덧댐굴절력이 같은 회절성과 굴절성 다초점 인공수정체의임상 결과 비교
Comparison of Clinical Outcomes between Diffractive and Refractive Multifocal Intraocular Lens with Same Near Added
3
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
목적: 덧댐굴절력이 같은 굴절성 다초점 인공수정체(Lentis Mplus®, Oculentis GmbH., Berlin, Germany)와 회절성 다초점 인공수정체(Acrysof Restor®; SND1, Alcon Lab., Fort Worth, TX, USA)의 임상결과를 비교하고자 하였다. 대상과 방법: 백내장 수술 후 Lentis Mplus®를 삽입한 군(30안)과 Acrysof Restor®를 삽입한 군(33안)을 대상으로 술 후 2주, 1, 3, 6개월에 원거리 나안시력, 중간거리시력, 근거리시력을 측정하여 비교하였다. 술 후 3개월째 Optical Quality Analysis System Ⅱ (OQAS II®, Visiometrics, Castelldefels, Barcelona, Spain)를 이용한 시기능 검사와 수차분석기를 이용한 수차분석을 하였고 술 후만족도를 조사하여 비교하였다. 결과: 술 후 원거리나안, 중간거리 63 cm, 근거리 시력은 두 군에 차이가 없었다. 중간거리 100 cm에서는 Lentis Mplus®군이 의미있게 좋았다. 술 후 3개월째 OQAS II®로 측정한 값 중 objective scatter index (OSI), modulation transfer function (MTF) cutoff value, 위조절력은 두 군에 차이가 없었으나 Strhel ratio는 Acrysof Restor®군이 의미 있게 우수하였다. 수차 분석상 Lentis Mplus®군이 5 mm와 6 mm에 고위수차가 의미 있게 증가하였다. 만족도 조사에서는 두 군에서 의미 있는 차이가 없었다. 결론: 백내장과 노안을 같이 교정할 때 덧댐굴절력이 +3.0 D인 굴절성과 회절성 다초점 인공수정체는 만족스러운 원거리 근거리 시력결과를 보였다. 하지만 Lentis Mplus®는 Acrysof Restor®와 비교하여 중간거리 시력이 더 우수하였다.
Abstract
Purpose: To compare the clinical outcomes between refractive-type multifocal intraocular lenses (IOL) (Lentis Mplus® LS 313, Oculentis GmbH., Berlin, Germany) and diffractive-type multifocal IOL (Acrysof Restor®; SN6AD1, Alcon Lab., Fort Worth, TX, USA) with same near added. Methods: We evaluated 30 eyes implanted with Lentis Mplus® IOL and 33 eyes implanted with Acrysof Restor® IOL after phacoemulsification. The distant, intermediate, and near uncorrected visual acuities of the 2 groups were evaluated at 2 weeks and 1, 3, and 6 months postoperatively. Optical quality obtained using the Optical Quality Analysis System II (OQAS II®, Visiometrics, Castelldefels, Barcelona, Spain), higher-order aberrations (HOAs), and patient satisfaction questionnaire of the 2 groups were evaluated at 3 months postoperatively. Results: The visual acuity of intermediate 100 cm was statistically better in the Lentis Mplus® group (p < 0.05). There were no significant differences between the 2 groups with distant, intermediate 63 cm, and near vision. At the 3-month postoperative follow- up, objective scatter index, modulation transfer function (MTF) cutoff value, and pseudo-accommodation range measured by OQAS II® showed no differences between the 2 groups, but Strhel ratio was higher in the Acrysof Restor® group. HOAs of 5 mm and 6 mm increased significantly in the Lentis Mplus® group. No significant differences were found in the patient satisfaction questionnaire. Conclusions: Both refractive and diffractive-type multifocal IOL implantation in patients with cataracts and presbyopia offered good and comparable visual acuity at distance and near. However, the Lentis Mplus® IOL provided better intermediate vision than the Acrysof Restor® IOL.
참고문헌 (28)
- Alfonso JF., "Prospective visual evaluation of apodized diffractive intraocular lenses", J Cataract Refract Surg, 33, pp.1235~1243 (2007)
- 이현수, "레스토 다초점 인공수정체의 임상성적 및 문제점", 대한안과학회지, 49(8), pp.1235~1241 (2008), 대한안과학회
- de Vries NE., "Long-term follow-up of a multifocal apodized diffractive intraocular lens after cataract surgery", J Cataract Refract Surg, 34, pp.1476~1482 (2008)
- Woodward MA., "Dissatisfaction after multifocal intraocular lens implantation", J Cataract Refract Surg, 35, pp.992~997 (2009)
- 전미현, "비구면 다초점 인공수정체를 단안에 삽입한 백내장수술의 장기 임상결과", 대한안과학회지, 51(6), pp.822~828 (2010), 대한안과학회
- 김성민, "다초점 인공수정체 삽입 후 3개월 임상결과 및 만족도 비교연구", 대한안과학회지, 53(2), pp.230~237 (2012), 대한안과학회
- de Vries NE., "Multifocal intraocular lenses in cataract surgery : literature review of benefits and side effects", J Cataract Refract Surg, 39, pp.268~278 (2013)
- Alfonso JF., "Contrast sensitivity comparison between AcrySof ReSTOR and Acri. LISA aspheric intraocular lenses", J Refract Surg, 26, pp.471~477 (2010)
- Castillo-Gómez A., "Evaluation of image quality after implantation of 2 diffractive multifocal intraocular lens models", J Cataract Refract Surg, 35, pp.1244~1250 (2009)
- Alfonso JF., "Visual function comparison of 2 aspheric multifocal intraocular lenses", J Cataract Refract Surg, 38, pp.242~248 (2012)
- Blaylock JF., "Visual and refractive status at different focal distances after implantation of the ReSTOR multifocal intraocular lens", J Cataract Refract Surg, 32, pp.1464~1473 (2006)
- Kohnen T., "European multicenter study of the AcrySof ReSTOR apodized diffractive intraocular lens", Ophthalmology, 113, pp.578~584.e1 (2006)
- Nochez Y., "Effect of interaction of macroaberrations and scattered light on objective quality of vision in pseudophakic eyes with aspheric monofocal intraocular lenses", J Cataract Refract Surg, 38, pp.633~640 (2012)
- McAlinden C., "Multifocal intraocular lens with a surface-embedded near section : short-term clinical outcomes", J Cataract Refract Surg, 37, pp.441~445 (2011)
- Alió JL., "Comparative analysis of the clinical outcomes with 2 multifocal intraocular lens models with rotational asymmetry", J Cataract Refract Surg, 37, pp.1605~1614 (2011)
- Muñoz G., "Visual function after bilateral implantation of a new zonal refractive aspheric multifocal intraocular lens", J Cataract Refract Surg, 37, pp.2043~2052 (2011)
- Alió JL., "Visual outcomes with a single-optic accommodating intraocular lens and a low-addition-power rotational asymmetric multifocal intraocular lens", J Cataract Refract Surg, 38, pp.978~985 (2012)
- Alio JL., "Comparison of a new refractive multifocal intraocular lens with an inferior segmental near add and a diffractive multifocal intraocular lens", Ophthalmology, 119, pp.555~563 (2012)
- 정영권, "M-plus 다초점 인공수정체의 임상성적", 대한안과학회지, 55(4), pp.519~526 (2014), 대한안과학회
- Hayashi K., "Effect of astigmatism on visual acuity in eyes with a diffractive multifocal intraocular lens", J Cataract Refract Surg, 36, pp.1323~1329 (2010)
- Nanavaty MA., "Effect of intraocular lens asphericity on vertical coma aberration", J Cataract Refract Surg, 36, pp.215~221 (2010)
- Nishi T., "Effect of total higher-order aberrations on accommodation in pseudophakic eyes", J Cataract Refract Surg, 32, pp.1643~1649 (2006)
- Nochez Y., "Effect of interaction of macroaberrations and scattered light on objective quality of vision in pseudophakic eyes with aspheric monofocal intraocular lenses", J Cataract Refract Surg, 38, pp.633~640 (2012)
- Diaz-Valle D., "Effect of lubricating eyedrops on ocular light scattering as a measure of vision quality in patients with dry eye", J Cataract Refract Surg, 38, pp.1192~1197 (2012)
- Cabot F., "Objective assessment of crystalline lens opacity level by measuring ocular light scattering with a double-pass system", Am J Ophthalmol, 155, pp.629~635.e1-2 (2013)
- Lee K., "Comparison of optical quality parameters and ocular aberrations after wavefront-guided laser in-situ keratomileusis versus wavefront-guided laser epithelial keratomileusis for myopia", Graefes Arch Clin Exp Ophthalmol, 251, pp.2163~2169 (2013)
- Saad A., "Repeatability of measurements with a double-pass system", J Cataract Refract Surg, 36, pp.28~33 (2010)
- Castillo-Gómez A., "Evaluation of image quality after implantation of 2 diffractive multifocal intraocular lens models", J Cataract Refract Surg, 35, pp.1244~1250 (2009)