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Clinical Observation of the Effect of the Multifocal Intraocular Lens with Astigmatism Correction |
Xuebing Xiao, Yanyan Chen, Mingzhe Gao, Duo Luan, Xiuying Cui, Yanan Liu, Yang Liu |
Department of Ophthalmology, Oil Field General Hospital of Daqing, Daqing 163001, China |
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Abstract To evaluate the long-term clinical effect of cataract phacoemulsification combined with astigmatism in patients implanted with AcrySof IQ ReSTOR Toric MIOLs. Methods: This was a prospective analysis. Fifty patients (82 eyes) underwent cataract phacoemulsification combined with astigmatism correction with IOL implants in Oilfield General Hospital of Daqing. The patients were followed up for 1 year to assess uncorrected distance visual acuity (UDVA, LogMAR), uncorrected intermediate visual acuity (UCIVA, LogMAR), uncorrected near visual acuity (UNVA, LogMAR), best corrected distance visual acuity (BCDVA, LogMAR), best corrected intermediate visual acuity (BCIVA,LogMAR), best corrected near visual acuity (BCNVA, LogMAR), defocus curve, contrast sensitivity (CS), total eye aberrations, estimated residual astigmatism and analysis of axis deviation of the artificial IOL, and spectacle independence preoperatively and 3 months, 6 months, and 1 year postoperatively. Data were analyzed by repeated measured analysis of variance. Results: Postoperative vision was better than preoperative vision and the difference was statistically significant (F=26.39, P<0.001; F=13.68, P<0.001; F=12.90, P<0.001). At 6 months after the operation, the uncorrected distance visual acuity was close to 0, and visual acuity with +1.2 - -4.0 D defocus could reach more than 0.3. Under glare conditions, contrast sensitivity was best during the day and was worst at night 1 year after the operation and the difference was statistically significant. Residual astigmatism at 1 year was significantly reduced compared to baseline (0.24±0.15 D vs 1.56±0.38 D, t=3.31, P=0.023), and was not a statistically significant difference from the preoperative anticipated residual astigmatism (t=2.31, P=0.102). At 1 year, the mean IOL axis rotation was 3.12°±1.51°. All the patients independent of spectacle. Conclusions: The AcrySof IQ ReSTOR Toric astigmatic MIOL provides satisfactory full vision, visual quality, predictability, and good rotational stability for cataract patients.
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Received: 17 September 2018
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Corresponding Authors:
Yang Liu, Department of Ophthalmology, Oil Field General Hospital of Daqing, Daqing 163001, China (Email: 12454493@qq.com)
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[1] |
周璐, 黄振平. 波前像差与角膜地形图联合分析非球面人工晶体对术眼视觉质量的影响. 医学研究生学报, 2013, 26(2):151-155. DOI: 10.3969/j.issn.1008-8199.2013.02.010.
|
[2] |
李霞, 谭少健, 梁皓, 等. 多焦点人工晶体眼视功能的研究.中国实用眼科杂志, 2005, 23(1): 49-54.
|
[3] |
董健鸿, 江志坚. 70 岁以上人群植入Array多焦点人工晶状体的远期疗效. 中国实用眼科杂志, 2010, 28(8): 871-873. DOI:10.3760/cma.j.issn.1006-4443.2010.08.020.
|
[4] |
赵云娥, 张国亮, 王勤美, 等. 多焦点人工晶状体植入术后视功能的观察. 中华眼科杂志, 2005, 41(4): 369-370. DOI:10.3760/j:issn:0412-4081.2005.04.017.
|
[5] |
Hayashi K, Manabe S, Yoshida M, et al. Effect of astigmatism on visual acuity in eyes with a diffractive multifocal intraocular lens. J Cataract Refract Surg, 2010, 36(8): 1323-1329. DOI:10.1016/j.jcrs.2010.02.016.
|
[6] |
Hoffmann PC, Hütz WW. Analysis of biometry and prevalence data for corneal astigmatism in 23, 239 eyes. J Cataract Refract Surg, 2010, 36(9): 1479-1485. DOI:10.1016/j.jcrs.2010.02.025.
|
[7] |
Chen X, Zhao M, Shi Y, et al. Visual outcomes and optical quality after implantation of a diffractive multifocal toric intraocular lens. Indian J Ophthalmol, 2016, 64(4): 285-291.
|
[8] |
Zhao G, Zhang J, Zhou Y, et al. Visual function after monocular implantation of apodized diffractive multifocal or single-piece monofocal intraocular lens randomized prospective comparison.J Cataract Refract Surg, 2010, 36(2): 282-285.
|
[9] |
Ferrer-Blasco T, Montes-Mico R, Peixoto-de-Matos SC, et al. Prevalence of corneal astigmatism before cataract surgery. J Cataract Refract Surg, 2009, 35(1): 70-75.
|
[10] |
刘筱楠, 赵桂秋, 王青, 等. 散光对多焦点人工晶状体眼视觉质量的影响. 中华临床医师杂志(电子版), 2012, 6(15): 4523-4525. DOI: 10.3877/cma.j.issn.1674-0785.2012.15.086.
|
[11] |
Hayashi K, Manabe S, Hayashi H. Visual acuity from far to near and contrast sensitivity in eyes with a diffractive multifocal intraocular lens with a low addition power. J Cataract Refract Surg, 2009, 35(12): 2070-2076. DOI: 10.1016/j.jcrs.2009.07.010.
|
[12] |
Ouchi M, Kinoshita S. AcrySof IQ toric IOL implantation combined with limbal relaxing incision during cataract surgery for eyes with astigmatism >2.50 D. J Refract Surg, 2011, 27(9):643-647.
|
[13] |
Zheng GY, Du J, Zhang JS, et al. Contrast sensitivity and higher-order aberrations in patients with astigmatism. Chin Med J (Engl), 2007, 120(10): 882-885.
|
[14] |
Alió JL, Piñero DP, Tomás J, et al. Vector analysis of astigmatic changes after cataract surgery with implantation of a new toric multifocal intraocular lens. J Cataract Refract Surg, 2011, 37(7):1217-1229. DOI: 10.1016/j.jcrs.2010.12.064.
|
[15] |
Elkady B, Alió JL, Ortiz D, et al. Corneal aberrations after microincision cataract surgery. J Cataract Refract Surg, 2008,34(1): 40-45. DOI: 10.1016/j.jcrs.2007.08.022.
|
[16] |
张丰菊, 杨璐, 于芳蕾, 等. 近视及近视散光眼高阶像差的研究. 眼视光学杂志, 2006, 8(2): 112-114. DOI: 10.3760/cma.j.issn.1674-845X.2006.02.014.
|
[17] |
黄振平, 薛春燕, 施宇华, 等. Acrysof toric人工晶状体植入矫正白内障患者角膜散光的疗效评估. 中华眼视光学与视觉科学杂志, 2011, 13(6): 449-452. DOI: 10.3760/cma.j.issn.1674-
|
84 |
5X.2011.06.012.
|
[18] |
Ferreira TB, Marques EF, Rodrigues A, et al. Visual and optical outcomes of a diffractive multifocal toric intraocular lens. J Cataract Refract Surg, 2013, 39(7): 1029-1035
|
|
|
|