000078154 001__ 78154
000078154 005__ 20250122145317.0
000078154 0247_ $$2doi$$a10.1177/1120672119827858
000078154 0248_ $$2sideral$$a110663
000078154 037__ $$aART-2020-110663
000078154 041__ $$aeng
000078154 100__ $$0(orcid)0000-0002-0261-1089$$aAltemir-Gomez, I.$$uUniversidad de Zaragoza
000078154 245__ $$aComparison of visual and optical quality of monofocal versus multifocal intraocular lenses
000078154 260__ $$c2020
000078154 5060_ $$aAccess copy available to the general public$$fUnrestricted
000078154 5203_ $$aObjective: To compare visual quality in patients implanted with Tecnis ® monofocal (ZCB00) and multifocal (ZMB00) intraocular lenses taking into account their optical quality measured in vitro with an eye model.
Methods: In total, 122 patients participated in this study: 44 implanted with monofocal and 78 with multifocal intraocular lenses. Measurements of visual acuity and contrast sensitivity were performed. The optical quality of the intraocular lenses was evaluated in three image planes (distance, intermediate and near) using an eye model on a test bench. The metric considered was the area under the curve of the modulation transfer function.
Results: Optical quality at the far focus of the monofocal intraocular lens (area under the curve of the modulation transfer function = 66.97) was considerably better than that with the multifocal lens (area under the curve of the modulation transfer function = 32.54). However, no significant differences were observed between groups at the distance-corrected visual acuity. Distance-corrected near vision was better in the multifocal (0.15 ± 0.20 logMAR) than that in the monofocal group (0.43 ± 0.21 logMAR, p < 0.001), which correlated with the better optical quality at near reached by the multifocal intraocular lens (area under the curve of the modulation transfer function = 29.11) in comparison with the monofocal intraocular lens (area under the curve of the modulation transfer function = 5.0). In intermediate vision, visual acuity was 0.28 ± 0.16 logMAR (multifocal) and 0.36 ± 0.14 logMAR (monofocal) with p = 0.014, also in good agreement with the values measured in the optical quality (area under the curve of the modulation transfer function = 10.69 (multifocal) and 8.86 (monofocal)). The contrast sensitivity was similar in almost all frequencies. Pelli–Robson was slightly better in the monofocal (1.73) than in the multifocal group (1.64; p = 0.023).
Conclusion: Patients implanted with multifocal ZMB00 achieved a distance visual acuity similar to those implanted with monofocal ZCB00, but showed significantly better intermediate and near visual acuity. A correlation was found between intraocular lenses’ optical quality and patients’ visual acuity. Contrast sensitivity was very similar between the multifocal and monofocal groups.
000078154 536__ $$9info:eu-repo/grantAgreement/ES/MINECO-FEDER/DPI2013-43220-R$$9info:eu-repo/grantAgreement/ES/MINECO-FEDER/DPI2016-76019-R
000078154 540__ $$9info:eu-repo/semantics/closedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000078154 590__ $$a2.597$$b2020
000078154 591__ $$aOPHTHALMOLOGY$$b33 / 62 = 0.532$$c2020$$dQ3$$eT2
000078154 592__ $$a0.79$$b2020
000078154 593__ $$aOphthalmology$$c2020$$dQ2
000078154 593__ $$aMedicine (miscellaneous)$$c2020$$dQ2
000078154 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000078154 700__ $$aMillan, M.S.
000078154 700__ $$aVega, F.
000078154 700__ $$0(orcid)0000-0002-4476-6003$$aBartol-Puyal, F.$$uUniversidad de Zaragoza
000078154 700__ $$aGimenez-Calvo, G.$$uUniversidad de Zaragoza
000078154 700__ $$0(orcid)0000-0002-6745-7668$$aLarrosa, J.M.$$uUniversidad de Zaragoza
000078154 700__ $$0(orcid)0000-0002-1402-3129$$aPolo, V.$$uUniversidad de Zaragoza
000078154 700__ $$0(orcid)0000-0003-2389-8282$$aPablo, L.E.$$uUniversidad de Zaragoza
000078154 700__ $$0(orcid)0000-0001-6258-2489$$aGarcia-Martin, E.$$uUniversidad de Zaragoza
000078154 7102_ $$11013$$2646$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Oftalmología
000078154 7102_ $$12002$$2647$$aUniversidad de Zaragoza$$bDpto. Física Aplicada$$cÁrea Óptica
000078154 773__ $$g30, 2 (2020), 299-306$$pEur. j. ophthalmol.$$tEuropean Journal of Ophthalmology$$x1120-6721
000078154 8564_ $$s374637$$uhttps://zaguan.unizar.es/record/78154/files/texto_completo.pdf$$yVersión publicada
000078154 8564_ $$s96495$$uhttps://zaguan.unizar.es/record/78154/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000078154 909CO $$ooai:zaguan.unizar.es:78154$$particulos$$pdriver
000078154 951__ $$a2025-01-22-14:52:01
000078154 980__ $$aARTICLE