当前位置： SCI文献检索 > JOURNAL OF CATARACT AND REFRACTIVE SURGERY期刊下所有文献 > Visual performance after bilateral toric extended depth-of-focus intraocular lens exchange targeted for micro-monovison.

Visual performance after bilateral toric extended depth-of-focus intraocular lens exchange targeted for micro-monovison.

Abstract：

PURPOSE:To evaluate overall patient satisfaction, spectacle independence, binocular visual acuity, rotational stability, prevalence of optical phenomena, as well as decentration and tilt after bilateral toric extended depth-of-focus intraocular lens (EDOF IOL) implantation targeted for micromonovision. SETTING:Department of Ophthalmology, Hanusch Hospital, Vienna, Austria. DESIGN:Prospective case series. METHODS:The study included 52 eyes of 26 patients with regular corneal astigmatism from 0.75 to 2.60 diopters (D) were implanted bilaterally with a toric EDOF IOL targeted for micromonovision. Postoperative visual acuity, astigmatism reduction, rotation, tilt, decentration, spectacle independence, patient satisfaction, and photic phenomena were assessed. RESULTS:Binocular means expressed in logarithm of the minimum angle resolution for postoperative corrected distance, uncorrected distance, uncorrected intermediate, and uncorrected near visual acuities were -0.10 (±0.12), -0.01 (±0.13), 0.01 (±0.14), and 0.13 (±0.14), respectively. Mean refractive astigmatism reduction was 1.31 ± 0.67 D resulting in a mean refractive cylinder of 0.47 ± 0.46 D at the 3-month visit. Mean postoperative rotation was 3.5 ± 3.5 degrees, at the 3-month time point. Most prevalent dysphotopsia were halos, starburst, and glare affecting 6 (23%), 6 (23%) and 5 (19%) of 26 patients, respectively. 20 (77%) of 26 patients reported spectacle independence, with 19 (95%), 19 (95%) and 14 (70%) of 20 patients questioned being satisfied with distance, intermediate, and near vision, respectively. CONCLUSIONS:Toric EDOF IOL implantation targeted for micro-monovision, resulted in reliable reduction of preoperative astigmatism with a high degree of postoperative rotational predictability and centration, enabling functional distance, intermediate, and near vision, which manifested itself in high patient satisfaction.

journal_name

J Cataract Refract Surg

journal_title

Journal of cataract and refractive surgery

authors

Georgiev S,Palkovits S,Hirnschall N,Döller B,Draschl P,Findl O

doi

10.1097/j.jcrs.0000000000000290

subject

Has Abstract

pub_date

2020-06-22 00:00:00

eissn

0886-3350

issn

1873-4502

pub_type

杂志文章

在线工具

Visual performance after bilateral toric extended depth-of-focus intraocular lens exchange targeted for micro-monovison.