Clinical Ophthalmology (Aug 2019)
Comparison of visual outcomes after bilateral implantation of two intraocular lenses with distinct diffractive optics
Abstract
André Lins de Medeiros,1 Flavio Jones Saraiva,2 Camila Ishii Iguma,2 Danilo Varela Kniggendorf,1 Guilherme Alves,2 Mario Augusto Pereira Dias Chaves,1 Cesar Vilar,1 Antonio Francisco Pimenta Motta,1 Pedro Carlos Carricondo,1 Celso Takashi Nakano,1 Walton Nosé,1 Wilson Takashi Hida1,21Cataract Sector, Renato Ambrosio Eye Research Center, Brasília, DF, Brazil; 2Cataract Sector, Hospital Oftalmológico De Brasília, Brasília, DF, BrazilCorrespondence: André Lins de MedeirosRenato Ambrosio Eye Research Center, SGAS 607, Hospital Oftalmológico de Brasilia, Brasília 70200-670, BrazilTel +55 5 804 5530Email [email protected]: The aim of this study was to compare the visual outcomes and subjective visual quality between bilateral implantation of an extended depth of focus intraocular lens, J&J Vision Tecnis Symfony® ZXR00 (Group A) and bilateral implantation of a diffractive trifocal intraocular lens, Alcon Acrysof IQ PanOptix® TNFT00 (Group B).Methods: This prospective, nonrandomized, comparative study of consecutive cases assessed 52 eyes of 26 patients operated on by the same surgeon (WTH) and binocularly implanted with multifocal intraocular lenses between May 2016 and July 2018. Binocular visual acuity for far, intermediate and near was tested in all cases. Ophthalmological evaluation included the measurement of binocular uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected near visual acuity (UNVA) at 40 cm, uncorrected intermediate visual acuity (UIVA) at 70 cm, monocular visual defocus curve and the quality of life (QoL) questionnaire, National Eye Institute Visual Functioning Questionnaire - 25 ( NEI-VFQ 25).Results: Postoperative UDVA was 0.00 and 0.09 logMAR (P<0.001), UIVA was 0.20 and 0.39 logMAR (P<0.001) and UNVA was 0.16 and −0.01 logMAR (P<0.001) in groups A and B, respectively; postoperative CDVA was −0.05 and 0.06 logMAR (P<0.001) in groups A and B, respectively.Conclusion: Both groups reported good subjective quality of vision regarding long, intermediate and short distances. Group A had a better performance for binocular UDVA, UIVA at 70 cm and CDVA, while regarding the monocular defocus curve, Group A outperformed Group B for long distances. Furthermore, Group B surpassed it in the short to very short distances, between the range of ≥2.00 D to 5.00 D of vergence. While Group A had a better performance regarding the vergences between 0.00 and 1.00 D (P<0.05) and at the vergence of +2.50 D (P=0.007). Group B outran Group A for UNVA at 40 cm.Keywords: cataract, surgery, phacoemulsification, optics, chromatic aberration, visual performance
