Impact of the "micro-monovision" approach with extended depth of focus intraocular lenses implantation on visual quality in elderly patients with senile cataracts

ZHOU Wenjuan; ZHOU Libin; TAN Jingguo; LI Jun; ZENG Yan; LIU Yanqiong

doi:10.7619/jcmp.20242417

Journal of Clinical Medicine in Practice > 2024 > 28(20): 44-47, 54. > DOI: 10.7619/jcmp.20242417

ZHOU Wenjuan, ZHOU Libin, TAN Jingguo, LI Jun, ZENG Yan, LIU Yanqiong. Impact of the "micro-monovision" approach with extended depth of focus intraocular lenses implantation on visual quality in elderly patients with senile cataracts[J]. Journal of Clinical Medicine in Practice, 2024, 28(20): 44-47, 54. DOI: 10.7619/jcmp.20242417

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Impact of the "micro-monovision" approach with extended depth of focus intraocular lenses implantation on visual quality in elderly patients with senile cataracts

Department of Ophthalmology, the Affiliated Hospital of Panzhihua University, Panzhihua, Sichuan, 617000

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Received Date: June 06, 2024
Revised Date: July 17, 2024

Graphical Abstract

Abstract

Abstract

Objective
To investigate the impact of the "micro-monovision" approach with extended depth of focus (EDOF) intraocular lens on visual quality in elderly patients with senile cataracts.
Methods
A retrospective analysis was conducted on the clinical data of elderly patients with senile cataracts treated from January 2020 to December 2023. Forty-six patients who received trifocal intraocular lens were randomly selected and included in trifocal group, while 53 patients who underwent the "micro-monovision" approach with EDOF intraocular lens were included in EDOF group. Preoperative and 3-month postoperative uncorrected distance visual acuity (UCDVA), uncorrected intermediate visual acuity (UCIVA), uncorrected near visual acuity (UCNVA) and visual function index (VF-14) scores were recorded for both groups. Defocus, contrast sensitivity (CS) and spectacle independence were also evaluated at 3 months postoperatively.
Results
At 3 months postoperatively, both groups showed significantly higher UCDVA, UCIVA, UCNVA and VF-14 scores compared to preoperative levels; the UCIVA, UCNVA and VF-14 scores in the EDOF group were significantly higher than those in the trifocal group (P < 0.05). At 3 months postoperatively, both groups achieved visual acuity greater than 0.35 at refractive errors from -4.0 D to +2.0 D. The EDOF group achieved visual acuity greater than 0.9 at refractive errors from -1.5 D to +1.5 D, and greater than 0.8 at refractive errors from -2.5 D to -1.5 D. Within the refractive range of 0.5 D to +2.0 D, the EDOF group had better visual acuity than the trifocal group, with more stable visual acuityin the range of -2.0 D to 1.0 D. Under photopic and mesopic conditions, the EDOF group demonstrated significantly higher CS values at different spatial frequencies (3, 6, 12, 18 degree per week) compared to the trifocal group (P < 0.05).
Conclusion
In elderly patients with senile cataracts, the "micro-monovision" approach with EDOF intraocular lens implantation provides superior visual quality andintermediate and near vision compared to trifocal intraocular lens.
- senile cataract,
- extended depth of focus intraocular lens,
- micro-monovision,
- visual quality

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[1]	贺丹, 陈亮, 罗平. 年龄相关性白内障患者血清及房水中PDGF、MMP-9表达水平及意义[J]. 川北医学院学报, 2023, 38(1): 88-91.
[2]	郭磊, 梁先军, 张希乔, 等. 飞秒激光白内障手术联合PanOptix三焦点人工晶状体植入术的疗效[J]. 国际眼科杂志, 2023, 23(2): 312-315.
[3]	JOSHI R S. Visual satisfaction and spectacle independence with monofocal intraocular lens with enhanced intermediate vision and trifocal intraocular lenses in the prepresbyopic age group patients with cataracts[J]. Oman J Ophthalmol, 2023, 16(3): 482-488. doi: 10.4103/ojo.ojo_167_22
[4]	刘敏锐, 彭稚喜, 吴峥峥, 等. 连续视程人工晶状体与双焦点、单焦点人工晶状体植入术后患者视力、视觉质量及满意度对比分析[J]. 眼科新进展, 2023, 43(2): 127-130.
[5]	ADAM T, BOUCENNA W, LUSSATO M, et al. Presbyopic LASIK using the Supracor algorithm and micromonovision in presbyopic myopic patients: 12-month visual and refractive outcomes[J]. J Cataract Refract Surg, 2023, 49(2): 195-200. doi: 10.1097/j.jcrs.0000000000001080
[6]	刘家琦, 李凤鸣. 实用眼科学[M]. 3版. 北京: 人民卫生出版社, 2010: 216-219.
[7]	高蓉蓉, 郭燕, 陈海丝, 等. 中国版视功能指数量表的修订及其在白内障患者生活质量评估中的应用[J]. 中华实验眼科杂志, 2016, 34(9): 823-828.
[8]	郭榕, 李卓亚, 胡晓敏, 等. 连续视程人工晶状体和区域折射型人工晶状体植入术后视觉质量的对比分析[J]. 国际眼科杂志, 2022, 22(8): 1239-1244.
[9]	王广江, 刘志英, 冯月兰, 等. 高度近视合并白内障植入Symfony与ZMB00 IOL视觉质量比较[J]. 国际眼科杂志, 2022, 22(11): 1782-1787.
[10]	可殊瑞, 李灿. 三种人工晶状体植入术后静态视力和动态视力的评估及比较[J]. 中华眼视光学与视觉科学杂志, 2022, 24(12): 938-944.
[11]	朱晶, 鲁铭, 肖泽锋. 连续视程IOL植入术后患者主观视觉质量及阅读能力的临床观察[J]. 国际眼科杂志, 2022, 22(3): 452-456.
[12]	舒娜, 史春生. 白内障摘除术联合非球面单焦人工晶状体植入不同预留度数对患者视力和生活质量的影响[J]. 临床眼科杂志, 2023, 31(2): 147-150.
[13]	穆欣, 廖荣丰. 两种不同类型功能性人工晶状体植入术后视觉质量对比研究[J]. 临床眼科杂志, 2023, 31(4): 322-326.
[14]	张建峰, 单武强, 王立肖. 连续视程人工晶状体对高度近视合并白内障患者的应用效果及对视觉质量的影响[J]. 海南医学, 2023, 34(3): 371-376.
[15]	刘卫华, 赵岐, 钟丘, 等. 连续视程与多焦点IOL植入术在远中近视力中效果对比[J]. 现代科学仪器, 2023, 40(5): 150-153.

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Impact of the "micro-monovision" approach with extended depth of focus intraocular lenses implantation on visual quality in elderly patients with senile cataracts

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