Visual and refractive outcomes after implantation of two models of trifocal intraocular lenses in eyes with previous corneal ablation to treat hyperopia
Tóm tắt
To assess whether a trifocal intraocular lens (IOL) with neutral spherical aberration (SA) provides better visual and refractive outcomes than a trifocal IOL with negative SA after hyperopic corneal laser ablation. This is a retrospective comparative study. Patients were classified according to the IOL implanted after cataract or clear lens phacoemulsification [group 1, PhysIOL FineVision Pod-F (negative SA); group 2, Rayner RayOne Trifocal (neutral SA)]. We evaluated uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), predictability, safety, efficacy, and satisfaction. 198 eyes of 119 patients met the inclusion criteria. Group 1 comprised 120 eyes and group 2 comprised 78 eyes. At completion, the refractive and predictability results were significantly better in group 1 than in group 2 for manifest refraction spherical equivalent (MRSE) (P < 0.001). Differences were not significant for UDVA (P = 0.647), CDVA (P = 0.343), UIVA (P = 0.059), UNVA (P = 0.382), binocular UIVA (P = 0.157), or binocular UNVA (P = 0.527). Safety and efficacy indices in refractive lens exchange (RLE) eyes were 0.96 and 0.91, and 0.89 and 0.93 in groups 1 and 2, respectively (P = 0.254 and 0.168). Patient satisfaction was similar in both groups (P > 0.05, all items). In eyes previously treated with hyperopic corneal ablation, implantation of a trifocal IOL with neutral SA provided better efficacy and safety outcomes but worse predictability outcomes than those obtained with a trifocal model with negative SA.
Tài liệu tham khảo
Moshirfar M, Bennet P, Ronquillo Y. Laser in situ keratomileusis. Treasure Island: StatPearls Publishing; 2021.
Braga-Mele R, Chang D, Dewey S, Foster G, Henderson BA, Hill W, et al. Multifocal intraocular lenses: relative indications and contraindications for implantation. J Cataract Refract Surg. 2014;40(2):313–22.
Bilbao-Calabuig R, Gónzalez-López F, Llovet-Rausell A, Ortega-Usobiaga J, Tejerina Fernández V, Llovet-Osuna F. Lens-based surgical correction of presbyopia: where are we in 2020? Arch Soc Esp Oftalmol (Engl Ed). 2021;96(2):74–88.
Bilbao-Calabuig R, Llovet-Rausell A, Ortega-Usobiaga J, Martínez-Del-Pozo M, Mayordomo-Cerdá F, Segura-Albentosa C, et al. Visual outcomes following bilateral implantation of two diffractive trifocal intraocular lenses in 10084 eyes. Am J Ophthalmol. 2017;179:55–66.
Moshirfar M, Thomson AC, Thomson RJ, Martheswaran T, McCabe SE. Use of presbyopia-correcting intraocular lenses in patients with prior corneal refractive surgery. Curr Opin Ophthalmol. 2021;32(1):45–53.
Cobo-Soriano R, Ortega-Usobiaga J, Roríguez-Gutiérrez B, Tejerina V, Llovet F, Casco B, et al. Trifocal intraocular lens implantation in eyes with previous corneal refractive surgery for myopia and hyperopia. J Cataract Refract Surg. 2021;47(10):1265–72.
Mayordomo-Cerdá F, Ortega-Usobiaga J, Bilbao-Calabuig R, González-López F, Llovet-Osuna F, Fernández-García JL, et al. Laser corneal enhancement after trifocal intraocular lens implantation in eyes that had previously undergone photoablative corneal refractive surgery. J Cataract Refract Surg. 2022;48(4):790–8.
Brenner LF, Gjerdrum B, Aakre BM, Lundmark PO, Nistad K. Presbyopic refractive lens exchange with trifocal intraocular lens implantation after corneal laser vision correction: refractive results and biometry analysis. J Cataract Refract Surg. 2019;45(10):1404–15.
Bottos KM, Leite MT, Aventura-Isidro M, Bernabe-Ko J, Wongpitoonpiya N, Ong-Camara NH, et al. Corneal asphericity and spherical aberration after refractive surgery. J Cataract Refract Surg. 2011;37(6):1109–15.
Kohnen T, Mahmoud K, Buhren J. Comparison of corneal higher-order aberrations induced by myopic and hyperopic LASIK. Ophthalmology. 2005;112(10):1692.
Chow SSW, Chan TCY, Ng ALK, Kwok AKH. Outcomes of presbyopia-correcting intraocular lenses after laser in situ keratomileusis. Int Ophthalmol. 2019;39(5):1199–204.
Li QM, Wang F, Wu ZM, Liu Z, Zhan C, Chen BH, et al. Trifocal diffractive intraocular lens implantation in patients after previous corneal refractive laser surgery for myopia. BMC Ophthalmol. 2020;20(1):293.
Alfonso JF, Fernández-Vega L, Baamonde B, Madrid-Costa D, Montés-Micó R. Refractive lens exchange with spherical diffractive intraocular lens implantation after hyperopic laser in situ keratomileusis. J Cataract Refract Surg. 2009;35(10):1744–50.
Alfonso JF, Fernández-Vega L, Baamonde B, Madrid-Costa D, Montés-Micó R. Visual quality after diffractive intraocular lens implantation in eyes with previous hyperopic laser in situ keratomileusis. J Cataract Refract Surg. 2011;37(6):1090–6.
Águila-Carrasco AJ, Read SA, Montés-Micó R, Iskander DR. The effect of aberrations on objectively assessed image quality and depth of focus. J Vis. 2017;17(2):2.
Ferreira TB, Ribeiro F. Prospective comparison of clinical performance and subjective outcomes between two diffractive trifocal intraocular lenses in bilateral cataract surgery. J Refract Surg. 2019;35(7):418–25.
Cobo-Soriano R, Rodríguez-Gutiérrez B, Bilbao-Calabuig R, Tejerina V, Fernández-Corrochano A, Druchkiv V, et al. Trifocal IOL implantation in eyes with previous laser corneal refractive surgery: the impact of corneal spherical aberration on postoperative visual outcomes. J Refract Surg. 2022;38(4):222–8.