Turkiye Klinikleri Journal of Ophthalmology

.: ORIGINAL RESEARCH
Comparison of Clinical Outcomes and Patient Satisfaction Between Two Different Diffractive Trifocal IntraocularLenses Implantation: Prospective Clinical Trial
İki Farklı Difraktif Trifokal Göz İçi Lens İmplantasyonunun Klinik Sonuçları ve Hasta Memnuniyetinin Karşılaştırılması: Prospektif Klinik Araştırma
Aslı ÇETİNKAYA YAPRAKa, Mustafa ÜNALa
aDepartment of Ophthalmology, Akdeniz University Faculty of Medicine, Antalya, Türkiye
Turkiye Klinikleri J Ophthalmol. 2023;32(4):225-34
doi: 10.5336/ophthal.2023-97703
Article Language: EN
Full Text
ABSTRACT
 Objective: To compare the clinical outcomes and visual quality of subjects undergoing cataract surgery with the implantation of two different models of diffractive trifocal intraocular lenses (IOL). Material and Methods: This was a prospective, parallel-group, randomized, comparative, single-masked clinical study. A total of 30 subjects, who were scheduled to undergo bilateral cataract surgery were randomly assigned to two groups: RayOne and PanOptix IOL. The outcome measures were corrected and uncorrected distance visual acuity (CDVA, UDVA) at 4 m, uncorrected intermediate visual acuity (UIVA) at 80 and 60 cm, distance-corrected intermediate visual acuity (DCIVA) at 60 and 80 cm, distance-corrected and uncorrected near visual acuity at 40 cm, and patients' satisfaction. Results: Each group comprised 30 eyes of 15 subjects. No statistically significant differences were determined between the groups in terms of CDVA, UDVA, distance-corrected near visual acuity, and uncorrected near visual acuity. The monocular UIVA values at 80 cm were 0.09±0.09 logMAR in the RayOne IOL group and 0.19±0.11 logMAR in the PanOptix IOL group (p=0.01). The UIVA values at 60 cm were better in the PanOptix IOL group (p=0.049,p=0.01, respectively), and the DCIVA at 80 cm were better in the RayOne IOL group (p=0.01,0.047, respectively). The RayOne IOL group had more bothersome halos and starbursts (p=0.026,p=0.01, respectively). Conclusion: Both IOLs provided a very good restoration of visual acuity. However, with the PanOptix IOL, the likelihood of subjects experiencing bothersome halos and starbursts was less. The RayOne IOL might be a better choice for subjects that require further intermediate vision.

Keywords: Patient satisfaction; multifocal intraocular lenses; cataract; glare; visual acuity
ÖZET
 Amaç: İki farklı difraktif trifokal göz içi lens (GİL) implantasyonu ile katarakt ameliyatı olan olguların klinik sonuçları ve görme kalitesinin karşılaştırmak. Gereç ve Yöntemler: Bu prospektif, parallel gruplu, randomize, karşılaştırmalı ve tek maskeli bir klinik çalışmaydı. Bilateral katarakt ameliyatı planlanan toplam 30 olgu, RayOne ve PanOptix GİL olmak üzere rastgele iki gruba ayrıldı. Sonuçlar 4 m'den düzeltilmiş ve düzeltilmemiş uzak görme keskinliği [corrected and uncorrected distance visual acuity (CDVA, UDVA)], 80 ve 60 cm'den düzeltilmemiş ara görme keskinliği [uncorrected intermediate visual acuity (UIVA)], 60 ve 80 cm'den düzeltilmiş ara görme keskinliği [distancecorrected intermediate visual acuity (DCIVA)], 40 cm'den düzeltilmiş ve düzeltilmemiş yakın görme keskinliği ve hasta memnuniyeti karşılaştırıldı. Bulgular: Gruplara 15 olgunun 30 gözü alındı. CDVA, UDVA, düzeltilmiş yakın görme keskinliği ve düzeltilmemiş yakın görme keskinliği açısından gruplar arasında istatistiksel olarak anlamlı fark saptanmadı. Seksen cm'deki monoküler UIVA değerleri RayOne GİL grubunda 0,09±0,09 logMAR ve PanOptix GİL grubunda 0,19±0,11 logMAR idi (p=0,01). Altmış cm'deki UIVA değerleri PanOptix GİL grubunda daha iyiydi (sırasıyla p=0,049 ve p=0,01), 80 cm'deki DCIVA değerleri RayOne GİL grubunda daha iyiydi (sırasıyla p=0,01. p=0,047). RayOne GİL grubunda haleler ve yıldız patlamalarına daha fazla rastlandı (sırasıyla p=0,026. p=0,01). Sonuç: Her iki GİL de çok iyi görme keskinliği restorasyonu sağladı. Bununla birlikte, PanOptix IOL implante edilen olgularda haleler ve yıldız patlamaları daha az görüldü. RayOne GİL, ara mesafe görüşüne daha fazla ihtiyaç duyan olgular için daha iyi bir seçim olabileceğini düşünmekteyiz.

Anahtar Kelimeler: Hasta memnuniyeti; multifokal göz içi lensler; katarakt; parıltı; görme keskinliği
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