| Autor: |
Lee CY; Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.; Nobel Eye Institute, Taipei 10041, Taiwan.; Department of Ophthalmology, Jen-Ai Hospital Dali Branch, Taichung 41265, Taiwan., Chen HC; Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou, Taoyuan 33305, Taiwan.; Center for Tissue Engineering, Chang Gung Memorial Hospital, Linkou, Taoyuan 33305, Taiwan.; Department of Medicine, Chang Gung University College of Medicine, Taoyuan 33305, Taiwan., Lian IB; Institute of Statistical and Information Science, National Changhua University of Education, Chunghua 50007, Taiwan., Huang JY; Department of Medical Research, Chung Shan Medical University Hospital, Taichung 40201, Taiwan., Yang SF; Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.; Department of Medical Research, Chung Shan Medical University Hospital, Taichung 40201, Taiwan., Chang CK; Nobel Eye Institute, Taipei 10041, Taiwan.; Department of Optometry, Da-Yeh University, Chunghua 51591, Taiwan. |
| Abstrakt: |
We aimed to survey the potential correlation between biometric parameters and postoperative outcomes after implanting extended depth-of-focus (EDOF) intraocular lenses (IOLs) and trifocal IOLs. A retrospective cohort study was conducted, and patients receiving EDOF or trifocal IOL implantations were included. In total, 36 and 26 eyes were enrolled in the EDOF and trifocal groups, respectively. The primary outcomes of this study were the postoperative uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), and spherical equivalent (SE). The generalized linear model was applied to evaluate the adjusted odds ratio (aOR) and 95% confidence intervals (CIs) of primary outcomes in patients with different biometric characters. The final UDVA of the EDOF group was significantly better than that of the trifocal group ( p = 0.020), and the UNVA and SE did not show significant differences between the two groups throughout the postoperative period (all p > 0.05). In a multivariable analysis, the UDVA was significantly better in the EDOF group than in the trifocal group ( p = 0.038). For the subgroup analysis, the high axial length (AXL) value correlated to a lower postoperative UDVA in the EDOF group (both p < 0.05). Additionally, a large white-to-white (WTW) diameter was related to worse postoperative UNVA in the trifocal group ( p = 0.042), and a high AXL was associated with higher SE in both the EDOF and trifocal groups (both p < 0.05). In conclusion, a high AXL correlates to worse postoperative outcomes in both the EDOF and trifocal IOLs, and trifocal IOL outcomes could be affected by large WTW diameters. |
