Influence of ocular biometric factors on the defocus curve in an enlarged depth-of-focus intraocular lens

Giménez Calvo, G. (Universidad de Zaragoza) ; Bartol Puyal, F. A. (Universidad de Zaragoza) ; Altemir, I. (Universidad de Zaragoza) ; Méndez Martínez, S. (Universidad de Zaragoza) ; Almenara, C. (Universidad de Zaragoza) ; Soriano-Pina, D. ; Murueta-Goyena, A. ; Larrosa, J. M. (Universidad de Zaragoza)

Resumen: Background: To assess the influence of biometric measurements on the defocus curve after the implantation of enlarged depth-of-focus (EDoF) intraocular lens (IOL). Methods: Patients who underwent cataract surgery with bilateral implantation of Tecnis Symfony IOL were enrolled. Preoperatively, axial length (AL), corneal keratometry (K), pupil size and corneal aberrations were measured. 1 month after surgery, distance, intermediate, and near visual acuities (VA) were recorded. At 3 months, monocular and binocular corrected contrast sensitivities under photopic and mesopic lighting conditions were measured with CSV-1000E test. At 6-months, the defocus curve between −5.00 to + 3.00 diopters (D) was assessed in steps of 0.50 D, and NEI-RQL-42 questionnaire was administered. Results: One hundred thirty one eyes of 66 patients were included. Binocular logMAR VA better than 0.1 for intermediate vision was obtained in 90% of patients, whereas only 17.7% obtained that result in near vision. The rate of satisfaction was high (96%) and most of them (85.5%) had no or little difficulties in near vision. The mean amplitude of the defocus curve was 2.35D ± 0.73D, and smaller AL, smaller pupils, younger age, and male sex were associated with wider range of clear vision. Conclusions: Tecnis Symfony IOL enables functional vision at all distances, but demographic variables and preoperative biometric measurements like AL and pupil size influence the postoperative amplitude of the defocus curve. These parameters could be used to predict the performance of EDoF IOLs.

Idioma: Inglés

DOI: 10.1007/s10792-022-02496-y

Año: 2023

Publicado en: International Ophthalmology 43, 3 (2023), 945–955
ISSN: 0165-5701

Factor impacto JCR: 1.4 (2023)

Categ. JCR: OPHTHALMOLOGY rank: 62 / 95 = 0.653 (2023) - Q3 - T2

Factor impacto CITESCORE: 3.2 - Ophthalmology (Q2)

Factor impacto SCIMAGO: 0.709 - Ophthalmology (Q2)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Oftalmología (Dpto. Cirugía)
Área (Departamento): Área Óptica (Dpto. Física Aplicada)