Comparison of cataract patients with regular corneal astigmatism after implantation of extended range-of-vision and bifocal toric intraocular lenses
Purpose To compare the postoperative visual acuity and visual quality between extended range-of-vision and multifocal toric intraocular lens (IOLs) after implantation in cataract patients with regular corneal astigmatism. Setting Department of Ophthalmology, the Second Hospital of Jilin University,...
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Published in | Frontiers in medicine Vol. 10; p. 1105876 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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02.10.2023
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Abstract | Purpose
To compare the postoperative visual acuity and visual quality between extended range-of-vision and multifocal toric intraocular lens (IOLs) after implantation in cataract patients with regular corneal astigmatism.
Setting
Department of Ophthalmology, the Second Hospital of Jilin University, Changchun, Jilin Province, China.
Design
Retrospective and single-center study.
Methods
The study involved implanting the Tecnis Symphony (ZXR00IOL) or the bifocal toric (ZMTIOL) in patients undergoing cataract surgery. Three months after surgery, lens performance was evaluated using distance, intermediate, and near visual acuity tests, defocus curves, the modulation transfer function (MTF), a visual function index questionnaire (VF-14), and the adverse optical interference phenomena.
Results
The 3-month postoperative follow-up found that both groups had good corrected distance vision. The ZMT group had better-uncorrected distance visual acuity and near visual acuity (
p
< 0.05). However, the ZXR group showed better uncorrected intermediate visual acuity (
p
< 0.05) and visual continuity. Overall astigmatism in the postoperative ZMT group was significantly lower than that in the pre-operative group (
p
< 0.05). The ZMT group had lower total high-order aberrations (tHOs), higher MTF values, and higher VF-14 scores (
p
< 0.05). Finally, the ZXR group exhibited reduced halo and glare phenomena (
p
< 0.05).
Conclusion
We found that ZMT can effectively correct a corneal astigmatism of 1.0–1.5 D and ZXR can improve patient outcomes regarding subjective optical quality and range of vision. These findings have the potential to improve future astigmatism treatment options. |
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AbstractList | PurposeTo compare the postoperative visual acuity and visual quality between extended range-of-vision and multifocal toric intraocular lens (IOLs) after implantation in cataract patients with regular corneal astigmatism. SettingDepartment of Ophthalmology, the Second Hospital of Jilin University, Changchun, Jilin Province, China. DesignRetrospective and single-center study. MethodsThe study involved implanting the Tecnis Symphony (ZXR00IOL) or the bifocal toric (ZMTIOL) in patients undergoing cataract surgery. Three months after surgery, lens performance was evaluated using distance, intermediate, and near visual acuity tests, defocus curves, the modulation transfer function (MTF), a visual function index questionnaire (VF-14), and the adverse optical interference phenomena. ResultsThe 3-month postoperative follow-up found that both groups had good corrected distance vision. The ZMT group had better-uncorrected distance visual acuity and near visual acuity (p < 0.05). However, the ZXR group showed better uncorrected intermediate visual acuity (p < 0.05) and visual continuity. Overall astigmatism in the postoperative ZMT group was significantly lower than that in the pre-operative group (p < 0.05). The ZMT group had lower total high-order aberrations (tHOs), higher MTF values, and higher VF-14 scores (p < 0.05). Finally, the ZXR group exhibited reduced halo and glare phenomena (p < 0.05). ConclusionWe found that ZMT can effectively correct a corneal astigmatism of 1.0-1.5 D and ZXR can improve patient outcomes regarding subjective optical quality and range of vision. These findings have the potential to improve future astigmatism treatment options. Purpose To compare the postoperative visual acuity and visual quality between extended range-of-vision and multifocal toric intraocular lens (IOLs) after implantation in cataract patients with regular corneal astigmatism. Setting Department of Ophthalmology, the Second Hospital of Jilin University, Changchun, Jilin Province, China. Design Retrospective and single-center study. Methods The study involved implanting the Tecnis Symphony (ZXR00IOL) or the bifocal toric (ZMTIOL) in patients undergoing cataract surgery. Three months after surgery, lens performance was evaluated using distance, intermediate, and near visual acuity tests, defocus curves, the modulation transfer function (MTF), a visual function index questionnaire (VF-14), and the adverse optical interference phenomena. Results The 3-month postoperative follow-up found that both groups had good corrected distance vision. The ZMT group had better-uncorrected distance visual acuity and near visual acuity ( p < 0.05). However, the ZXR group showed better uncorrected intermediate visual acuity ( p < 0.05) and visual continuity. Overall astigmatism in the postoperative ZMT group was significantly lower than that in the pre-operative group ( p < 0.05). The ZMT group had lower total high-order aberrations (tHOs), higher MTF values, and higher VF-14 scores ( p < 0.05). Finally, the ZXR group exhibited reduced halo and glare phenomena ( p < 0.05). Conclusion We found that ZMT can effectively correct a corneal astigmatism of 1.0–1.5 D and ZXR can improve patient outcomes regarding subjective optical quality and range of vision. These findings have the potential to improve future astigmatism treatment options. |
Author | Zhang, Hui Yang, Xinyue Hu, Xiaomin Wen, Ziyuan Guo, Rong Lin, Yi Li, Zhuoya |
AuthorAffiliation | Department of Ophthalmology, The Second Hospital of Jilin University, Changchun , Jilin , China |
AuthorAffiliation_xml | – name: Department of Ophthalmology, The Second Hospital of Jilin University, Changchun , Jilin , China |
Author_xml | – sequence: 1 givenname: Zhuoya surname: Li fullname: Li, Zhuoya – sequence: 2 givenname: Rong surname: Guo fullname: Guo, Rong – sequence: 3 givenname: Xiaomin surname: Hu fullname: Hu, Xiaomin – sequence: 4 givenname: Xinyue surname: Yang fullname: Yang, Xinyue – sequence: 5 givenname: Ziyuan surname: Wen fullname: Wen, Ziyuan – sequence: 6 givenname: Yi surname: Lin fullname: Lin, Yi – sequence: 7 givenname: Hui surname: Zhang fullname: Zhang, Hui |
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Cites_doi | 10.3928/1081597X-20160502-01 10.1167/iovs.61.13.38 10.5935/0004-2749.20160050 10.1097/j.jcrs.0000000000000088 10.1111/aos.14653 10.1186/s12886-020-1332-6 10.1038/s41598-022-24123-7 10.1155/2016/5424713 10.1016/j.jcrs.2017.11.011 10.18240/ijo.2020.06.09 10.1097/j.jcrs.0000000000000560 10.1007/s10792-020-01313-8 10.1007/s10792-020-01608-w 10.1016/j.ophtha.2021.03.013 10.1097/j.jcrs.0000000000000747 10.1177/1120672120926845 10.3969/j.issn.1005-9202.2022.05.030 10.3928/1081597X-20200403-01 10.5935/0004-2749.20200089 10.1016/j.jcrs.2017.07.031 10.12659/MSM.890585 10.1186/s12886-021-01807-8 10.1097/OPX.0000000000000581 10.4103/ijo.IJO_810_17 10.1016/j.jcrs.2014.01.045 10.1097/APO.0000000000000439 10.4236/ojoph.2017.71001 10.3928/1081597X-20210428-01 10.1155/2019/5815040 10.1007/s10792-016-0201-z 10.21037/atm-20-7777 10.1016/j.jcrs.2010.09.022 10.1167/iovs.14-14017 10.1177/1120672118818019 10.3928/1081597X-20201111-02 10.1136/bjophthalmol-2014-305570 |
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To compare the postoperative visual acuity and visual quality between extended range-of-vision and multifocal toric intraocular lens (IOLs) after... PurposeTo compare the postoperative visual acuity and visual quality between extended range-of-vision and multifocal toric intraocular lens (IOLs) after... |
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SubjectTerms | astigmatism extended range-of-vision IOLs high-order aberration Medicine refractive cataract surgery visual quality |
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Title | Comparison of cataract patients with regular corneal astigmatism after implantation of extended range-of-vision and bifocal toric intraocular lenses |
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