Astigmatism inclusivity of regional refractive intraocular lens
10.3980/j.issn.1672-5123.2024.3.05
- VernacularTitle:区域折射型人工晶状体对散光的包容性
- Author:
Zhihua ZHAO
1
;
Xiaoting MA
1
;
Kejun LI
1
;
Fuzhen LIANG
1
;
Yinghua DU
1
Author Information
1. Department of Ophthalmology, Hebei General Hospital, Shijiazhuang 050057, Hebei Province, China
- Publication Type:Journal Article
- Keywords:
residual astigmatism;
visual acuity;
defocus curves;
objective visual quality;
subjective visual quality;
regional refractive intraocular lens
- From:
International Eye Science
2024;24(3):356-361
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To investigate the effect of residual astigmatism on visual quality after phacoemulsification combined with regional refractive intraocular lens(IOL)implantation in patients with age-related cataract, and to evaluate the astigmatism inclusivity of regional refractive IOL.METHODS: Retrospective cohort study. The clinical data of 62 cases(73 eyes)of age-related cataract patients who underwent phacoemulsification combined with regional refractive IOL(Lentis Comfort LS-313 MF15)implantation from July 2020 to March 2022 at the ophthalmology department of our hospital were collected. They were grouped according to residual astigmatism at 6 mo postoperatively, taking 35 cases(40 eyes)with residual astigmatism of 0.75 D to 1.50 D as the experimental group, and 27 cases(33 eyes)with residual astigmatism ≤0.75 D as the control group. Visual acuity, defocus curves, objective visual acuity [wavefront aberrations, Strehl ratio(SR), modulation transfer functions(MTF)], subjective visual acuity(national eye institute visual function questionnaire-25), patients' satisfaction, and spectacle independence were compared between the two groups at 6 mo postoperatively.RESULTS:There was a difference in the preoperative astigmatism and the number of postoperative 6 mo residual astigmatism between the two groups(P<0.01). At 6 mo postoperatively, there was no difference in uncorrected distance, intermediate, and near visual acuity, objective visual quality, subjective visual quality, satisfaction, and spectacle independence between the two groups(P>0.05). The defocus curves showed that there was no difference in visual acuity between the two groups at all points in the +2.00 to -4.00 D defocus range of the additional spherical equivalent(P>0.05).CONCLUSION:Lentis Comfort LS-313 MF15 IOL was able to accommodate regular astigmatism of 1.50 D.