Clinical outcomes of bilateral implantation of new generation monofocal IOL enhanced for intermediate distance and conventional monofocal IOL in a Korean population

Abstract Background To compare the clinical outcomes of bilateral implantation of enhanced intermediate function intraocular lenses (IOLs) and standard monofocal IOLs. Methods In this prospective, randomized, comparative controlled study, we compared the visual outcomes of patients who underwent bil...

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Main Authors: Wan Kyu Choi, Hyo Ji Han, Hyeck-Soo Son, Ramin Khoramnia, Gerd U. Auffarth, Chul Young Choi
Format: Article
Language:English
Published: BMC 2023-04-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-023-02897-2
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author Wan Kyu Choi
Hyo Ji Han
Hyeck-Soo Son
Ramin Khoramnia
Gerd U. Auffarth
Chul Young Choi
author_facet Wan Kyu Choi
Hyo Ji Han
Hyeck-Soo Son
Ramin Khoramnia
Gerd U. Auffarth
Chul Young Choi
author_sort Wan Kyu Choi
collection DOAJ
description Abstract Background To compare the clinical outcomes of bilateral implantation of enhanced intermediate function intraocular lenses (IOLs) and standard monofocal IOLs. Methods In this prospective, randomized, comparative controlled study, we compared the visual outcomes of patients who underwent bilateral cataract surgery at the Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, with either enhanced monofocal IOLs (Tecnis Eyhance, ICB00, Johnson and Johnson Vision Care, Inc) (Group 1) or standard monofocal IOLs (Tecnis, ZCB00, Johnson and Johnson Vision Care, Inc) (Group 2). The assessment included monocular and binocular uncorrected distance visual acuity (UDVA), uncorrected intermediate (UIVA at 60 cm) and near (UNVA at 40 cm) visual acuity, uncorrected defocus curves, contrast sensitivity testing (CST), and reading speed test using Quality of vision was evaluated using the Visual Function Questionnaire (VFQ-25). Results At 3-months postoperatively, monocular and binocular outcomes of UIVA and UNVA were statistically significantly better in Group 1 (P < 0.05). The binocular uncorrected defocus curve of Group 1 showed statistically significantly better outcomes at vergence ranges of -1.5 to -4.0 D (P < 0.05). Significantly higher reading speed test was also observed in Group 1 in all ranges tested (1.0 to 0.1 LogMAR) (P < 0.05). There were no statistically significant differences in CST between groups. Conclusions Bilateral implantation of enhanced monofocal IOLs provided better vision at intermediate and near distances compared to standard monofocal IOLs, while maintaining good distance vision and contrast sensitivity.
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spelling doaj.art-0c6c76d4dc7640c2b28090fcce2ffee12023-04-23T11:12:17ZengBMCBMC Ophthalmology1471-24152023-04-012311810.1186/s12886-023-02897-2Clinical outcomes of bilateral implantation of new generation monofocal IOL enhanced for intermediate distance and conventional monofocal IOL in a Korean populationWan Kyu Choi0Hyo Ji Han1Hyeck-Soo Son2Ramin Khoramnia3Gerd U. Auffarth4Chul Young Choi5Department of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan University School of MedicineDepartment of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan University School of MedicineDepartment of Ophthalmology, The David J. Apple International Laboratory for Ocular Pathology, University of HeidelbergDepartment of Ophthalmology, The David J. Apple International Laboratory for Ocular Pathology, University of HeidelbergDepartment of Ophthalmology, The David J. Apple International Laboratory for Ocular Pathology, University of HeidelbergDepartment of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan University School of MedicineAbstract Background To compare the clinical outcomes of bilateral implantation of enhanced intermediate function intraocular lenses (IOLs) and standard monofocal IOLs. Methods In this prospective, randomized, comparative controlled study, we compared the visual outcomes of patients who underwent bilateral cataract surgery at the Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, with either enhanced monofocal IOLs (Tecnis Eyhance, ICB00, Johnson and Johnson Vision Care, Inc) (Group 1) or standard monofocal IOLs (Tecnis, ZCB00, Johnson and Johnson Vision Care, Inc) (Group 2). The assessment included monocular and binocular uncorrected distance visual acuity (UDVA), uncorrected intermediate (UIVA at 60 cm) and near (UNVA at 40 cm) visual acuity, uncorrected defocus curves, contrast sensitivity testing (CST), and reading speed test using Quality of vision was evaluated using the Visual Function Questionnaire (VFQ-25). Results At 3-months postoperatively, monocular and binocular outcomes of UIVA and UNVA were statistically significantly better in Group 1 (P < 0.05). The binocular uncorrected defocus curve of Group 1 showed statistically significantly better outcomes at vergence ranges of -1.5 to -4.0 D (P < 0.05). Significantly higher reading speed test was also observed in Group 1 in all ranges tested (1.0 to 0.1 LogMAR) (P < 0.05). There were no statistically significant differences in CST between groups. Conclusions Bilateral implantation of enhanced monofocal IOLs provided better vision at intermediate and near distances compared to standard monofocal IOLs, while maintaining good distance vision and contrast sensitivity.https://doi.org/10.1186/s12886-023-02897-2EyhanceTecnisMonofocal IOLCataract
spellingShingle Wan Kyu Choi
Hyo Ji Han
Hyeck-Soo Son
Ramin Khoramnia
Gerd U. Auffarth
Chul Young Choi
Clinical outcomes of bilateral implantation of new generation monofocal IOL enhanced for intermediate distance and conventional monofocal IOL in a Korean population
BMC Ophthalmology
Eyhance
Tecnis
Monofocal IOL
Cataract
title Clinical outcomes of bilateral implantation of new generation monofocal IOL enhanced for intermediate distance and conventional monofocal IOL in a Korean population
title_full Clinical outcomes of bilateral implantation of new generation monofocal IOL enhanced for intermediate distance and conventional monofocal IOL in a Korean population
title_fullStr Clinical outcomes of bilateral implantation of new generation monofocal IOL enhanced for intermediate distance and conventional monofocal IOL in a Korean population
title_full_unstemmed Clinical outcomes of bilateral implantation of new generation monofocal IOL enhanced for intermediate distance and conventional monofocal IOL in a Korean population
title_short Clinical outcomes of bilateral implantation of new generation monofocal IOL enhanced for intermediate distance and conventional monofocal IOL in a Korean population
title_sort clinical outcomes of bilateral implantation of new generation monofocal iol enhanced for intermediate distance and conventional monofocal iol in a korean population
topic Eyhance
Tecnis
Monofocal IOL
Cataract
url https://doi.org/10.1186/s12886-023-02897-2
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