Clinical and Visual Outcomes of Four Presbyopia Correcting Intraocular Lenses.

IF 1.6 Q3 OPHTHALMOLOGY Journal of Ophthalmic & Vision Research Pub Date : 2024-06-21 eCollection Date: 2024-04-01 DOI:10.18502/jovr.v19i2.11034

Pruthvi K Sharlin, Saumya Patel, Victoria C Kuritza, Nichole Pompey, Kayéromi D Gomez, Mitul R Vakharia

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Abstract

Purpose: To compare objective and subjective outcomes of the multifocal intraocular lenses ReSTOR SN6AD1 and Tecnis ZKB00, extended depth of focus IOL Symfony ZXR00, and trifocal IOL PanOptix TFNT00.

Methods: This study included 262 patients (524 eyes) who had phacoemulsification with IOL implantation, 128 eyes with SN6AD1, 124 eyes with ZKB00, 136 eyes with ZXR00, and 136 eyes with TFNT00. Objective outcomes included one-month postoperative uncorrected (U) and corrected (C) distance (D) and near (N) visual acuities (VA). Subjective outcomes included photic phenomena, spectacle use, and spectacle-independent visual function.

Results: Spectacle use (%) in the SN6AD1, ZKB00 ZXR00, and TFNT00 groups was 39, 64, 87, and 37 respectively (P $<$ 0.0001). Presence of photic phenomena (%) for SN6AD1, ZKB00, ZXR00, and TFNT00 was 66, 61, and 67, and 73, respectively (P = 0.57). Spectacle-independent mean VF-14 score (%) for SN6AD1, ZKB00, ZXR00, and TFNT00 was 89.5, 87.2, 80.9, and 83.6, respectively (P $<$ 0.01).

Conclusion: All four IOLs provided excellent postoperative visual acuity and equally high rates of photic phenomena. SN6AD1 and TFNT00 provided the least spectacle use while ZXR00 had the highest spectacle use.

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四种老花眼矫正眼内透镜的临床和视觉效果。

目的：比较多焦点人工晶体 ReSTOR SN6AD1 和 Tecnis ZKB00、扩展焦距人工晶体 Symfony ZXR00 以及三焦点人工晶体 PanOptix TFNT00 的客观和主观疗效：这项研究包括 262 名接受乳化手术并植入人工晶体的患者（524 只眼），其中 128 只眼接受了 SN6AD1 人工晶体植入术，124 只眼接受了 ZKB00 人工晶体植入术，136 只眼接受了 ZXR00 人工晶体植入术，136 只眼接受了 TFNT00 人工晶体植入术。客观结果包括术后一个月的未矫正（U）和矫正（C）远（D）和近（N）视力（VA）。主观结果包括光现象、眼镜使用情况和眼镜无关视功能：SN6AD1、ZKB00 ZXR00 和 TFNT00 组的眼镜使用率（%）分别为 39、64、87 和 37（P 0.0001）。SN6AD1、ZKB00、ZXR00 和 TFNT00 组的光敏现象发生率（%）分别为 66、61、67 和 73（P = 0.57）。SN6AD1、ZKB00、ZXR00 和 TFNT00 与眼镜无关的平均 VF-14 分数（%）分别为 89.5、87.2、80.9 和 83.6（P 0.01）：结论：所有四种人工晶体都具有极佳的术后视力和同样高的光现象发生率。SN6AD1和TFNT00的眼镜使用率最低，而ZXR00的眼镜使用率最高。

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