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Clinical outcomes after mix-and-match implantation of extended depth of focus and diffractive multifocal intraocular lenses

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Abstract
Purpose. To evaluate the clinical outcomes after bilateral mix-and-match cataract surgery using extended depth of focus (EDOF) and diffractive multifocal (DMF) intraocular lenses (IOLs). Setting. Asan Medical Center, Seoul, South Korea. Design. Prospective clinical study. Methods. Thirty-seven patients underwent TECNIS Symfony EDOF IOL (ZXR00) implantation in the dominant eye, and TECNIS +3.25 DMF IOL (ZLB00) implantation in the nondominant eye. Patients were followed up for 3 months; uncorrected and corrected distance visual acuity (UDVA and CDVA), uncorrected intermediate and near visual acuity (UIVA and UNVA), contrast sensitivity, defocus curves, stereopsis, and patient satisfaction were assessed. Results. At 3 months, the mean logarithm of the minimum angle of resolution (logMAR) of UDVA was 0.07?±?0.09 in EDOF IOL eyes, 0.12?±?0.11 in DMF IOL eyes, and 0.02?±?0.05 in both eyes. UIVA was 0.11?±?0.11 in EDOF IOL eyes, 0.16?±?0.12 in DMF IOL eyes, and 0.04?±?0.07 in both eyes. UNVA was 0.25?±?0.15 in EDOF IOL eyes, 0.22?±?0.16 in DMF IOL eyes, and 0.13?±?0.13 in both eyes. Thirty patients (81.1%) were more than satisfied with near vision, and 8 patients (21.6%) complained of severe glare and halo. Spectacle independence for near vision was achieved in 34 patients (91.9%), and 31 patients (83.8%) had better than a 50-second arc of stereopsis. Conclusion. Mix-and-match cataract surgery with EDOF and DMF IOL implantation provided good visual outcomes for all distances. Additionally, excellent patient satisfaction was achieved with a high level of spectacle independence and acceptable photic phenomena.
Author(s)
김재용문수영박소영이재혁이훈정호석차흥원
Issued Date
2021
Type
Article
Keyword
CataractCataractsCorneaEye surgeryIntraocular lensesMedical centersMedical researchMedicineExperimentalPatient satisfactionSurgery
DOI
10.1155/2021/8881794
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7673
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_6f3464a4fed14dff9c0d64e6f67140e5&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Clinical%20outcomes%20after%20mix-and-match%20implantation%20of%20extended%20depth%20of%20focus%20and%20diffractive%20multifocal%20intraocular%20lenses&offset=0&pcAvailability=true
Publisher
JOURNAL OF OPHTHALMOLOGY
Location
미국
Language
영어
ISSN
2090-004X
Citation Volume
2021
Citation Number
2021
Citation Start Page
8881794
Citation End Page
8881794
Appears in Collections:
Medicine > Medicine
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