Improvements in visual function early after cataract surgery in eyes implanted with multifocal intraocular lenses.

IF 2.1 3区 医学 Q2 OPHTHALMOLOGY Japanese Journal of Ophthalmology Pub Date : 2024-10-21 DOI:10.1007/s10384-024-01130-x
Ken Hayashi, Motoaki Yoshida, Shin-Ichi Manabe, Akira Hirata
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Abstract

Purpose: To compare the improvements in all-distance visual acuity (VA) and contrast sensitivity early after cataract surgery among eyes implanted with multifocal and monofocal intraocular lenses (IOLs).

Study design: Nonrandomized comparative study.

Methods: Forty-two eyes with a trifocal IOL (Alcon, PanOptix®), 42 eyes with a combined bifocal and extended-depth-of-focus (EDF) IOL (Johnson & Johnson, Synergy®), and 84 eyes with a monofocal IOL were recruited. Uncorrected or corrected VA at various distances, and photopia and mesopic contrast VA were examined at 1 day and 3 months postoperatively. Improvements in these VAs were compared between time points and among groups.

Results: Mean uncorrected as well as corrected VA improved significantly between 1 day and 3 months postoperatively at almost all distances in the trifocal and combined bifocal + EDF groups (P ≤ 0.018), and at the intermediate distance of 1.0 m and far distances in the monofocal group (P ≤ 0.031). Mean improvements in near uncorrected VA at 0.3 m, intermediate VA at 0.5 m, and far VA at 2.0, 3.0, and 5.0 m were significantly greater in the multifocal groups than in the monofocal group (P ≤ 0.032). Improvements in photopic and mesopic contrast VA at most contrasts were significantly better in the multifocal groups (P ≤ 0.021).

Conclusion: Mean uncorrected or corrected VA at almost all distances and contrast sensitivity at most contrasts improved significantly early after surgery in eyes implanted with multifocal IOLs, and the improvements in VA at most distances and in contrast sensitivity were better with multifocal IOLs than with monofocal IOLs.

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植入多焦人工晶体的眼睛在白内障手术后早期视觉功能的改善。
目的:比较植入多焦点和单焦点人工晶体(IOL)的眼睛在白内障手术后早期远距离视力(VA)和对比敏感度的改善情况:研究设计:非随机对比研究:招募了 42 只植入三焦点人工晶体(爱尔康,PanOptix®)的眼睛、42 只植入双焦点和延伸焦深(EDF)联合人工晶体(强生,Synergy®)的眼睛以及 84 只植入单焦点人工晶体的眼睛。在术后 1 天和 3 个月检查了各种距离的未校正或校正视力,以及光视和中视对比视力。结果:结果:在术后 1 天和 3 个月期间,三焦点组和联合双焦点 + EDF 组在几乎所有距离上的平均未校正视力和校正视力都有显著改善(P ≤ 0.018),单焦点组在 1.0 米的中距离和远距离上的平均未校正视力和校正视力都有显著改善(P ≤ 0.031)。多焦点组在 0.3 米处的近距离未校正视力、0.5 米处的中距离视力以及 2.0、3.0 和 5.0 米处的远距离视力的平均改善程度显著高于单焦点组(P ≤ 0.032)。在大多数对比度下,多焦点组的光感和中感对比视力改善明显更好(P ≤ 0.021):结论:植入多焦点人工晶体的眼睛在术后早期,几乎所有距离的平均未矫正或矫正视力和大多数对比度的对比敏感度都有明显改善,多焦点人工晶体对大多数距离的视力和对比敏感度的改善效果优于单焦点人工晶体。
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来源期刊
CiteScore
4.80
自引率
8.30%
发文量
65
审稿时长
6-12 weeks
期刊介绍: The Japanese Journal of Ophthalmology (JJO) was inaugurated in 1957 as a quarterly journal published in English by the Ophthalmology Department of the University of Tokyo, with the aim of disseminating the achievements of Japanese ophthalmologists worldwide. JJO remains the only Japanese ophthalmology journal published in English. In 1997, the Japanese Ophthalmological Society assumed the responsibility for publishing the Japanese Journal of Ophthalmology as its official English-language publication. Currently the journal is published bimonthly and accepts papers from authors worldwide. JJO has become an international interdisciplinary forum for the publication of basic science and clinical research papers.
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