Comparison of bilateral implantation of extended depth-of-focus intraocular lens and mix-and-match implantation of extended depth-of-focus intraocular lens with a diffractive bifocal intraocular lens
10.3980/j.issn.1672-5123.2025.3.01
- VernacularTitle:双眼微单视焦深延长型人工晶状体与混合搭配双焦点人工晶状体植入疗效对比
- Author:
Tong LI
1
;
Zhuoya LI
1
;
Rong GUO
1
;
Xiaomin HU
1
;
Hui ZHANG
1
Author Information
1. Department of Ophthalmology, the First People's Hospital of Xianyang, Xianyang 712000, Shaanxi Province, China
- Publication Type:Journal Article
- Keywords:
extended depth-of-focus(EDOF)intraocular lens;
Tecnis ZMB00;
defocus curve;
micromonovision;
mix-and-match vision
- From:
International Eye Science
2025;25(3):337-343
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To compare the clinical outcomes of extended depth-of-focus intraocular lenses(EDOF IOLs)using either micromonovision implantation or mixed implantation of EDOF and diffractive bifocal IOLs.METHODS: This retrospective clinical trial included 130 patients(260 eyes), who were divided into two groups. Group RR comprised 70 patients(140 eyes)bilaterally implanted with ZXR00 IOLs(Tecnis ZXR00, where one target was -0.5 D to -0.75 D and the other was 0 to -0.25 D). Group RM comprised 60 patients(120 eyes)unilaterally implanted with both ZXR00 and ZMB00 IOLs(Tecnis ZMB00, 0 to -0.25 D). Postoperative outcomes were compared after 3 mo, including visual acuity, defocus curves, stereoacuity, modulation transfer functions(MTFs), higher-order aberrations, and Visual Function-14(VF-14)questionnaire responses.RESULTS: Group RR had superior bilateral intermediate vision, while the group RM had superior bilateral near vision(both P<0.05). Group RM also exhibited superior MTFs and reduced higher-order aberrations(both P<0.05). Stereoacuity and VF-14 questionnaire results showed no statistically significant difference between groups(P>0.05).CONCLUSION: The implantation of micromonovision has significantly improved near vision. IOLs and their collocation can be customized according to individual patient needs to achieve precise treatment and provide cataract patients with high-quality vision.
