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Fellow-Eye Comparison of Monocular Visual Outcomes Following Monofocal Extended Depth-of-Focus (EDOF) and Trifocal EDOF Intraocular Lens Implantation.
- Source :
-
American journal of ophthalmology [Am J Ophthalmol] 2024 Nov; Vol. 267, pp. 76-83. Date of Electronic Publication: 2024 Jun 06. - Publication Year :
- 2024
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Abstract
- Purpose: To compare intraindividual monocular visual performance of a monofocal extended depth-of-focus (EDOF) and a trifocal EDOF intraocular lens (IOL) following bilateral cataract surgery.<br />Design: Single-center, prospective, fellow-eye comparison clinical trial.<br />Methods: All patients received uneventful bilateral cataract surgery with implantation of the monofocal EDOF Isopure IOL in the dominant eye and the trifocal EDOF FineVision Triumf IOL in the nondominant eye. Intraindividual monocular comparison included visual acuity at various distances, defocus curves, internal total higher-order aberration (HOA), spherical aberration (SA) Z(4.0), IOL decentration, and tilt. Additionally, subjective outcomes were evaluated using Halo and Glare simulation and the Seven-Item Visual-Functioning Index questionnaire.<br />Results: In total, 25 patients (50 eyes) were included. Intraindividual monocular best-corrected distance visual acuity, distance-corrected intermediate visual acuity, and best-corrected near visual acuity were comparable (P > .05). However, monocular contrast acuity (P = .019), distance-corrected near visual acuity (P < .001), and defocus curves at defocus levels of 0.0 D (P = .005) and between -1.5 and -4.0 D (P < .001) differed significantly. At 5 mm, internal HOA and SA Z(4.0) were significantly different (P < .001) and comparable at 3-mm pupil diameter, as were IOL tilt and decentration (P > .05).<br />Conclusion: In this combined fellow-eye comparison, near vision was significantly better with the trifocal EDOF IOL. The monofocal EDOF IOL demonstrated similar distance and intermediate visual performance as the trifocal EDOF IOL. Overall, low values of photic phenomena and visual impairment were observed.<br /> (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Humans
Prospective Studies
Male
Female
Aged
Surveys and Questionnaires
Middle Aged
Multifocal Intraocular Lenses
Prosthesis Design
Contrast Sensitivity physiology
Glare
Aged, 80 and over
Visual Acuity physiology
Lens Implantation, Intraocular
Depth Perception physiology
Vision, Monocular physiology
Phacoemulsification
Pseudophakia physiopathology
Lenses, Intraocular
Subjects
Details
- Language :
- English
- ISSN :
- 1879-1891
- Volume :
- 267
- Database :
- MEDLINE
- Journal :
- American journal of ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 38851443
- Full Text :
- https://doi.org/10.1016/j.ajo.2024.05.029