Comparison of 3-month clinical outcomes between two enhanced monofocal intraocular lenses: A single-center prospective study.

Autor: Spagnuolo V; Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, Florence, Italy.; University of Florence, Department of Neurosciences, Psychology, Drug Research and Child Health, Florence, Italy., Vicini G; Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, Florence, Italy.; Azienda USL Toscana Nord Ovest, Pisa, Italy., Marincolo G; Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, Florence, Italy.; University of Florence, Department of Neurosciences, Psychology, Drug Research and Child Health, Florence, Italy., Franchini A; Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, Florence, Italy.; University of Florence, Department of Neurosciences, Psychology, Drug Research and Child Health, Florence, Italy., Giansanti F; Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, Florence, Italy.; University of Florence, Department of Neurosciences, Psychology, Drug Research and Child Health, Florence, Italy., Mazzini C; Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, Florence, Italy.; University of Florence, Department of Neurosciences, Psychology, Drug Research and Child Health, Florence, Italy.
Jazyk: angličtina
Zdroj: European journal of ophthalmology [Eur J Ophthalmol] 2024 Nov 15, pp. 11206721241298031. Date of Electronic Publication: 2024 Nov 15.
DOI: 10.1177/11206721241298031
Abstrakt: Purpose: This study aims to compare the 3-month clinical outcomes between two enhanced monofocal intraocular lenses (IOLs) following cataract surgery.Setting: Eye Clinic of Careggi University Hospital, Florence, Italy.
Design: Single-center prospective study.
Methods: We included patients with cataract and corneal astigmatism less than 0.75 D, with no ocular comorbidities, who underwent unilateral cataract surgery with implantation of either the Tecnis Eyhance ICB00 ( N  = 25) or Evolux ( N  = 25) IOLs. Standard cataract procedures were performed without complications. The main outcome measures included uncorrected and corrected visual acuity at distance (4 m), intermediate (60 cm) and near (40 cm) at 3-month follow-up. Additionally, monocular defocus curves, aberrometric profiles, and perceptions of halo and glare were evaluated.
Results: The study involved 50 patients (26 male, 24 female) with a mean age of 68 ± 8 years. Preoperative characteristics were similar between the groups, and no intraoperative or postoperative complications were reported. Statistically significant differences were observed between the groups, with the Evolux IOL showing superior results ( p  < 0.05) in terms of uncorrected and corrected visual acuity at near, intermediate, and distance, as well as in aberrometric profiles (lower-order aberration root-mean-square [RMS], higher-order aberration RMS, spherical equivalent RMS, and point spread function) and defocus curves.
Conclusions: Based on our experience, while both IOLs offer substantial visual performance for intermediate and distance vision, the Evolux IOL demonstrated superior mean visual outcomes and objective parameters at the 3-month follow-up compared to the Tecnis Eyhance IOL. This indicates a potential advantage of the Evolux IOL in providing better visual performance.
Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE