Clinical Performance of an Extended Range of Vision Intraocular Lens After LASIK.

IF 2.9 3区医学 Q1 OPHTHALMOLOGY Journal of refractive surgery Pub Date : 2024-10-01 DOI:10.3928/1081597X-20240903-01

Humberto Carreras, Josefina Reñones, María Del Rosario Carreras, Carlos Cantó, David P Piñero

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Abstract

Purpose: To evaluate the clinical and patient-reported outcomes (PROMs) of cataract surgery with implantation of a wavefront-shaping extended depth of focus (EDOF) intraocular lens (IOL) in eyes with previous laser in situ keratomileusis (LASIK) for myopia correction.

Methods: This prospective observational study enrolled 50 eyes with previous LASIK from 25 patients (age: 46 to 70 years) who underwent cataract surgery with implantation of the AcrySof IQ Vivity IOL (Alcon Laboratories, Inc). Visual and refractive outcomes were evaluated during a 3-month follow-up. PROMs were evaluated with the Intraocular Lens Satisfaction (IOLSAT; Alcon Vision, LLC) (general satisfaction), Catquest-9SF (difficulty in doing vision-related activities), and Questionnaire for Visual Disturbances (QUVID; Alcon Vision, LLC) (photic phenomena) questionnaires.

Results: Mean 3-month postoperative binocular uncorrected distance, intermediate, and near visual acuities were 0.02 ± 0.11, -0.02 ± 0.09, and 0.14 ± 0.13 logarithm of the minimum angle of resolution (logMAR), respectively. Mean binocular distance-corrected intermediate and near visual acuities were 0.05 ± 0.11 and 0.32 ± 0.14 logMAR, respectively. All eyes had a postoperative spherical equivalent within ±0.75 diopters (D). The mean defocus curve showed visual acuity values better than 0.20 logMAR for defocus levels from +0.50 to -1.50 D. Most patients (92.0%) confirmed that they had no vision-related difficulties limiting their normal daily life. Perception of starbursts, halos, glare, hazy vision, blurry vision, and double vision was referred by 24%, 24%, 28%, 28%, 8%, and 4% of patients, respectively. Most of symptoms were described as mild and not or a little bothersome.

Conclusions: The wavefront-shaping EDOF IOL evaluated provides efficacious distance, intermediate, and near visual restoration in eyes with previous LASIK, with minimal photic phenomena associated. [J Refract Surg. 2024;40(10):e742-e753.].

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LASIK 术后延长视野范围眼内透镜的临床表现。

目的：评估曾接受激光原位角膜磨镶术（LASIK）矫正近视的患者在白内障手术中植入波前塑形延长焦深（EDOF）眼内人工晶体（IOL）的临床和患者报告结果（PROMs）：这项前瞻性观察研究从 25 名患者（年龄 46 至 70 岁）中挑选了 50 只曾接受过 LASIK 的眼睛，这些患者接受了植入 AcrySof IQ Vivity IOL（Alcon Laboratories, Inc）的白内障手术。在 3 个月的随访期间，对视觉和屈光效果进行了评估。PROM通过眼内透镜满意度（IOLSAT；Alcon Vision, LLC）（总体满意度）、Catquest-9SF（从事视力相关活动的困难）和视力障碍问卷（QUVID；Alcon Vision, LLC）（光现象）进行评估：术后 3 个月的平均双眼未矫正远视力、中视力和近视力分别为 0.02 ± 0.11、-0.02 ± 0.09 和 0.14 ± 0.13 最小分辨角对数（logMAR）。平均双眼远近校正中视力分别为 0.05 ± 0.11 和 0.32 ± 0.14 logMAR。所有眼睛术后的球面等效度数都在±0.75屈光度（D）以内。平均散焦曲线显示，散焦度数在 +0.50 到 -1.50 D 之间时，视力值均优于 0.20 logMAR。分别有 24%、24%、28%、28%、8% 和 4% 的患者提到星芒、光晕、眩光、视物模糊、视物模糊和复视。大多数症状被描述为轻微、不讨厌或有点讨厌：结论：所评估的波前塑形 EDOF 人工晶体可有效恢复曾接受过 LASIK 的眼睛的远、中、近视力，且相关的光敏现象极少。[J Refract Surg. 2024;40(10):e742-e753]。

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来源期刊

$Journal of refractive surgery$

Journal of refractive surgery 医学-外科

CiteScore

5.10

自引率

12.50%

发文量

160

审稿时长

4-8 weeks

期刊介绍： The Journal of Refractive Surgery, the official journal of the International Society of Refractive Surgery, a partner of the American Academy of Ophthalmology, has been a monthly peer-reviewed forum for original research, review, and evaluation of refractive and lens-based surgical procedures for more than 30 years. Practical, clinically valuable articles provide readers with the most up-to-date information regarding advances in the field of refractive surgery. Begin to explore the Journal and all of its great benefits such as: • Columns including “Translational Science,” “Surgical Techniques,” and “Biomechanics” • Supplemental videos and materials available for many articles • Access to current articles, as well as several years of archived content • Articles posted online just 2 months after acceptance.