Influence of different intraocular lenses on postoperative benefit of cataract patients with astigmatism

doi:10.3969/j.issn.2095-4344.2015.47.022

Abstract

Abstract:

BACKGROUND: Monofocal and multifocal Toric intraocular lens that have been widely used in clinic exhibit xcellent biological and optical characteristics and have good safety and stability after implantation.

OBJECTIVE: To compare the outcomes and rotation stability in patients with cataract and astigmatism after implantation of monofocal and multifocal intraocular lens.

METHODS: A total of 210 patients with cataract and astigmatism who received phacoemulsification and intraocular lens implantation were included in this study. Of them, 105 patients were assigned to monofocal intraocular lens implantation and the other 105 patients to multifocal intraocular lens implantation. Uncorrected visual acuity, best corrected visual acuity, residual astigmatism were reexamined at 1, 3 weeks and 1 month after surgery. The rotation of Toric intraocular lens was determined. The incidence of complications and spectacles- independent rate were recorded.

RESULTS AND CONCLUSION: Visual acuity and residual astigmatism in each group were significantly improved after 1 week of intraocular lens implantation (P < 0.05); furthermore, these two indicators became better over time. Improvement of visual acuity and residual astigmatism in multifocal intraocular lens group was more obvious than that in monofocal intraocular lens group. Postoperative intraocular lens rotation at < 5° occurred in both groups. The intraocular lens rotation degree in multifocal intraocular lens group was higher than that in monofocal intraocular lens group at different time points (P < 0.05). There were no significant differences in incidence of complications and spectacles-independent rates between two groups at 1 month after surgery. These results demonstrate that multifocal Toric intraocular lens provides better visual acuity and residual astigmatism improvement, while monofocal Toric intraocular lens provides better rotation stability.
中国组织工程研究杂志出版内容重点：生物材料；骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性；组织工程

Key words: Crystalline, Artificial, Cataract, Phacoemulsification, Tissue Engineering

Ju Chao-juan, Chu Miao, Zhang Qian, Lin Wei. Influence of different intraocular lenses on postoperative benefit of cataract patients with astigmatism[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(47): 7665-7670.

Figures/Tables 5

References

[1] Pascolini D,Mariotti SP.Global estimates of visual impairment: 2010.Br J Ophthalmol.2012;96(5):614-618.

[2] 郑宏,于普林,洪依舒,段春波,杨泽,高芳坤.我国城乡老年人白内障的患病情况调查[J].中华流行病学杂志,2001,22(6):6446- 6448.

[3] Hoffer KJ.Biometry of 7,500 cataractous eyes.Am J Ophthalmol.1980;90:360-368.

[4] Hoffmann PC,Hütz WW.Analysis of biometry and prevalence data for corneal astigmatism in 23,239 eyes.J Cataract Refract Surg.2010;36:1479-1485.

[5] Ferrer-Blasco T,Montés-Micó R,Peixoto-de-Matos SC,et al.Prevalence of corneal astigmatism before cataract surgery. J Cataract Refract Surg.2009;35:70-75.

[6] 赵江月,张劲松.散光人工晶状体在白内障摘除手术中的应用[J].国际眼科纵览,2008,31(4):258-260.

[7] 袁建树,马蓉,王育文.AcrysofToric人工晶状体矫正角膜散光的临床研究[J].现代实用医学,2012,23(12):1330-1336.

[8] 胡铮,赵家良,董方田,等.北京市顺义县白内障流行病学调查[J].中华眼科杂志,1989,25(6):360-364.

[9] Visser N, Beckers HJ, Bauer NJ,et al.Toric vs aspherical control intraocular lenses in patients with cataract and corneal astigmatism: a randomized clinical trial.JAMA Ophthalmol. 2014;132(12):1462-1468.

[10] Miyake T,Kamiya K,Amano R,et al.Long-term clinical outcomes of toric intraocular lens implantation in cataract cases with preexisting astigmatism.J Cataract Refract Surg. 2014;40(10):1654-1660.

[11] Shimoda T,Shimoda G,Hida WT,et al.Visual outcomes after implantation of a novel refractive toric multifocal intraocular lens.Arq Bras Oftalmol.2014;77(2):71-75.

[12] Holland E,Lane S,Horn JD,et al.The AcrySoftoric intraocular lens in subjects with cataracts and corneal astigmatism; a randomized, subject-masked, parallelgroup, 1-year study. Ophthalmology.2010;117:2104-2111.

[13] Freitas GO,Boteon JE,Carvalho MJ,et al.Treatment of astigmatism during phacoemulsification.Arq Bras Oftalmol. 2014;77(1):40-46.

[14] Maedel S,Hirnschall N,Chen YA,et al.Rotational performance and corneal astigmatism correction during cataract surgery: aspheric toric intraocular lens versus aspheric nontoric intraocular lens with opposite clear corneal incision.J Cataract Refract Surg. 2014;40(8):1355-1362.

[15] Bellucci R,Bauer NJ,Daya SM,et al.Visual acuity and refraction with a diffractive multifocal toric intraocular lens.J Cataract Refract Surg.2013;39(10):1507-1518.

[16] Visser N,Ru?z-Mesa R,Pastor F,et al.Cataract surgery with toric intraocular lens implantation in patients with high corneal astigmatism.J Cataract Refract Surg.2011;37:1403-1410.

[17] Gayton JL,Seabolt RA.Clinical outcomes of complex and uncomplicated cataractous eyes after lens replacement with the AcrySoftoricIOL.J Refract Surg.2011; 27:56-62.

[18] Hasegawa Y,Okamoto F,Nakano S,et alT.Effect of preoperative corneal astigmatism orientation on results with a toric intraocular lens.J Cataract Refract Surg.2013;39(12): 1846-1851.

[19] Venkataraman A; Kalpana.Visual outcome and rotational stability of open loop toric intraocular lens implantation in Indian eyes.Indian J Ophthalmol.2013;61(11):626-629.

[20] Iovieno A,Yeung SN,Lichtinger A,et al.Cataract surgery with toric intraocular lens for correction of high corneal astigmatism.Can J Ophthalmol.2013;48(4):246-250.

[21] Lee JY,Kang KM,Shin JP,et al.Two-year results of AcrySof toric intraocular lens implantation in patients with combined microincision vitrectomy surgery and phacoemulsification.Br J Ophthalmol.2013;97(4):444-449.

[22] Alió JL,Peña-García P,Abdulla Guliyeva F,et al.MICS with toric intraocular lenses in keratoconus: outcomes and predictability analysis of postoperative refraction.Br J Ophthalmol.2014;98(3):365-370.

[23] Einan-Lifshitz A,Barkana Y,Goldich Y,et al.Results of cataract surgery with Z-flex hydrophilic acrylic toric IOL.Eur J Ophthalmol. 2013;23(3):333-338.

[24] Lyall DA,Srinivasan S,Ng J,et al.Changes in corneal astigmatism among patients with visually significant cataract.Can J Ophthalmol.2014;49(3):297-303.

[25] Roensch MA,Charton JW,Blomquist PH,et al.Resident experience with toric and multifocal intraocular lenses in a public county hospital system.J CataractRefract Surg.2012; 38:793-798.

[26] Scialdone A,De Gaetano F,Monaco G.Visual performance of 2 aspheric toric intraocular lenses: comparative study.J Cataract Refract Surg.2013;39(6):906-914.

[27] Ferreira TB, Marques EF, Rodrigues A, Montés-Micó R.Visual and optical outcomes of a diffractive multifocal toric intraocular lens.J Cataract Refract Surg.2013;39(7):1029-1035.

[28] 郑登易,叶剑,谭薇.多焦点、可调节和单焦点人工晶状体临床视觉质量的观察[J].第三军医大学学报,2012,34(4):354-357.

[29] 叶盼盼,姚克,李霞,等.双眼植入Tecnis多焦点和单焦点球面人工晶状体的临床比较研究[J].中华眼科杂志,2010,46(7):625-630.

[30] Felipe A,Artigas JM,Díez-Ajenjo A,García-Domene C,et al.Residual astigmatism produced by toric intraocular lens rotation.J Cataract Refract Surg.2011;37(10):1895-1901.

[31] Prinz A,Neumayer T,Buehl W,et al.Rotational stability and posterior capsule opacification of a plate-haptic and anopen-l oop-haptic intraocular lens.J Cataract Refract Surg.2011; 37: 251-257.

[32] Lombardo M,Carbone G,Lombardo G,et al.Analysis of intraocular lens surface adhesiveness by atomic force microscopy.J Cataract Refract Surg.2009;35:1266-1272.

[33] Oshika T,Nagata T,Ishii Y.Adhesion of lens capsule to intraocular lenses of polymethylmethacrylate, silicone, and acrylic foldable materials: an experimental study.Br J Ophthalmol.1998;82:549-553.

[34] Linnola RJ,Sund M,Ylönen R,et al.Adhesion of soluble fibronectin, vitronectin, and collagen type IV to intraocular lens materials.J Cataract Refract Surg.2003;29(1):146-152.

[35] Linnola RJ,Werner L,Pandey SK,et al.Adhesion of fibronectin, vitronectin, laminin,and collagen type IV to intraocular lens materials in pseudophakichuman autopsy eyes. Part 1: histological sections.J Cataract Refract Surg.2000;26:1792-1806.

[36] Krall EM,Arlt EM,Jell G,et al.Prospective Randomized Intraindividual Comparison of Posterior Capsule Opacification After Implantation of an IOL With and Without Heparin Surface Modification.J Refract Surg.2015;31(7):466-472.

[37] Krall EM,Arlt EM,Jell G,et al.Intraindividual aqueous flare comparison after implantation of hydrophobic intraocular lenses with or without a heparin-coated surface.J Cataract Refract Surg.2014;40(8):1363-1370.

[38] Shah GD,Praveen MR,Vasavada AR,Vasavada VA,et al. Rotational stability of a toric intraocular lens: influence of axial length and alignment in the capsular bag. J Cataract Refract Surg.2012;38:54-59.

[39] Prinz A,Neumayer T,Buehl W,et al.Rotational stability and posterior capsule opacification of a plate-haptic and an open-loop-haptic intraocular lens. J Cataract Refract Surg. 2011; 37:251-257.