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BMC Ophthalmology

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Open Access 01-12-2019 | Cataract | Research article

Objective optical quality in eyes with customized selection of aspheric intraocular lens implantation

Authors: Qing-Qing Tan, Jia Lin, Jing Tian, Xuan Liao, Chang-Jun Lan

Published in: BMC Ophthalmology | Issue 1/2019

Abstract

Background

To compare the postoperative optical quality in eyes with customized selection and random selection of aspheric intraocular lens (IOL) implantation.

Methods

A prospective, nonrandomized study was implemented in adult cataract patients who underwent unilateral phacoemulsification with aspheric IOL implantation. Patients were allocated into two treatment groups: a customized group and a control group. In the customized group, the aspheric IOL selection was based on the corneal spherical aberration to enable the postoperative target ocular spherical aberration closest to zero; in the control group, the aspheric IOLs were chosen using a random strategy. Primary outcome measurements included the following objective optical quality assessments: higher-order aberrations obtained by a Hartmann-shack aberrometer at 4 mm and 6 mm pupil diameters; objective scatter index (OSI), modulation transfer function (MTF) cut-off, Strehl ratio (SR) and a simulated contrast visual acuity—optical quality analysis system value (OV) obtained by a double-pass system with a 4-mm aperture. Subjective visual acuity was measured as secondary outcome. All the patients were followed up for 3 months.

Results

Eighty-four patients in the customized group and 78 patients in the control group were evaluated. There was no significant difference in postoperative visual acuity between the two groups (P > 0.05). Significantly less ocular higher-order aberrations were shown in the customized group (P < 0.05). No significant difference was shown in OSI, MTF cut-off, SR and OV between the two groups (P > 0.05).

Conclusions

Although customized selection of aspheric IOL implantation showed less postoperative ocular aberrations, it performed similarly to random selection of aspheric IOL implantation in terms of postoperative visual acuity, simulated contrast visual acuity, intraocular scatter, modulation transfer function and Strehl ratio.

Trial registration

Retrospectively registered on 07/06/2019. Registration number: ChiCTR1900024356.

Schuster AK, Tesarz J, Vossmerbaeumer U. Ocular wavefront analysis of aspheric compared with spherical monofocal intraocular lenses in cataract surgery: systematic review with metaanalysis. J Cataract Refract Surg. 2015;41(5):1088–97.CrossRef

Beiko GH, Haigis W, Steinmueller A. Distribution of corneal spherical aberration in a comprehensive ophthalmology practice and whether keratometry can predict aberration values. J Cataract Refract Surg. 2007;33(5):848–58.CrossRef

Chang DH, Rocha KM. Intraocular lens optics and aberrations. Curr Opin Ophthalmol. 2016;27(4):298–303.CrossRef

Diaz-Douton F, Benito A, Pujol J, Arjona M, Guell JL, Artal P. Comparison of the retinal image quality with a Hartmann-shack wavefront sensor and a double-pass instrument. Invest Ophthalmol Vis Sci. 2006;47(4):1710–6.CrossRef

Martinez-Roda JA, Vilaseca M, Ondategui JC, Giner A, Burgos FJ, Cardona G, et al. Optical quality and intraocular scattering in a healthy young population. Clin Exp Optom. 2011;94(2):223–9.CrossRef

Pan AP, Wang QM, Huang F, Huang JH, Bao FJ, Yu AY. Correlation among lens opacities classification system III grading, visual function index-14, pentacam nucleus staging, and objective scatter index for cataract assessment. Am J Ophthalmol. 2015;159(2):241–7.e2.CrossRef

Chen T, Yu F, Lin H, Zhao Y, Chang P, Lin L, et al. Objective and subjective visual quality after implantation of all optic zone diffractive multifocal intraocular lenses: a prospective, case-control observational study. Br J Ophthalmol. 2016;100(11):1530–5.CrossRef

Park CW, Kim H, Joo CK. Assessment of optical quality at different contrast levels in Pseudophakic eyes. J Ophthalmol. 2016;2016:4247973.CrossRef

Saad A, Saab M, Gatinel D. Repeatability of measurements with a double-pass system. J Cataract Refract Surg. 2010;36(1):28–33.CrossRef

10.

Xu CC, Xue T, Wang QM, Zhou YN, Huang JH, Yu AY. Repeatability and reproducibility of a double-pass optical quality analysis device. PLoS One. 2015;10(2):e0117587.CrossRef

11.

Solomon JD. Outcomes of corneal spherical aberration-guided cataract surgery measured by the OPD-scan. J Refract Surg (Thorofare, NJ : 1995). 2010;26(11):863–9.CrossRef

12.

Packer M, Fine IH, Hoffman RS. Aspheric intraocular lens selection based on corneal wavefront. J Refract Surg (Thorofare, NJ : 1995). 2009;25(1):12–20.

13.

Al-Sayyari TM, Fawzy SM, Al-Saleh AA. Corneal spherical aberration and its impact on choosing an intraocular lens for cataract surgery. Saudi J Ophthalmol. 2014;28(4):274–80.CrossRef

14.

Cai FF, Zheng GY, Wang HJ, Li L, Liu Y. Clinical observation of visual quality after the individual implantation of intraocular lens guided by corneal Q value. Zhonghua Yan Ke Za Zhi. 2017;53(11):814–20.PubMed

15.

Vilaseca M, Arjona M, Pujol J, Issolio L, Guell JL. Optical quality of foldable monofocal intraocular lenses before and after injection: comparative evaluation using a double-pass system. J Cataract Refract Surg. 2009;35(8):1415–23.CrossRef

16.

Liao X, Lin J, Tian J, Wen B, Tan Q, Lan C. Evaluation of optical quality: ocular scattering and aberrations in eyes implanted with diffractive multifocal or Monofocal intraocular lenses. Curr Eye Res. 2018;43(6):696–701.CrossRef

17.

Kamiya K, Shimizu K, Igarashi A, Kobashi H, Ishii R, Sato N. Clinical evaluation of optical quality and intraocular scattering after posterior chamber phakic intraocular lens implantation. Invest Ophthalmol Vis Sci. 2012;53(6):3161–6.CrossRef

18.

Xiao XW, Hao J, Zhang H, Tian F. Optical quality of toric intraocular lens implantation in cataract surgery. Int J Ophthalmol. 2015;8(1):66–71.PubMedPubMedCentral

19.

Holladay JT, Piers PA, Koranyi G, van der Mooren M, Norrby NE. A new intraocular lens design to reduce spherical aberration of pseudophakic eyes. J Refract Surg (Thorofare, NJ : 1995). 2002;18(6):683–91.

20.

Piers PA, Manzanera S, Prieto PM, Gorceix N, Artal P. Use of adaptive optics to determine the optimal ocular spherical aberration. J Cataract Refract Surg. 2007;33(10):1721–6.CrossRef

21.

Wang L, Koch DD. Custom optimization of intraocular lens asphericity. J Cataract Refract Surg. 2007;33(10):1713–20.CrossRef

22.

Jia LX, Li ZH. Clinical study of customized aspherical intraocular lens implants. Int J Ophthalmol. 2014;7(5):816–21.PubMedPubMedCentral

23.

Nochez Y, Favard A, Majzoub S, Pisella PJ. Measurement of corneal aberrations for customisation of intraocular lens asphericity: impact on quality of vision after micro-incision cataract surgery. Br J Ophthalmol. 2010;94(4):440–4.CrossRef

24.

Assaf A, Kotb A. Ocular aberrations and visual performance with an aspheric single-piece intraocular lens: contralateral comparative study. J Cataract Refract Surg. 2010;36(9):1536–42.CrossRef

25.

Page TP, Whitman J. A stepwise approach for the management of capsular contraction syndrome in hinge-based accommodative intraocular lenses. Clin Ophthalmol (Auckland, NZ). 2016;10:1039–46.CrossRef

26.

Lee H, Lee K, Ahn JM, Kim EK, Sgrignoli B, Kim TI. Double-pass system assessing the optical quality of pseudophakic eyes. Optom Vis Sci. 2014;91(4):437–43.CrossRef

27.

Perez GM, Manzanera S, Artal P. Impact of scattering and spherical aberration in contrast sensitivity. J Vis. 2009;9(3):19.1–0.CrossRef

28.

Chantra S, Pachimkul P, Naripthaphan P. Wavefront and ocular spherical aberration after implantation of different types of aspheric intraocular lenses based on corneal spherical aberration. J Med Assoc Thai. 2011;94(Suppl 2):S71–5.PubMed

29.

Denoyer A, Denoyer L, Halfon J, Majzoub S, Pisella PJ. Comparative study of aspheric intraocular lenses with negative spherical aberration or no aberration. J Cataract Refract Surg. 2009;35(3):496–503.CrossRef

30.

Nochez Y, Majzoub S, Pisella PJ. Effect of residual ocular spherical aberration on objective and subjective quality of vision in pseudophakic eyes. J Cataract Refract Surg. 2011;37(6):1076–81.CrossRef

31.

Beiko GH. Personalized correction of spherical aberration in cataract surgery. J Cataract Refract Surg. 2007;33(8):1455–60.CrossRef

32.

Einighammer J, Oltrup T, Feudner E, Bende T, Jean B. Customized aspheric intraocular lenses calculated with real ray tracing. J Cataract Refract Surg. 2009;35(11):1984–94.CrossRef

Title: Objective optical quality in eyes with customized selection of aspheric intraocular lens implantation
Authors: Qing-Qing Tan
Jia Lin
Jing Tian
Xuan Liao
Chang-Jun Lan
Publication date: 01-12-2019
Publisher: BioMed Central
Keyword: Cataract
Published in: BMC Ophthalmology / Issue 1/2019
Electronic ISSN: 1471-2415
DOI: https://doi.org/10.1186/s12886-019-1162-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Objective optical quality in eyes with customized selection of aspheric intraocular lens implantation

Abstract

Background

Methods

Results

Conclusions

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Trial registration

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