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First results with a new intraocular lens design for the individual correction of spherical aberration
- Source :
- Journal of cataract and refractive surgery. 44(10)
- Publication Year :
- 2018
-
Abstract
- To assess the feasibility of individual compensation of corneal spherical aberration with a custom intraocular lens (IOL).Department of Ophthalmology, Rudolf Virchow Klinikum Glauchau, Glauchau, Germany.Prospective case series.Cataract patients were randomized to receive an individual aberration-correcting IOL (Invidua-aA; Group A) or a standard aspheric aberration-free IOL of otherwise identical design (Aspira-aA; Group B). In Group A, the IOL was designed according to preoperative calculation of the corneal spherical aberration Z(4,0). The aim was to achieve an overall postoperative ocular spherical aberration close to zero. Four weeks and 3 months postoperatively, the refraction, visual acuity (far, intermediate, and near distance), photopic and mesopic contrast sensitivities (with and without glare), defocus curve, corneal and ocular spherical aberration, and pupil size were measured.Group A, 57 eyes of 42 patients and Group B, 29 eyes of 27 patients. Preoperatively, there was no difference in corneal spherical aberration between groups (P .05). Three months postoperatively, residual ocular spherical aberration Z(4,0) was significantly lower in Group A (P .001). Photopic and mesopic contrast sensitivities (with and without glare) were significantly higher in Group A at most spatial frequencies. Monocular defocus curve and distance, intermediate, and near visual acuity outcomes did not differ significantly between groups.Implantation of a custom monofocal aspheric IOL effectively reduced overall ocular spherical aberration. Clinical outcomes indicate that IOLs with an individual spherical aberration correction improve functional vision, especially contrast sensitivity, compared with standard aberration-free IOLs.
- Subjects :
- Male
medicine.medical_specialty
Visual acuity
Corneal Wavefront Aberration
genetic structures
Pseudophakia
Mesopic vision
medicine.medical_treatment
Visual Acuity
Intraocular lens
Prosthesis Design
Refraction, Ocular
030218 nuclear medicine & medical imaging
Cornea
03 medical and health sciences
0302 clinical medicine
Double-Blind Method
Lens Implantation, Intraocular
Ophthalmology
medicine
Humans
Prospective Studies
Aged
Aged, 80 and over
Lenses, Intraocular
Phacoemulsification
medicine.diagnostic_test
business.industry
Glare (vision)
Corneal Topography
Middle Aged
Corneal topography
eye diseases
Sensory Systems
Spherical aberration
030221 ophthalmology & optometry
Feasibility Studies
Surgery
Female
sense organs
medicine.symptom
business
Photopic vision
Subjects
Details
- ISSN :
- 18734502
- Volume :
- 44
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- Journal of cataract and refractive surgery
- Accession number :
- edsair.doi.dedup.....5acf80b90f1585ef04f3fb8d6025a961