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International Ophthalmology

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17-07-2023 | Refractive Surgery | Original Paper

The tolerance of refractive errors of extended depth of focus intraocular lens in patients with previous corneal refractive surgery

Authors: Hansong Zheng, Qian Tan, Suowang Zhou, Wenjing Luo, Julio Ortega-Usobiaga, Li Wang, Yong Wang

Published in: International Ophthalmology | Issue 11/2023

Abstract

Purpose

To evaluate the tolerance for refractive errors and visual outcomes of extended depth of focus intraocular lens (EDOF IOLs) in patients with previous corneal refractive surgery for myopia.

Methods

Patients from Aier Eye Hospital of Wuhan University with previous myopia excimer laser correction underwent cataract surgery and implantation of an EDOF IOL. The follow-up period was three months. The uncorrected distance, intermediate, and near visual acuities (UDVA, UIVA, UNVA), corrected distance visual acuity (CDVA), spherical equivalent (SE), defocus curve, optical quality, including modulation transfer functions (MTF) and Strehl ratio (SR), National Eye Institute Visual Functioning Questionnaire-14 for Chinese people (VF-14-CN), spectacle independence, and dysphotopsia were assessed.

Results

At the final visit, UDVA, CDVA, UIVA, and UNVA (LogMAR) were 0.06 ± 0.09, 0.01 ± 0.06, 0.11 ± 0.08, 0.20 ± 0.10, respectively. The mean spherical equivalent (SE) was − 0.57 ± 0.58D, sphere and cylinder were − 0.24 ± 0.60D, − 0.70 ± 0.58D respectively. No statistical difference in UDVA between eyes with SE in ± 0.50 D and in ± 1.0 D (p > 0.05). Corneal astigmatism > 1.00D has no significant effect on postoperative visual acuity (p > 0.05). The defocus curve showed that visual acuity could reach 0.2 in the refractive range of + 0.50D ~ − 1.50D. SR and MTF values were all higher than before the surgery. In bilateral implantation patients, the VF-14-CN questionnaire score and visual quality were quite excellent.

Conclusion

The EDOF IOL have a certain tolerance for refractive errors and corneal astigmatism, and it’s recommended for patients with prior myopia excimer laser surgery to achieve satisfactory visual performance.

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Title: The tolerance of refractive errors of extended depth of focus intraocular lens in patients with previous corneal refractive surgery
Authors: Hansong Zheng
Qian Tan
Suowang Zhou
Wenjing Luo
Julio Ortega-Usobiaga
Li Wang
Yong Wang
Publication date: 17-07-2023
Publisher: Springer Netherlands
Keywords: Refractive Surgery
Refractive Errors
Cataract
Laser
Published in: International Ophthalmology / Issue 11/2023
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-023-02802-2

At a glance: The STEP trials

Springer Medicine

The tolerance of refractive errors of extended depth of focus intraocular lens in patients with previous corneal refractive surgery

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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