Near visual outcomes with single-optic and dual-optic accommodating intraocular lenses

Near visual outcomes with single-optic and dual-optic accommodating intraocular lenses
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DOI:
10.1016/j.jcrs.2012.05.027
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发表时间:
2012-09-01
影响因子:
2.8
通讯作者:
Ortega, Paula
Ortega, Paula
中科院分区:
医学2区
文献类型:
--
作者:
Alio, Jorge L.;Plaza-Puche, Ana B.;Ortega, Paula

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目得:比较单光学部或双光学部可调节人工透镜(IOL)眼的视觉和眼部光学性能,特别关注近视力结局。单位:Vissum Instituto Oftalmologico de阿利坎特,Miguel埃尔南德斯University,阿利坎特,Spain。设计:前瞻性连续非随机干预性比较临床研究。A组植入单光学部可调节IOL(Crystalens HD),B组植入双光学部可调节IOL(Synchrony)。术后随访6个月,观察远、近视力、对比敏感度、眼像差、阅读能力和离焦曲线。结果:A组27眼,B组26眼。患者年龄范围为59 - 82岁。B组的裸眼视力和矫正远视力明显更好(P =.13)。在离焦曲线上,B组在几个离焦水平上的视力均明显优于对照组(P <0.05)。
PURPOSE: To compare the visual and ocular optical performance in eyes with a single-optic or a dual-optic accommodating intraocular lens (IOL) with particular attention to near-vision outcomes.SETTING: Vissum Instituto Oftalmologico de Alicante, Miguel Hernandez University, Alicante, Spain.DESIGN: Prospective consecutive nonrandomized interventional comparative clinical study.METHODS: Eyes with cataract were divided into 2 groups. Group A had implantation of a single-optic accommodating IOL (Crystalens HD) and Group B, of a dual-optic accommodating IOL (Synchrony). Distance and near visual acuities, contrast sensitivity, ocular aberrations, reading performance, and the defocus curve were evaluated over a 6-month postoperative follow-up.RESULTS: Group A comprised 27 eyes and Group B, 26 eyes. The patient age ranged from 59 to 82 years. Uncorrected and corrected distance visual acuities were significantly better in Group B (P =.13). In the defocus curve, Group B had significantly better visual acuities at several levels of defocus (P