Prospective study of bilateral mix-and-match implantation of diffractive multifocal intraocular lenses in Koreans

Chan Min Yang, Dong Hui Lim, Sungsoon Hwang, Joo Hyun, Tae-Young Chung, Chan Min Yang, Dong Hui Lim, Sungsoon Hwang, Joo Hyun, Tae-Young Chung

Abstract

Background: To evaluate monocular and binocular visual outcomes for near, intermediate, and far distance in patients implanted with diffractive multifocal intraocular lenses (IOLs) with different add power contralaterally.

Methods: This is a prospective contralateral study. Two diffractive multifocal IOLs with different added power were implanted bilaterally in twenty patients. TECNIS® ZKB00 (+ 2.75 D) was implanted in a dominant eye, and TECNIS® ZLB00 (+ 3.25 D) was implanted in a non-dominant eye. Uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), and manifest refraction (MR) values were measured at 1 month and 3 months postoperatively. At the 3-month follow-up, defocus curve, contrast sensitivity, and reading performance were evaluated. Quality of vision, overall satisfaction, and spectacle independence were evaluated by questionnaire.

Results: Postoperative binocular UDVA, visual acuity at 80 cm, 60 cm, 50 cm, 43 cm, 33 cm were - 0.08 ± 0.10, 0.12 ± 0.14, 0.09 ± 0.09, 0.07 ± 0.11, 0.14 ± 0.09, 0.25 ± 0.11 logMAR. The binocular defocus curve showed an extended range of good visual acuity with sharp vision being observed from 0 D to - 2.50 D defocus (logMAR≤0.1). Reading performance was significantly improved compared to baseline. All patients were spectacle-free at distance, and 94.74% of the patients did not require glasses for near and intermediate vision.

Conclusions: Mix-and-match implantation of diffractive multifocal IOLs with different add power provides an excellent wide range of vision, as well as high levels of visual quality and patient satisfaction.

Trial registration: ClinicalTrials.gov , NCT02556944, https://ichgcp.net/clinical-trials-registry/NCT02556944.

Conflict of interest statement

Ethics approval and consent to participate

This study was performed in accordance with the tenets of the Declaration of Helsinki. Approval to conduct this study was obtained from the Institutional Review Board of the Samsung Medical Center (Seoul, Republic of Korea). Informed written consent was obtained from all participants.

Consent for publication

Not applicable.

Competing interests

No conflicts of interest and have no proprietary interest in any of the materials mentioned in this article.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Postoperative cumulative binocular uncorrected near visual acuity (UNVA) in patients implanted with ZKB00 and ZLB00 multifocal intraocular lens at 33 cm, 43 cm, and 50 cm in logarithm of the minimal angle of resolution (logMAR)
Fig. 2
Fig. 2
Postoperative cumulative binocular uncorrected intermediate visual acuity (UIVA) in patients implanted with ZKB00 and ZLB00 multifocal intraocular lens at 60 cm and 80 cm in logarithm of the minimal angle of resolution (logMAR)
Fig. 3
Fig. 3
Postoperative cumulative binocular uncorrected distance visual acuity (UDVA) in patients implanted with ZKB00 and ZLB00 multifocal intraocular lens in logarithm of the minimal angle of resolution (logMAR)
Fig. 4
Fig. 4
Monocular and binocular defocus curve plotted in logarithm of the minimal angle of resolution (logMAR) in patients implanted with ZKB00 and ZLB00 multifocal intraocular lens at 3 months postoperatively. (*: p < 0.05, between dominant and non-dominant eye)
Fig. 5
Fig. 5
Mean binocular photopic (Top) and mesopic (Bottom) contrast sensitivity in patients implanted with ZKB00 and ZLB00 multifocal intraocular lens

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