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Visual quality and patient satisfaction with a trifocal intraocular lens and its new toric version.
Journal of Cataract & Refractive Surgery ( IF 2.8 ) Pub Date : 2019-10-03 , DOI: 10.1016/j.jcrs.2019.06.014
Laureano A Rementería-Capelo 1 , Inés Contreras 2 , Jorge L García-Pérez 1 , Vanesa Blázquez 3 , Javier Ruiz-Alcocer 4
Affiliation  

PURPOSE To assess and compare the visual quality and subjective outcomes of a trifocal spherical intraocular lens (IOL) and its new toric version. SETTING Clínica Rementería, Madrid, Spain. DESIGN Prospective case series. METHODS Patients had bilateral implantation of the AcrySof IQ PanOptix spherical or toric IOL. Three months postoperatively, monocular and the binocular uncorrected and corrected distance, intermediate, and near visual acuities; binocular defocus curves; and binocular contrast sensitivity function (CSF) were assessed. Patient satisfaction was evaluated with the Catquest 9SF questionnaire. RESULTS The study comprised 250 eyes (166 with spherical IOL; 84 with toric IOL) of 125 patients. Both groups had good monocular visual acuity at all distances with no statistically significant differences between groups. The mean monocular uncorrected acuity in the spherical group was 0.06 logarithm of the minimum angle of resolution (logMAR) ± 0.07 (SD), 0.20 ± 0.10 logMAR, and 0.05 ± 0.07 logMAR for far, intermediate, and near, respectively, and in the toric group, 0.07 ± 0.10 logMAR, 0.23 ± 0.20 logMAR, and 0.07 ± 0.12 logMAR, respectively. Defocus curves showed a visual acuity of 0.1 logMAR or better between -2.5 diopters (D) and +0.5 D with no differences between groups. The CSF values were within normal ranges with both IOLs. The questionnaire showed high rates of patient satisfaction with no differences between groups. CONCLUSIONS The visual outcomes with the 2 IOLs were similar. With optimum implantation and alignment, the trifocal toric IOL seems to provide visual quality and patient satisfaction that is equivalent to that with the nontoric version with the same platform.

中文翻译:

三焦点人工晶状体及其新的复曲面版本的视觉质量和患者满意度。

目的评估和比较三焦点球面人工晶状体(IOL)及其新复曲面版的视觉质量和主观结果。地点西班牙马德里的ClínicaRementería。设计预期案例系列。方法患者采用双侧植入AcrySof IQ PanOptix球形或复曲面IOL。术后三个月,单眼和双眼未矫正和矫正的距离,中度和近视力;双眼散焦曲线;和双眼对比敏感度功能(CSF)进行了评估。用Catquest 9SF调查表评估患者满意度。结果该研究包括125例患者的250眼(球状IOL 166眼,复曲面IOL 84眼)。两组在所有距离均具有良好的单眼视敏度,两组之间无统计学差异。对于远,中和近,在球面组中,平均单眼未矫正视力分别为最小分辨角(logMAR)±0.07(SD)的0.06对数,0.20±0.10 logMAR和0.05±0.07 logMAR的对数。复曲面组分别为0.07±0.10 logMAR,0.23±0.20 logMAR和0.07±0.12 logMAR。散焦曲线显示,在-2.5屈光度(D)和+0.5 D之间,视敏度为0.1 logMAR或更佳,两组之间无差异。两种IOL的CSF值均在正常范围内。问卷显示患者满意度很高,各组之间没有差异。结论2种IOL的视觉结果相似。通过最佳的植入和对准,
更新日期:2019-10-03
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