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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BMC
2023-04-01
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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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language | English |
last_indexed | 2024-04-09T16:25:54Z |
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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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