Comparison of the Visual Outcomes of Enhanced and Standard Monofocal Intraocular Lens Implantations in Eyes with Early Glaucoma
This study aimed to compare the efficacies and safety of enhanced and standard monofocal intraocular lenses (IOLs) in eyes with early glaucoma. Patients with concurrent cataracts and open-angle glaucoma (OAG) were enrolled. They underwent cataract surgery with IOL implantation. The comprehensive pre...
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| Format: | Article |
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MDPI AG
2023-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/18/5830 |
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| author | Jeoung Woo Nam Jong Hoon Lee Haowei Zhang Mi Sun Sung Sang Woo Park |
| author_facet | Jeoung Woo Nam Jong Hoon Lee Haowei Zhang Mi Sun Sung Sang Woo Park |
| author_sort | Jeoung Woo Nam |
| collection | DOAJ |
| description | This study aimed to compare the efficacies and safety of enhanced and standard monofocal intraocular lenses (IOLs) in eyes with early glaucoma. Patients with concurrent cataracts and open-angle glaucoma (OAG) were enrolled. They underwent cataract surgery with IOL implantation. The comprehensive preoperative ophthalmic examination included the manifest refraction; monocular uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA); visual field (VF); and contrast sensitivity (CS); defocus curves and questionnaires were assessed three months postoperatively. Totals of 34 and 38 patients had enhanced and standard monofocal IOLs, respectively. The enhanced monofocal IOL provided better UIVA than the standard monofocal IOL (<i>p</i> = 0.003) but similar UDVA, CDVA, and UNVA. The enhanced monofocal IOL had more consistent defocus curves than the standard monofocal IOL, especially at −1 (<i>p</i> = 0.042) and −1.5 (<i>p</i> = 0.026) diopters. The enhanced monofocal IOL provided better satisfaction (<i>p</i> = 0.019) and lower spectacle dependence (<i>p</i> = 0.004) than the standard monofocal IOL for intermediate vision, with similar VF and CS outcomes. In conclusion, enhanced monofocal IOLs are recommended for patients with OAG because they provide better intermediate vision, higher satisfaction, and lower dependence on spectacles than standard monofocal IOLs, without worsening other visual outcomes. |
| first_indexed | 2024-03-10T22:37:31Z |
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| id | doaj.art-bebb3ba34fbc4e43a8b1b74ab70ea832 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T22:37:31Z |
| publishDate | 2023-09-01 |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-bebb3ba34fbc4e43a8b1b74ab70ea8322023-11-19T11:17:56ZengMDPI AGJournal of Clinical Medicine2077-03832023-09-011218583010.3390/jcm12185830Comparison of the Visual Outcomes of Enhanced and Standard Monofocal Intraocular Lens Implantations in Eyes with Early GlaucomaJeoung Woo Nam0Jong Hoon Lee1Haowei Zhang2Mi Sun Sung3Sang Woo Park4Department of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju 61469, Republic of KoreaDepartment of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju 61469, Republic of KoreaDepartment of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju 61469, Republic of KoreaDepartment of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju 61469, Republic of KoreaDepartment of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju 61469, Republic of KoreaThis study aimed to compare the efficacies and safety of enhanced and standard monofocal intraocular lenses (IOLs) in eyes with early glaucoma. Patients with concurrent cataracts and open-angle glaucoma (OAG) were enrolled. They underwent cataract surgery with IOL implantation. The comprehensive preoperative ophthalmic examination included the manifest refraction; monocular uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA); visual field (VF); and contrast sensitivity (CS); defocus curves and questionnaires were assessed three months postoperatively. Totals of 34 and 38 patients had enhanced and standard monofocal IOLs, respectively. The enhanced monofocal IOL provided better UIVA than the standard monofocal IOL (<i>p</i> = 0.003) but similar UDVA, CDVA, and UNVA. The enhanced monofocal IOL had more consistent defocus curves than the standard monofocal IOL, especially at −1 (<i>p</i> = 0.042) and −1.5 (<i>p</i> = 0.026) diopters. The enhanced monofocal IOL provided better satisfaction (<i>p</i> = 0.019) and lower spectacle dependence (<i>p</i> = 0.004) than the standard monofocal IOL for intermediate vision, with similar VF and CS outcomes. In conclusion, enhanced monofocal IOLs are recommended for patients with OAG because they provide better intermediate vision, higher satisfaction, and lower dependence on spectacles than standard monofocal IOLs, without worsening other visual outcomes.https://www.mdpi.com/2077-0383/12/18/5830enhanced monofocal intraocular lensopen-angle glaucomacataract surgeryvisual outcomes |
| spellingShingle | Jeoung Woo Nam Jong Hoon Lee Haowei Zhang Mi Sun Sung Sang Woo Park Comparison of the Visual Outcomes of Enhanced and Standard Monofocal Intraocular Lens Implantations in Eyes with Early Glaucoma Journal of Clinical Medicine enhanced monofocal intraocular lens open-angle glaucoma cataract surgery visual outcomes |
| title | Comparison of the Visual Outcomes of Enhanced and Standard Monofocal Intraocular Lens Implantations in Eyes with Early Glaucoma |
| title_full | Comparison of the Visual Outcomes of Enhanced and Standard Monofocal Intraocular Lens Implantations in Eyes with Early Glaucoma |
| title_fullStr | Comparison of the Visual Outcomes of Enhanced and Standard Monofocal Intraocular Lens Implantations in Eyes with Early Glaucoma |
| title_full_unstemmed | Comparison of the Visual Outcomes of Enhanced and Standard Monofocal Intraocular Lens Implantations in Eyes with Early Glaucoma |
| title_short | Comparison of the Visual Outcomes of Enhanced and Standard Monofocal Intraocular Lens Implantations in Eyes with Early Glaucoma |
| title_sort | comparison of the visual outcomes of enhanced and standard monofocal intraocular lens implantations in eyes with early glaucoma |
| topic | enhanced monofocal intraocular lens open-angle glaucoma cataract surgery visual outcomes |
| url | https://www.mdpi.com/2077-0383/12/18/5830 |
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