PDF(Pubmed)
Abstract：
OBJECTIVE: To compare the performance of Tecnis Eyhance ICB00 with Tecnis PCB00 IOL for far, intermediate, and near vision, in patients after bilateral cataract surgery.
METHODS: This study was done at Geneva University Hospitals.
METHODS: This is a retrospective study of 224 eyes that underwent cataract between May 2019 and June 2020.
METHODS: Visual acuity was assessed from month 1 to 12 after surgery for distance, intermediate and near visual acuity, by the same optometrist, which was blind regarding the type of IOL. The patients answered to a quality of life questionnaire. Patients were excluded for: monocular surgery, macular disease, other IOL type, or inability to reach 20/20 visual acuity in both eyes without correction.
RESULTS: One hundred and fifty-two eyes were excluded. Three groups were then analyzed: PCB00 group (38 eyes), ICB00 group (22 eyes), and mismatch group (12 eyes). Monocular visual acuities (CIVA, UNVA and CNVA, in logMAR) were higher in the ICB00 group than the PCB00 group (respectively 0.3 vs 0.4, p = 0.0033; 0.3 vs 0.4, p = 0.0408; 0.3 vs 0.4, p = 0.0039). Binocular visual acuities, CIVA and CNVA were higher in the ICB00 group than the PCB00 group (0.2 vs 0.4, p = 0.0061; 0.15 vs 0.3, p = 0.018). This mirrored the findings of the quality of life questionnaire. There was no significant difference between PCB00 and mismatch groups.
CONCLUSIONS: the Tecnis Eyhance was more effective for intermediate and near vision. The central defocus of the lens might help patients achieve spectacle independence and better quality of life.
METHODS: This study was done at Geneva University Hospitals.
METHODS: This is a retrospective study of 224 eyes that underwent cataract between May 2019 and June 2020.
METHODS: Visual acuity was assessed from month 1 to 12 after surgery for distance, intermediate and near visual acuity, by the same optometrist, which was blind regarding the type of IOL. The patients answered to a quality of life questionnaire. Patients were excluded for: monocular surgery, macular disease, other IOL type, or inability to reach 20/20 visual acuity in both eyes without correction.
RESULTS: One hundred and fifty-two eyes were excluded. Three groups were then analyzed: PCB00 group (38 eyes), ICB00 group (22 eyes), and mismatch group (12 eyes). Monocular visual acuities (CIVA, UNVA and CNVA, in logMAR) were higher in the ICB00 group than the PCB00 group (respectively 0.3 vs 0.4, p = 0.0033; 0.3 vs 0.4, p = 0.0408; 0.3 vs 0.4, p = 0.0039). Binocular visual acuities, CIVA and CNVA were higher in the ICB00 group than the PCB00 group (0.2 vs 0.4, p = 0.0061; 0.15 vs 0.3, p = 0.018). This mirrored the findings of the quality of life questionnaire. There was no significant difference between PCB00 and mismatch groups.
CONCLUSIONS: the Tecnis Eyhance was more effective for intermediate and near vision. The central defocus of the lens might help patients achieve spectacle independence and better quality of life.
摘要：
目的：比较TecnisEyhanceICB00与TecnisPCB00IOL的性能，中间,和近视力，双侧白内障手术后的患者。
方法：本研究在日内瓦大学医院进行。
方法：这是一项对2019年5月至2020年6月期间发生白内障的224只眼的回顾性研究。
方法：在手术后1至12个月评估视敏度的距离，中等和接近视力，同一个验光师，这是盲目的关于IOL的类型。患者回答了生活质量问卷。患者被排除在：单眼手术，黄斑疾病,其他类型的IOL,或无法达到20/20视力在两只眼睛没有矫正。
结果：排除了一百五十二只眼。然后分析三组：PCB00组（38只眼），ICB00组(22只眼),和错配组（12只眼）。单眼视力（CIVA，UNVA和CNVA，logMAR）在ICB00组高于PCB00组（分别为0.3vs0.4，p=0.0033；0.3vs0.4，p=0.0408；0.3vs0.4，p=0.0039）。双眼视力,ICB00组的CIVA和CNVA高于PCB00组(0.2vs0.4,p=0.0061;0.15vs0.3,p=0.018)。这反映了生活质量问卷的发现。PCB00与错配组之间无显著差别。
结论：TecnisEyhance对中视和近视力更有效。晶状体的中央散焦可能有助于患者实现眼镜独立性和更好的生活质量。
方法：本研究在日内瓦大学医院进行。
方法：这是一项对2019年5月至2020年6月期间发生白内障的224只眼的回顾性研究。
方法：在手术后1至12个月评估视敏度的距离，中等和接近视力，同一个验光师，这是盲目的关于IOL的类型。患者回答了生活质量问卷。患者被排除在：单眼手术，黄斑疾病,其他类型的IOL,或无法达到20/20视力在两只眼睛没有矫正。
结果：排除了一百五十二只眼。然后分析三组：PCB00组（38只眼），ICB00组(22只眼),和错配组（12只眼）。单眼视力（CIVA，UNVA和CNVA，logMAR）在ICB00组高于PCB00组（分别为0.3vs0.4，p=0.0033；0.3vs0.4，p=0.0408；0.3vs0.4，p=0.0039）。双眼视力,ICB00组的CIVA和CNVA高于PCB00组(0.2vs0.4,p=0.0061;0.15vs0.3,p=0.018)。这反映了生活质量问卷的发现。PCB00与错配组之间无显著差别。
结论：TecnisEyhance对中视和近视力更有效。晶状体的中央散焦可能有助于患者实现眼镜独立性和更好的生活质量。
