Tolerance to lens tilt and decentration of two multifocal intraocular lenses: using the quick contrast sensitivity function method.

IF 4.1 1区医学 Q1 OPHTHALMOLOGY Eye and Vision Pub Date : 2022-12-01 DOI:10.1186/s40662-022-00317-y

Dongling Guo, Jiaqi Meng, Keke Zhang, Wenwen He, Shiyu Ma, Zhong-Lin Lu, Yi Lu, Xiangjia Zhu

{"title":"Tolerance to lens tilt and decentration of two multifocal intraocular lenses: using the quick contrast sensitivity function method.","authors":"Dongling Guo, Jiaqi Meng, Keke Zhang, Wenwen He, Shiyu Ma, Zhong-Lin Lu, Yi Lu, Xiangjia Zhu","doi":"10.1186/s40662-022-00317-y","DOIUrl":null,"url":null,"abstract":"Background: Quick contrast sensitivity function (qCSF) method is an advanced quick method for contrast sensitivity function (CSF) evaluation. This study evaluated the contrast sensitivity (CS) of eyes undergoing cataract surgery with multifocal intraocular lens (IOL) implantation and its tolerance to IOL tilt and IOL decentration using the qCSF method.Methods: Patients undergoing uneventful phacoemulsification and a trifocal IOL (Zeiss AT LISA tri 839MP, Carl Zeiss, Germany) or an extended depth-of-focus (EDOF) IOL (Tecnis Symfony ZXR00, Johnson & Johnsons, USA) implantation were included. Monocular contrast sensitivity was measured using the qCSF method at one month post-surgery. IOL tilt and decentration were measured using an optical aberrometer (OPD-Scan III, NIDEK, Japan).Results: Seventy-two patients/eyes with the 839MP IOL and 64 patients/eyes with the ZXR00 IOL were included. Area under the log CSF (AULCSF) and CS acuity did not differ significantly between the two groups. The ZXR00 IOL group showed better CS at 1 cpd (1.137 ± 0.164 vs. 1.030 ± 0.183 logCS) and 1.5 cpd (1.163 ± 0.163 vs. 1.071 ± 0.161 logCS), while the 839MP IOL group had better CS at 6 cpd (0.855 ± 0.187 vs. 0.735 ± 0.363 logCS). In the 839MP IOL group, all CSF metrics were negatively correlated with IOL tilt (all P < 0.05), while in the ZXR00 IOL group, the CS at 3 cpd had no significant correlation with IOL tilt (P > 0.05). Among myopic eyes, fewer CSF metrics were negatively correlated with IOL tilt in the ZXR00 IOL group than in the 839MP IOL group. No significant correlation was found between CSF metrics and IOL decentration.Conclusions: The ZXR00 and the 839MP IOL groups presented comparable CSF. CS was negatively correlated with IOL tilt, instead of decentration in multifocal IOLs, particularly among myopic eyes. The ZXR00 IOL had better tolerance to IOL tilt in myopic eyes.","PeriodicalId":12194,"journal":{"name":"Eye and Vision","volume":null,"pages":null},"PeriodicalIF":4.1000,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713962/pdf/","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Eye and Vision","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s40662-022-00317-y","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 3

Abstract

Background: Quick contrast sensitivity function (qCSF) method is an advanced quick method for contrast sensitivity function (CSF) evaluation. This study evaluated the contrast sensitivity (CS) of eyes undergoing cataract surgery with multifocal intraocular lens (IOL) implantation and its tolerance to IOL tilt and IOL decentration using the qCSF method.

Methods: Patients undergoing uneventful phacoemulsification and a trifocal IOL (Zeiss AT LISA tri 839MP, Carl Zeiss, Germany) or an extended depth-of-focus (EDOF) IOL (Tecnis Symfony ZXR00, Johnson & Johnsons, USA) implantation were included. Monocular contrast sensitivity was measured using the qCSF method at one month post-surgery. IOL tilt and decentration were measured using an optical aberrometer (OPD-Scan III, NIDEK, Japan).

Results: Seventy-two patients/eyes with the 839MP IOL and 64 patients/eyes with the ZXR00 IOL were included. Area under the log CSF (AULCSF) and CS acuity did not differ significantly between the two groups. The ZXR00 IOL group showed better CS at 1 cpd (1.137 ± 0.164 vs. 1.030 ± 0.183 logCS) and 1.5 cpd (1.163 ± 0.163 vs. 1.071 ± 0.161 logCS), while the 839MP IOL group had better CS at 6 cpd (0.855 ± 0.187 vs. 0.735 ± 0.363 logCS). In the 839MP IOL group, all CSF metrics were negatively correlated with IOL tilt (all P < 0.05), while in the ZXR00 IOL group, the CS at 3 cpd had no significant correlation with IOL tilt (P > 0.05). Among myopic eyes, fewer CSF metrics were negatively correlated with IOL tilt in the ZXR00 IOL group than in the 839MP IOL group. No significant correlation was found between CSF metrics and IOL decentration.

Conclusions: The ZXR00 and the 839MP IOL groups presented comparable CSF. CS was negatively correlated with IOL tilt, instead of decentration in multifocal IOLs, particularly among myopic eyes. The ZXR00 IOL had better tolerance to IOL tilt in myopic eyes.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

两种多焦人工晶状体对晶状体倾斜和离体的容忍度:采用快速对比敏感度函数法。

背景:快速对比灵敏度函数(qCSF)法是一种先进的快速对比灵敏度函数(CSF)评价方法。本研究采用qCSF方法评价白内障手术多焦人工晶状体(IOL)植入术后眼的对比敏感度(CS)及其对IOL倾斜和离体的耐受性。方法:采用超声乳化术和三焦人工晶体(蔡司AT LISA tri 839MP，卡尔蔡司，德国)或扩大聚焦深度(EDOF)人工晶体(Tecnis Symfony ZXR00，强生公司，美国)植入术的患者。术后1个月采用qCSF法测定单眼对比敏感度。使用光学像差仪(OPD-Scan III, NIDEK, Japan)测量IOL倾斜和离体。结果:839MP人工晶状体72例/眼，ZXR00人工晶状体64例/眼。两组脑脊液下面积(AULCSF)和CS视力无显著差异。ZXR00 IOL组在1 cpd(1.137±0.164比1.030±0.183 logCS)和1.5 cpd(1.163±0.163比1.071±0.161 logCS)时CS较好，839MP IOL组在6 cpd(0.855±0.187比0.735±0.363 logCS)时CS较好。在839MP的IOL组中，所有CSF指标与IOL倾斜呈负相关(均P < 0.05)。在近视眼中，与839MP IOL组相比，ZXR00 IOL组CSF指标与IOL倾斜负相关较少。脑脊液指标与人工晶状体脱位无显著相关性。结论:ZXR00和839MP IOL组脑脊液具有可比性。在多焦IOL中，CS与IOL倾斜呈负相关，而与分散性呈负相关，尤其是在近视眼中。ZXR00型人工晶状体对近视眼的人工晶状体倾斜有较好的耐受性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Eye and Vision OPHTHALMOLOGY-

CiteScore

8.60

自引率

2.40%

发文量

审稿时长

15 weeks

期刊介绍： Eye and Vision is an open access, peer-reviewed journal for ophthalmologists and visual science specialists. It welcomes research articles, reviews, methodologies, commentaries, case reports, perspectives and short reports encompassing all aspects of eye and vision. Topics of interest include but are not limited to: current developments of theoretical, experimental and clinical investigations in ophthalmology, optometry and vision science which focus on novel and high-impact findings on central issues pertaining to biology, pathophysiology and etiology of eye diseases as well as advances in diagnostic techniques, surgical treatment, instrument updates, the latest drug findings, results of clinical trials and research findings. It aims to provide ophthalmologists and visual science specialists with the latest developments in theoretical, experimental and clinical investigations in eye and vision.