Comparisons of Clinical Results after Implantation of Three Aspheric Intraocular Lenses

Young Joon Choi; Kyung Eun Han; Ji Min Ahn; Se Hwan Jeong; Hyung Keun Lee; Kyoung Yul Seo; Eung Kweon Kim; Tae Im Kim

doi:10.3341/jkos.2013.54.2.251

Journal List > J Korean Ophthalmol Soc > v.54(2) > 1009586

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Choi, Han, Ahn, Jeong, Lee, Seo, Kim, and Kim: Comparisons of Clinical Results after Implantation of Three Aspheric Intraocular Lenses

Original Article

J Korean Ophthalmol Soc 2007;54(2):251-256.

Published online: 24 August 2007

DOI: https://doi.org/10.3341/jkos.2013.54.2.251

Comparisons of Clinical Results after Implantation of Three Aspheric Intraocular Lenses

Young Joon Choi, MD, Kyung Eun Han, MD, Ji Min Ahn, MD, Se Hwan Jeong, MD, Hyung Keun Lee, MD, Kyoung Yul Seo, MD, PhD, Eung Kweon Kim, MD, PhD, Tae Im Kim, MD, PhD

The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea

Address reprint requests to Tae Im Kim, MD, PhD, Department of Ophthalmology, Severance Hospital #50 Yonsei-ro, Seodaemun-gu, Seoul 120-749, Korea Tel: 82-2-2228-3570, Fax: 82-2-312-0541, E-mail: TIKIM@yuhs.ac

Received 17 October 20114 April 2012 Accepted 2 January 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To compare the clinical results after implantation of three one-piece aspheric lenses, Acrysof IQ SN60WF, Tecnis 1-piece ZCB00 and the newly developed IOL HOYA AF-1 NY-60.

Methods

In total 66 eyes, one of three one-piece aspheric lenses, Acrysof IQ SN60WF, TECNIS 1-piece ZCB00 or HOYA AF-1 NY-60 was implanted after cataract extraction. Best corrected visual acuity (BCVA) and uncorrected visual acuity (UCVA) were assessed at postoperative 3 months. Total spherical aberration, high order aberration and modulation transfer function of 5.0 mm pupil size zone were evaluated.

Results

There were no significant differences of UCVA, BCVA, the accuracy of postoperative refractive power and modulation transfer function among three groups. High order aberrations of the entire eye and internal optics showed almost no significant differences except some aberration values.

Conclusions

The newly developed intraocular lens, HOYA AF-1 NY-60 showed almost equal clinical results in comparison with Acrysof IQ SN60WF and TECNIS 1-piece ZCB00.

Keywords: Aspheric intraocular lens, Spherical aberration

References

1. Grabow HB. Topical anesthesia for cataract surgery. Eur J Implant Ref Surg. 1993; 5:20–4.

2. Gimbel HV, Neuhann T. Development, advantages, and methods of the continuous circular capsulorhexis technique. J Cataract Refract Surg. 1990; 16:31–7.

3. Dogru M, Honda R, Omoto M, et al. Early visual results with the rollable ThinOptX intraocular lens. J Cataract Refract Surg. 2004; 30:558–65.

4. Pandey SK, Werner L, Agarwal A, et al. Phakonit: cataract removal through a sub-1.0 mm incision and implantation of the ThinOptX rollable intraocular lens. J Cataract Refract Surg. 2002; 28:1710–3.

5. Werner L, Mamalis N. Wavefront corrections of intraocular lenses. Ophthalmol Clin North Am. 2004; 17:233–45.

6. Chalita MR, Krueger RR. Correlation of aberrations with visual acuity and symptoms. Ophthalmol Clin North Am. 2004; 17:135–42.

7. Guirao A, Redondo M, Geraghty E, et al. Corneal optical aberrations and retinal image quality in patients whom monofocal intraocular lenses were implanted. Arch Ophthalmol. 2002; 120:1143–51.

8. Guirao A, Redondo M, Artal P. Optical aberrations of the human cornea as a function of age. J Opt Soc Am A Opt Image Sci Vis. 2000; 17:1697–702.

9. McLellan JS, Marcos S, Burns SA. Age-related changes in monochromatic wave aberrations of the human eye. Invest Ophthalmol Vis Sci. 2001; 42:1390–5.

10. Oshika T, Klyce SD, Applegate RA, Howland HC. Changes in cor-neal wavefront aberrations with aging. Invest Ophthalmol Vis Sci. 1999; 40:1351–5.

11. Artal P, Berrio E, Guirao A, Piers P. Contribution of the cornea and internal surfaces to the change of ocular aberrations with age. J Opt Soc Am A Opt Image Sci Vis. 2002; 19:137–43.

12. Artal P, Guirao A, Berrio E, Williams DR. Compensation of cor-neal aberrations by the internal optics in the human eye. J Vis. 2001; 1:1–8.

13. Caporossi A, Martone G, Casprini F, Rapisarda L. Prospective randomized study of clinical performance of 3 aspheric and 2 spherical intraocular lenses in 250 eyes. J Refract Surg. 2007; 23:639–48.

14. Rocha KM, Soriano ES, Chalita MR, et al. Wavefront analysis and contrast sensitivity of aspheric and spherical intraocular lenses : a randomized prospective study. Am J Opthalmol. 2006; 142:750–6.

15. Tzelikis PF, Akaishi L, Trindade FC, Boteon JE. Spherical aberration and contrast sensitivity in eyes implanted with aspheric and spherical intraocular lenses: a comparative study. Am J Ophthalmol. 2008; 145:827–33.

16. Lim TH, Lee JR, Choi KY, Cho BJ. Anterior and posterior corneal spherical aberration measured with pentacam in the Korean. J Korean Ophthalmol Soc. 2010; 51:816–21.

17. Petermeier K, Frank C, Gekeler F, et al. Influence of the pupil size on visual quality and spherical aberration after implantation of the Tecnis 1-piece intraocular lens. Br J Ophthalmol. 2011; 95:42–5.

Figure 1.

Modulation transfer function (M TF) of three groups at 5-mm pupil zone. (A) Modulation transfer function (M TF) of Total eye. (B) M odulation transfer function (M TF) of Internal optics. *p-value = No statistical difference between three intraocular lens groups.

Table 1.

Demographics, visual acuity and spherical equivalent at postoperative 3 months

	HOYA NY-60	TECNIS ZCB00	Acrysof SN60WF	p-value
Number of eyes	26	20	20
Right eyes / left eyes	12/14	10/10	11/9
Mean age (years)	70.1 ± 10.77	66.7 ± 7.77	65.6 ± 9.96	0.278
Sex (M/F)	8/18	6/14	7/13
Axial length (mm)	23.36 ± 1.85	23.25 ± 0.50	23.76 ± 1.36	0.485
UCVA (log MAR)	0.27 ± 0.12	0.22 ± 0.21	0.20 ± 0.27	0.069
BCVA (log MAR)	0.03 ± 0.04	0.05 ± 0.12	0.07 ± 0.15	0.172
Spherical equivalent (D)	-0.53 ± 0.35	-0.33 ± 0.39	-0.14 ± 0.37	0.009*
Difference between goal diopter and spherical equivalent^†	-0.23 ± 0.21	-0.13 ± 0.18	-0.14 ± 0.16	0.857

Values are presented as mean ± SD.

UCVA = uncorrected visual acuity; BCVA = best corrected visual acuity.

^∗p-value < 0.05; ^†Calculated as (Spherical equivalent at postoperative 3 months – goal diopter).

Table 2.

Total ocular aberrations (μm) of three groups measured by iTrace® (M ean ± Standard deviation)

IOL groups	RMS total	HOA	Trefoil 6 (Z₃^-3)	Coma7 (Z₃^-1)	Coma8 (Z₃¹)	Trefoil9 (Z₃³)	SA (Z₄⁰)
Hoya NY-60	1.54 ± 1.4	1.04 ± 1.2	0.00 ± 0.6	-0.11 ± 0.6	0.01 ± 0.2	0.19 ± 0.4	-0.04 ± 0.2
TECNIS ZCB00	1.43 ± 0.9	0.94 ± 0.7	-0.25 ± 0.3	0.21 ± 0.5	-0.02 ± 0.2	0.13 ± 0.3	-0.19 ± 0.3
Acrysof SN60WF	1.54 ± 1.4	0.99 ± 1.0	0.22 ± 0.6	0.00 ± 0.7	0.06 ± 0.3	-0.08 ± 0.4	-0.06 ± 0.3
p-value	0.824	0.961	0.073	0.276	0.912	0.075	0.116

Values are presented as mean ± SD.

RMS = root mean square; HOA = high order aberration; SA = spherical aberration.

Table 3.

Corneal aberrations (μm) of three groups measured by iTrace® (M ean ± Standard deviation)

IOL groups	RMS total	HOA	Trefoil 6 (Z₃^-3)	Coma7 (Z₃^-1)	Coma8 (Z₃¹)	Trefoil9 (Z₃³)	SA (Z₄⁰)
Hoya NY-60	0.61 ± 0.2	0.42 ± 0.2	-0.06 ± 0.2	-0.07 ± 0.2	0.07 ± 0.1	0.01 ± 0.2	0.17 ± 0.1
TECNIS ZCB00	0.59 ± 0.2	0.29 ± 0.1	-0.05 ± 0.1	0.02 ± 0.1	-0.04 ± 0.1	0.09 ± 0.1	0.15 ± 0.1
Acrysof SN60WF	0.75 ± 0.4	0.42 ± 0.2	-0.08 ± 0.2	-0.02 ± 0.2	-0.02 ± 0.1	0.12 ± 0.2	0.14 ± 0.1
p-value	0.440	0.027	0.981	0.289	0.016	0.092	0.647

Values are presented as mean ± SD.

RMS = root mean square; HOA = high order aberration; SA = spherical aberration.

Table 4.

Internal aberrations (μm) of three groups measured by iTrace® (M ean ± Standard deviation)

IOL groups	RMS total	HOA	Trefoil6 (Z₃^-3)	Coma7 (Z₃^-1)	Coma8 (Z₃¹)	Trefoil9 (Z₃³)	SA (Z₄⁰)
Hoya NY-60	1.41 ± 1.4	1.04 ± 1.2	0.06 ± 0.6	-0.04 ± 0.6	-0.10 ± 0.3	0.18 ± 0.4	-0.21 ± 0.2
TECNIS ZCB00	1.32 ± 0.8	0.94 ± 0.7	-0.20 ± 0.3	0.19 ± 0.4	0.02 ± 0.2	0.03 ± 0.3	-0.33 ± 0.3
Acrysof SN60WF	1.56 ± 1.5	1.17 ± 1.1	0.30 ± 0.7	0.09 ± 0.9	0.09 ± 0.4	-0.25 ± 0.5	-0.20 ± 0.3
p-value	0.865	0.815	0.071	0.560	0.130	0.003	0.376

Values are presented as mean ± SD.

RMS = root mean square; HOA = high order aberration; SA = spherical aberration.

TOOLS

Similar articles