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

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 tol...

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Main Authors: Dongling Guo, Jiaqi Meng, Keke Zhang, Wenwen He, Shiyu Ma, Zhong-lin Lu, Yi Lu, Xiangjia Zhu
Format: Article
Language:English
Published: BMC 2022-12-01
Series:Eye and Vision
Subjects:
Online Access:https://doi.org/10.1186/s40662-022-00317-y
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author Dongling Guo
Jiaqi Meng
Keke Zhang
Wenwen He
Shiyu Ma
Zhong-lin Lu
Yi Lu
Xiangjia Zhu
author_facet Dongling Guo
Jiaqi Meng
Keke Zhang
Wenwen He
Shiyu Ma
Zhong-lin Lu
Yi Lu
Xiangjia Zhu
author_sort Dongling Guo
collection DOAJ
description 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.
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spelling doaj.art-8d73f6d6a89444938a3e83fc8d58e8a52022-12-22T04:37:51ZengBMCEye and Vision2326-02542022-12-01911710.1186/s40662-022-00317-yTolerance to lens tilt and decentration of two multifocal intraocular lenses: using the quick contrast sensitivity function methodDongling Guo0Jiaqi Meng1Keke Zhang2Wenwen He3Shiyu Ma4Zhong-lin Lu5Yi Lu6Xiangjia Zhu7Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityDivision of Arts and Sciences, NYU ShanghaiEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityAbstract 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.https://doi.org/10.1186/s40662-022-00317-yqCSFContrast sensitivityIOLTiltDecentration
spellingShingle Dongling Guo
Jiaqi Meng
Keke Zhang
Wenwen He
Shiyu Ma
Zhong-lin Lu
Yi Lu
Xiangjia Zhu
Tolerance to lens tilt and decentration of two multifocal intraocular lenses: using the quick contrast sensitivity function method
Eye and Vision
qCSF
Contrast sensitivity
IOL
Tilt
Decentration
title Tolerance to lens tilt and decentration of two multifocal intraocular lenses: using the quick contrast sensitivity function method
title_full Tolerance to lens tilt and decentration of two multifocal intraocular lenses: using the quick contrast sensitivity function method
title_fullStr Tolerance to lens tilt and decentration of two multifocal intraocular lenses: using the quick contrast sensitivity function method
title_full_unstemmed Tolerance to lens tilt and decentration of two multifocal intraocular lenses: using the quick contrast sensitivity function method
title_short Tolerance to lens tilt and decentration of two multifocal intraocular lenses: using the quick contrast sensitivity function method
title_sort tolerance to lens tilt and decentration of two multifocal intraocular lenses using the quick contrast sensitivity function method
topic qCSF
Contrast sensitivity
IOL
Tilt
Decentration
url https://doi.org/10.1186/s40662-022-00317-y
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