Clinical Outcomes With a New Continuous Range of Vision Presbyopia-Correcting Intraocular Lens
| Autor: | Nikica Gabrić, Ivan Gabric, Maja Bohac, David P. Piñero, Alma Biscevic, Kresimir Gabric |
|---|---|
| Přispěvatelé: | Universidad de Alicante. Departamento de Óptica, Farmacología y Anatomía, Grupo de Óptica y Percepción Visual (GOPV) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Visual acuity genetic structures Mesopic vision medicine.medical_treatment media_common.quotation_subject Intraocular lens Continuous range of vision Prosthesis Design Refraction Ocular Presbyopia-correcting Lens Implantation Intraocular Clinical outcomes Ophthalmology medicine Humans Contrast (vision) Prospective Studies Óptica media_common Lenses Intraocular Vision Binocular Phacoemulsification Rasch model business.industry Presbyopia Cataract surgery medicine.disease eye diseases Synergy presbyopia correcting intraocular lens presbyopia Patient Satisfaction Surgery sense organs medicine.symptom business |
| Popis: | PURPOSE: To evaluate the clinical outcomes including patient-reported outcome measures in a sample of eyes undergoing bilateral cataract surgery with implantation of a new model of presbyopia-correcting intraocular lens (IOL). METHODS: This non-randomized prospective case series enrolled 206 eyes of 103 patients undergoing phacoemulsification cataract surgery with bilateral implantation of the TECNIS Synergy IOL (Johnson & Johnson Vision). High and low contrast visual acuity, refractive, defocus curve, and patient-reported visual performance (Catquest-9SF questionnaire) outcomes were evaluated during a 3-month follow-up. RESULTS: A total of 96.1% (99 of 103) and 91.3% (94 of 103) of patients achieved binocular postoperative uncorrected distance (UDVA) and near visual acuity (UNVA) of 0.00 logMAR (20/20), respectively. Mean postoperative mesopic UNVA for both eyes was 0.14 ± 0.03 logMAR. Likewise, mean binocular UDVA and UNVA were 0.00 ± 0.03 and 0.04 ± 0.02 logMAR. An almost flat mean defocus curve was obtained, with visual acuities between 0.00 and 0.10 logMAR for most defocus levels in both eyes. A reduction of contrast led to a limited but statistically significant change in UNVA in both eyes ( P < .001). The Rasch calibrated scoring of item 2 and the Rasch calibrated mean score of the Catquest-9SF questionnaire increased significantly with surgery ( P < .001). CONCLUSIONS: This new presbyopia-correcting IOL provides a continuous range of functional focus, with a limited deterioration under mesopic conditions, which is perceived as a satisfactory outcome by the patient if proper patient selection is performed. [ J Refract Surg . 2021;37(4):256–262.] |
| Databáze: | OpenAIRE |
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