 또한, 각 그룹에서 수술 후 1, 3개월째 굴절력에는 통계학적으로 유의한 변화는 없었다(p=0.482, p=0.372). 결론: ARTIS® PL E 인공수정체를 이용한 백내장수술 후 최대교정시력의 유의미한 향상을 보였으며, 수술 후 시력 변화 및 고위수차에서 기존에 임상효과가 검증되었던 Tecnis® ZCB00과 대등한 결과를 보였다.
Abstract
Purpose: To compare the clinical outcomes of cataract surgery using the ARTIS® PL E (Cristalens Industrie, Lannion, France) intraocular lens (IOL) and conventional Tecnis® ZCB00 (Johnson & Johnson Vision, Santa Ana, CA, USA) IOL. Methods: This retrospective study examined patients who underwent in-the-bag implantation of either an ARTIS® PL E (33 eyes, group A) or Tecnis® ZCB00 (45 eyes, group B) IOL after phacoemulsification performed by a single surgeon. Best-corrected visual acuity (BCVA), spherical equivalent, and higher-order aberrations (HOA) were measured 1 and 3 months after cataract surgery. Results: Preoperative BCVA did not differ significantly in groups A and B. Postoperative BCVA at 1 and 3 months improved significantly (p < 0.001) in both groups compared to preoperative baseline BCVA. At 1 and 3 months postoperatively, total HOA, spherical aberration, and coma were significantly lower compared to the preoperative baseline HOA (p < 0.05) in both groups. However, there were no significant differences in the trefoil values 1 and 3 months postoperatively compared to the preoperative baseline in both groups. The absolute refractive error 3 months postoperatively was 0.27 ± 0.20 (group A) and 0.28 ± 0.20 (group B), both within ± 0.50 diopters of the targeted goal diopter; there were no significant differences in the accuracy or predictability of the IOL power calculation in both groups (p = 0.390, p = 0.959). The absolute refractive error 1 and 3 months postoperatively did not differ significantly; there were no significant differences in the stability of both IOLs (p = 0.482, p = 0.372). Conclusions: Conventional cataract surgery using the ARTIS® PL E IOL significantly increased the BCVA, while obtaining comparable clinical results to the verified Tecnis® ZCB00 IOL in postoperative visual acuity and HOA.
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