회절 비구면 삼중초점 인공수정체 임상성적 및 시력의 질에 대한 설문조사
Clinical Outcomes of Diffractive Aspheric Trifocal Intraocular Lens Implantation
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목적: 회절 비구면 삼중초점 인공수정체인 FineVision Pod F IOL (PhysIOL, Liège, Belgium)을 삽입한 환자들의 임상결과를 알아보고자 하였다. 대상과 방법: FineVision Pod F IOL을 삽입한 38안을 대상으로 수술 후 1달, 3달째 원거리, 중간거리, 근거리 시력 및 대비감도와 만족도 설문조사를 시행하였다. 결과: 수술 후 3개월째 평균 구면렌즈대응치는 -0.10 ± 0.28D였고 평균 나안시력(logMAR)은 원거리 0.04 ± 0.07, 중간거리 0.19 ± 0.12, 근거리 0.04 ± 0.07이었다. 술 후 3개월째 대비감도는 0.75, 1.5, 3, 6, 12, 18 cycles per degrees에서 각각 2.00 ± 1.54, 2.16 ± 1.60, 2.25 ± 1.76, 2.16 ± 1.83, 1.52 ± 1.47, 1.03 ± 0.95로 나타났고, OQAS® (Optical Quality Analysis System, Visiometrics, Cerdanyola del Vallès, Spain) 검사상 평균 객관적 산란지수(Objective scatter index)는 1.54 ± 0.74였다. 설문조사결과 89%의 환자들이 보통 이상의 전반적인 만족도를 보였으며, 수술 후 안경 비의존도는 원거리, 중간거리, 근거리 각각 89%, 78%, 83%로 측정되었고 수술 후 불편 사항으로 건조증(36%), 야간 빛번짐(32%), 달무리(18%) 등의 순서로 조사되었다. 결론: FineVision Pod F IOL을 삽입 후 3개월이 경과한 결과 원거리, 중간거리 및 근거리 나안 시력에서 우수한 결과를 보였고, 환자만족도 역시 시력의 질 또한 높은 것으로 나타났다.
Abstract
Purpose: To evaluate the clinical outcomes of patients with diffractive aspheric trifocal intraocular lens FineVision Pod F IOL (PhysIOL, Liège, Belgium) implantation. Methods: Thirty eight eyes received phacoemulsification and implantation of FineVision Pod F IOL. Uncorrected distant visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), refractive values, and defocus curve were evaluated at postoperative 1 month and 3 months. Optical quality was evaluated with the contrast sensitivity test, OQAS® (Optical Quality Analysis System, Visiometrics, Cerdanyola del Vallès, Spain) and questionnaire. Results: At the 3-month postoperative follow-up, the mean spherical equivalent was 0.01 ± 0.31 D and the mean UDVA, UIVA and UNVA were 0.04 ± 0.07, 0.19 ± 0.12, and 0.04 ± 0.07, respectively. Mean contrast sensitivities at 0.75, 1.5, 3, 6, 12, and 18 cycles per degrees were 2.00 ± 1.54, 2.16 ± 1.60, 2.25 ± 1.76, 2.16 ± 1.83, 1.52 ± 1.47 and 1.03 ± 0.95 respectively and mean objective scatter index by OQAS® (Optical Quality Analysis System, Visiometrics) was 1.54 ± 0.74. In satisfaction analysis, general satisfaction with surgery was 89% and spectacle independence were 89% at far, 78% at intermediate and 83% at near distance. Postoperative dissatisfaction factors were dryness (36%), glare at night (32%), halo (18%). Conclusions: The FineVision Pod F IOL showed excellent distant and near visual acuities with an effective intermediate visual acuity. The eyes with FineVision Pod F IOL expected to achieve the favorable visual outcome and patient satisfaction.
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