Visual, Refractive, Functional, and Patient Satisfaction Outcomes After Implantation of a New Extended Depth-of-Focus Intraocular Lens

被引:0
作者
Gil, Javier Ferrando [1 ]
Irazola, Adela Churruca [1 ]
Reparaz, Iraia [1 ]
Lauzirika, Gorka [2 ,3 ]
Martinez-Soroa, Itziar [1 ,2 ]
Mendicute, Javier [1 ,2 ]
机构
[1] Donostia Univ Hosp, Dept Ophthalmol, Donostia San Sebastian, Spain
[2] Miranza Begitek, Calcutta Sq 7, Donostia San Sebastian, Spain
[3] Miranza Grp, R&D Dept, Donostia San Sebastian, Spain
来源
CLINICAL OPHTHALMOLOGY | 2024年 / 18卷
关键词
cataract surgery; phacoemulsification; EDoF IOL; VISION; DISSATISFACTION; PERFORMANCE;
D O I
10.2147/OPTH.S499911
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To describe the visual, refractive, functional, and patient satisfaction outcomes of the Bi-Flex POB-MA 877PEY (Elon (R), Medicontur Medical Engineering Ltd. Zs & aacute;mb & eacute;k, Hungary) extended depth-of-focus intraocular lens (EDoF IOL) Patients and Methods: This was a prospective longitudinal descriptive study. Patients who underwent cataract surgery with the implantation of Bi-Flex POB-MA 877PEY IOL were included. Monocular refractive outcomes and visual acuity at distance, intermediate, and near were evaluated 1- and 3-month post-op. Binocular contrast sensitivity (CSV-1000, VectorVision, USA), binocular defocus curve, and patient satisfaction with the Visual Functioning Questionnaire (VFQ) were assessed at 3-month post-op. Results: 20 Bi-Flex POB-MA 877PEY IOL were implanted bilaterally in 10 patients. The mean age of the patients was 68.60 +/- 4.45 years. At 1-month post-op the monocular Corrected Distance Visual Acuity (CDVA), intermediate (CIVA) and near (CNVA) was 0.02 +/- 0.03, 0.29 +/- 0.08, and 0.40 +/- 0.05 LogMAR respectively. At 3-month post-op the CDVA decrease to 0.05 +/- 0.06 LogMAR (p=0.042), and CIVA and CNVA remained stable at 3-month post-op (p>0.05). No statistical differences were found in post-op spherical equivalent at 1 and 3 month (-0.03 +/- 0.19 D and -0.03 +/- 0.13 D; p=1.000). 100% of eyes were within +/- 0.5 D at 1 month and 3-month post-op. Binocular defocus curve shows a peak of maximum visual acuity (VA) at 0 D (0.00 +/- 0.04 LogMAR), and a constant and progressive decrease at -1.50 D, and -2.50 D (0.15 +/- 0.08 LogMAR and 0.33 +/- 0.10 LogMAR, respectively). Contrast sensitivity decreased at high spatial frequencies. In patient satisfaction at 3 months post-op, VFQ reveals that 90% of patients revealed no or minor difficulty with glare/flare and 100% of patients have no or minor difficulty with halos. In overall satisfaction, 80% of patients rate their vision between 8 and 9 from a scale from 0 to 10. Conclusion: The Bi-Flex POB-MA 877PEY EDoF IOL provides good visual outcomes for distance, and adequate intermediate vision, with low visual disturbances.
引用
收藏
页码:3801 / 3813
页数:13
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  • [1] Flaxman SR, Bourne RRA, Resnikoff S, Et al., Vision Loss Expert Group of the Global Burden of Disease Study. Global causes of blindness and distance vision impairment 1990-2020: a systematic review and meta-analysis, Lancet Glob Health, 5, 12, pp. e1221-e1234, (2017)
  • [2] Hashemi H, Pakzad R, Yekta A, Et al., Global and regional prevalence of age-related cataract: a comprehensive systematic review and meta-analysis, Eye, 34, 8, pp. 1357-1370, (2020)
  • [3] Hecht I, Kanclerz P, Tuuminen R., Secondary outcomes of lens and cataract surgery: more than just “best-corrected visual acuity”, Prog Retin Eye Res, 95, (2023)
  • [4] Micheletti JM, Duncan NB, Hall B., Head-to-head comparison of intermediate vision of two monofocal intraocular lenses, Clin Ophthalmol, 17, pp. 3983-3990, (2023)
  • [5] Han KE, Lee JE., Comparative evaluation of visual performance and patient satisfaction following cataract surgery: a retrospective analysis of an extended depth-of-focus intraocular lens and a diffractive multifocal lens with extended depth of focus, J Clin Med, 12, 23, (2023)
  • [6] Goslings O, Veraart H, van de Laar-Muskens J, Pinero DP., Clinical outcomes with an aspheric monofocal and a new enhanced monofocal intraocular lens with modified optical profile, Graefes Arch Clin Exp Ophthalmol, 261, 8, pp. 2315-2326, (2023)
  • [7] Ribeiro F, Dick HB, Kohnen T, Et al., Evidence-based functional classification of simultaneous vision intraocular lenses: seeking a global consensus by the ESCRS Functional Vision Working Group, J Cataract Refract Surg, 50, 8, pp. 794-798, (2024)
  • [8] Kohnen T., Current and future nomenclature and categorization of intraocular lenses, J Cataract Refract Surg, 50, 8, pp. 787-788, (2024)
  • [9] ESCRS EuroTimes, (2022)
  • [10] Campos N, Loureiro T, Rodrigues-Barros S, Et al., Preliminary clinical outcomes of a new enhanced depth of focus intraocular lens, Clin Ophthalmol, 15, pp. 4801-4807, (2021)