Comparative visual performance of diffractive bifocal and rotationally asymmetric refractive intraocular lenses

Abstract We compared the visual performance of a diffractive bifocal intraocular lens (IOL) with + 4.0 D near addition (ZMB00 [Johnson & Johnson Surgical Vision]) and a rotationally asymmetric refractive IOL with + 1.5 D near addition (LS-313 MF15 [Teleon Surgical BV]) 10 weeks after cataract pa...

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Main Authors: Hirotaka Tanabe, Tomohiro Shojo, Tomofusa Yamauchi, Kosuke Takase, Masahiro Akada, Hitoshi Tabuchi
Format: Article
Language:English
Published: Nature Portfolio 2022-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-24123-7
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author Hirotaka Tanabe
Tomohiro Shojo
Tomofusa Yamauchi
Kosuke Takase
Masahiro Akada
Hitoshi Tabuchi
author_facet Hirotaka Tanabe
Tomohiro Shojo
Tomofusa Yamauchi
Kosuke Takase
Masahiro Akada
Hitoshi Tabuchi
author_sort Hirotaka Tanabe
collection DOAJ
description Abstract We compared the visual performance of a diffractive bifocal intraocular lens (IOL) with + 4.0 D near addition (ZMB00 [Johnson & Johnson Surgical Vision]) and a rotationally asymmetric refractive IOL with + 1.5 D near addition (LS-313 MF15 [Teleon Surgical BV]) 10 weeks after cataract patients’ last surgery for bilateral ZMB00 or LS-313 MF15 implantation between 2011 and 2020, with the lenses of each eye implanted within 3 months of each other. The ZMB00 and LS-313 MF15 groups comprised 1326 eyes of 663 patients (age: 67.0 ± 7.8 years; females/males, 518/145) and 448 eyes of 224 patients (73.6 ± 7.0 years; females/males, 125/99), respectively. A linear mixed-effects model using data for both eyes, with strict adjustments for sex, age, subjective refraction spherical equivalent, subjective refraction cylinder, corneal astigmatism, axial length, corneal higher-order aberrations, and pupil diameter, ensured statistical validity. Compared to LS-313 MF15, ZMB00 achieved significantly superior uncorrected near visual acuity, reduced higher-order aberrations (ocular/internal, scaled to a 4-mm pupil; Wavefront_4_post_Ocular_Total Higher-Order Aberration/Third/Fourth/Trefoil/Coma/Tetrafoil/Spherical, Wavefront_4_post_Internal_Astigmatism/Total Higher-Order Aberration/Third/Trefoil/Coma/Tetrafoil/Spherical), and superior distance and near spectacle independence (p < 0.00068, Wald test). Contrast sensitivity, measured without (visual angle of the test target: 6.3°/4.0°/2.5°/1.6°/1.0°/0.7°) or with glare (4.0°/2.5°/1.6°/1.0°/0.7°), was significantly better in the LS-313 MF15 than the ZMB00 group (p < 0.00068, Wald test).
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spelling doaj.art-8769b4ccd49c4925a251e52cf494335f2022-12-22T04:14:16ZengNature PortfolioScientific Reports2045-23222022-11-0112111410.1038/s41598-022-24123-7Comparative visual performance of diffractive bifocal and rotationally asymmetric refractive intraocular lensesHirotaka Tanabe0Tomohiro Shojo1Tomofusa Yamauchi2Kosuke Takase3Masahiro Akada4Hitoshi Tabuchi5Department of Ophthalmology, Tsukazaki HospitalDepartment of Ophthalmology, Tsukazaki HospitalDepartment of Ophthalmology, Tsukazaki HospitalDepartment of Ophthalmology, Tsukazaki HospitalDepartment of Ophthalmology, Tsukazaki HospitalDepartment of Ophthalmology, Tsukazaki HospitalAbstract We compared the visual performance of a diffractive bifocal intraocular lens (IOL) with + 4.0 D near addition (ZMB00 [Johnson & Johnson Surgical Vision]) and a rotationally asymmetric refractive IOL with + 1.5 D near addition (LS-313 MF15 [Teleon Surgical BV]) 10 weeks after cataract patients’ last surgery for bilateral ZMB00 or LS-313 MF15 implantation between 2011 and 2020, with the lenses of each eye implanted within 3 months of each other. The ZMB00 and LS-313 MF15 groups comprised 1326 eyes of 663 patients (age: 67.0 ± 7.8 years; females/males, 518/145) and 448 eyes of 224 patients (73.6 ± 7.0 years; females/males, 125/99), respectively. A linear mixed-effects model using data for both eyes, with strict adjustments for sex, age, subjective refraction spherical equivalent, subjective refraction cylinder, corneal astigmatism, axial length, corneal higher-order aberrations, and pupil diameter, ensured statistical validity. Compared to LS-313 MF15, ZMB00 achieved significantly superior uncorrected near visual acuity, reduced higher-order aberrations (ocular/internal, scaled to a 4-mm pupil; Wavefront_4_post_Ocular_Total Higher-Order Aberration/Third/Fourth/Trefoil/Coma/Tetrafoil/Spherical, Wavefront_4_post_Internal_Astigmatism/Total Higher-Order Aberration/Third/Trefoil/Coma/Tetrafoil/Spherical), and superior distance and near spectacle independence (p < 0.00068, Wald test). Contrast sensitivity, measured without (visual angle of the test target: 6.3°/4.0°/2.5°/1.6°/1.0°/0.7°) or with glare (4.0°/2.5°/1.6°/1.0°/0.7°), was significantly better in the LS-313 MF15 than the ZMB00 group (p < 0.00068, Wald test).https://doi.org/10.1038/s41598-022-24123-7
spellingShingle Hirotaka Tanabe
Tomohiro Shojo
Tomofusa Yamauchi
Kosuke Takase
Masahiro Akada
Hitoshi Tabuchi
Comparative visual performance of diffractive bifocal and rotationally asymmetric refractive intraocular lenses
Scientific Reports
title Comparative visual performance of diffractive bifocal and rotationally asymmetric refractive intraocular lenses
title_full Comparative visual performance of diffractive bifocal and rotationally asymmetric refractive intraocular lenses
title_fullStr Comparative visual performance of diffractive bifocal and rotationally asymmetric refractive intraocular lenses
title_full_unstemmed Comparative visual performance of diffractive bifocal and rotationally asymmetric refractive intraocular lenses
title_short Comparative visual performance of diffractive bifocal and rotationally asymmetric refractive intraocular lenses
title_sort comparative visual performance of diffractive bifocal and rotationally asymmetric refractive intraocular lenses
url https://doi.org/10.1038/s41598-022-24123-7
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