Subscribe to RSS
DOI: 10.1055/s-0042-104064
Funktionelle Ergebnisse 3 Monate nach Implantation einer „Extended-Range-of-Vision“-Intraokularlinse
Functional Results 3 Months after Implantation of an “Extended Range of Vision” Intraocular LensPublication History
eingereicht 31 December 2015
akzeptiert 16 February 2016
Publication Date:
06 July 2016 (online)
![](https://www.thieme-connect.de/media/klimo/201608/lookinside/thumbnails/10-1055-s-0042-104064_kl1530-1.jpg)
Zusammenfassung
Ziel: Beurteilung der visuellen und refraktiven Ergebnisse 3 Monate nach Implantation einer „Extended-Range-of-Vision“-Intraokularlinse (ERV-IOL) im Rahmen der Kataraktoperation. Methode: In einer prospektiven multizentrischen Studie wurde bei Patienten mit einem kalkulierten postoperativen Astigmatismus ≤ 1,5 dpt im Rahmen der Kataraktoperation eine diffraktive ERV-IOL (TECNIS Symfony, Modell ZXR00, Abbott Medical Optics, USA) implantiert. Drei Monate postoperativ wurden der monokulare und binokulare Nah-, Intermediär- und Fernvisus, unkorrigiert und korrigiert, sowie die Refraktion evaluiert. Ergebnis: 18 Patienten (36 Augen) mit einem mittleren Alter von 63,4 ± 4,6 Jahren wurden im Rahmen der Studie bilateral an einer Katarakt operiert. Drei Monate postoperativ zeigte sich ein binokularer unkorrigierter Fernvisus (UDVA) von logMAR − 0,05 ± 0,11 bei einem korrigierten Fernvisus (CDVA) von logMAR − 0,14 ± 0,05. Der unkorrigierte binokulare Intermediärvisus (DIVA) lag bei logMAR − 0,09 ± 0,02, der binokulare unkorrigierte Nahvisus (UNVA) bei logMAR 0,19 ± 0,09. Eine postoperative Zielrefraktion von ± 0,75 erreichten 89 % der Patienten. Schlussfolgerung: Die Implantation einer ERV-Intraokularlinse bietet eine effektive Wiederherstellung für das Sehen in der Ferne und im Intermediärbereich. Auch in der Nähe erreichen die Patienten ein funktionelles Sehvermögen.
Abstract
Purpose: Evaluation of the visual and refractive results 3 months after implantation of a diffractive extended range of vision (ERV) intraocular lens (IOL) during cataract surgery. Methods: In a prospective multicentre study, patients with a calculated postoperative corneal astigmatism of ≤ 1.5 D received a diffractive ERV IOL (TECNIS Symfony, model ZXR00, Abbott Medical Optics, USA) during cataract surgery. After 3 months, the monocular and binocular corrected and uncorrected far, intermediate and near visual acuity, as well as refraction, were evaluated. Results: 18 patients (36 eyes) with a mean age of 63.34 ± 4.6 years underwent bilateral cataract surgery. After 3 months, the binocular uncorrected distance visual acuity (UDVA) of logMAR was − 0.05 ± 0.11 and the corrected distance visual acuity (CDVA) of logMAR − 0.14 ± 0.05. Binocular uncorrected intermediate (UIVA) and near visual acuity (UNVA) were logMAR − 0.09 ± 0.02 and 0.19 ± 0.09, respectively. A target refraction of ± 0.75 D was reached by 89 % of the patients. Conclusion: Implantation of an extended range of vision intraocular lens offers an effective way for visual rehabilitation at far and intermediate distances. Near vision is still in a functional range.
-
Literatur
- 1 Braga-Mele R, Chang D, Dewey S et al. Multifocal intraocular lenses: relative indications and contraindications for implantation. J Cataract Refract Surg 2014; 40: 313-322
- 2 Kretz FT, Attia MA, Linz K et al. [Level of binocular pseudoaccommodation in patients implanted with an apodised, diffractive and trifocal multifocal intraocular lens]. Klin Monatsbl Augenheilkd 2015; 232: 947-952
- 3 Kretz FT, Breyer D, Diakonis VF et al. Clinical outcomes after binocular implantation of a new trifocal diffractive intraocular lens. J Ophthalmol 2015; 2015: 962891
- 4 Kretz FT, Gerl M, Gerl R et al. Clinical evaluation of a new pupil independent diffractive multifocal intraocular lens with a + 2.75 D near addition: a European multicentre study. Br J Ophthalmol 2015; 99: 1655-1659
- 5 Tan N, Zheng D, Ye J. Comparison of visual performance after implantation of 3 types of intraocular lenses: accommodative, multifocal, and monofocal. Eur J Ophthalmol 2014; 24: 693-698
- 6 Lindstrom RL, Macrae SM, Pepose JS et al. Corneal inlays for presbyopia correction. Curr Opin Ophthalmol 2013; 24: 281-287
- 7 Pallikaris IG, Panagopoulou SI. PresbyLASIK approach for the correction of presbyopia. Curr Opin Ophthalmol 2015; 26: 265-272
- 8 Weeber HA, Piers PA. Theoretical performance of intraocular lenses correcting both spherical and chromatic aberration. J Refract Surg 2012; 28: 48-52
- 9 Artal P, Manzanera S, Piers P et al. Visual effect of the combined correction of spherical and longitudinal chromatic aberrations. Opt Express 2010; 18: 1637-1648
- 10 Lopez-Gil N, Montes-Mico R. New intraocular lens for achromatizing the human eye. J Cataract Refract Surg 2007; 33: 1296-1302
- 11 Piers PA, Weeber HA, Artal P et al. Theoretical comparison of aberration-correcting customized and aspheric intraocular lenses. J Refract Surg 2007; 23: 374-384
- 12 Kretz FT, Son H, Liebing S et al. [Impact of an aspherical aberration correcting monofocal intraocular lens on patient satisfaction for daily life activities: The Heidelberg Daily Task Evaluation (DATE) Questionnaire]. Klin Monatsbl Augenheilkd 2015; 232: 940-946
- 13 Kretz FT, Tandogan T, Khoramnia R et al. High order aberration and straylight evaluation after cataract surgery with implantation of an aspheric, aberration correcting monofocal intraocular lens. Int J Ophthalmol 2015; 8: 736-741
- 14 Alió JL, Montalbán R, Peña-García P et al. Visual outcomes of a trifocal aspheric diffractive intraocular lens with microincision cataract surgery. J Refract Surg 2013; 29: 756-761
- 15 Carballo-Alvarez J, Vazquez-Molini JM, Sanz-Fernandez JC et al. Visual outcomes after bilateral trifocal diffractive intraocular lens implantation. BMC Ophthalmol 2015; 15: 26
- 16 Cillino G, Casuccio A, Pasti M et al. Working-age cataract patients: visual results, reading performance, and quality of life with three diffractive multifocal intraocular lenses. Ophthalmology 2014; 121: 34-44
- 17 Cochener B, Vryghem J, Rozot P et al. Clinical outcomes with a trifocal intraocular lens: a multicenter study. J Refract Surg 2014; 30: 762-768
- 18 Kretz FT, Breyer D, Klabe K et al. Clinical outcomes after implantation of a trifocal toric intraocular lens. J Refract Surg 2015; 31: 504-510
- 19 Kretz FT, Müller M, Gerl M et al. Binocular function to increase visual outcome in patients implanted with a diffractive trifocal intraocular lens. BMC Ophthalmol 2015; 15: 110
- 20 Law EM, Aggarwal RK, Kasaby H. Clinical outcomes with a new trifocal intraocular lens. Eur J Ophthalmol 2014; 24: 501-508
- 21 Mojzis P, Kukuckova K, Maierova K et al. Comparative analysis of the visual performance after cataract surgery with implantation of a bifocal or trifocal diffractive IOL. J Refract Surg 2014; 30: 666-672
- 22 Mojzis P, Majerova K, Hrckova L et al. Implantation of a diffractive trifocal intraocular lens: one-year follow-up. J Cataract Refract Surg 2015; 41: 1623-1630
- 23 Mojzis P, Peña-Garcia P, Liehneova I et al. Outcomes of a new diffractive trifocal intraocular lens. J Cataract Refract Surg 2014; 40: 60-69
- 24 Sheppard AL, Shah S, Bhatt U et al. Visual outcomes and subjective experience after bilateral implantation of a new diffractive trifocal intraocular lens. J Cataract Refract Surg 2013; 39: 343-349
- 25 Rabsilber TM, Kretz FT, Holzer MP et al. Bilateral implantation of toric multifocal additive intraocular lenses in pseudophakic eyes. J Cataract Refract Surg 2012; 38: 1495-1498
- 26 Alió J, Piñero DP, Plaza-Puche AB et al. Visual outcomes and optical performance of a monofocal intraocular lens and a new-generation multifocal intraocular lens. J Cataract Refract Surg 2011; 37: 241-250
- 27 Ramón ML, Piñero DP, Pérez-Cambrodí RJ. Correlation of visual performance with quality of life and intraocular aberrometric profile in patients implanted with rotationally asymmetric multifocal IOLs. J Refract Surg 2012; 28: 93-99
- 28 Kretz FT, Koss MJ, Auffarth GU et al. Intermediate and near visual acuity of an aspheric, bifocal, diffractive multifocal intraocular lens with + 3.25 D near addition. J Refract Surg 2015; 31: 295-299