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Klin Monbl Augenheilkd 2016; 233(05): 633-638
DOI: 10.1055/s-0042-104587
Klinische Studie
Georg Thieme Verlag KG Stuttgart · New York

Klinische Ergebnisse nach Implantation einer neuen diffraktiven multifokalen Intraokularlinse mit einer reduzierten Nahaddition (+ 2,75 dpt)

Clinical Results After Implantation of a New Diffractive, Multifokal Intraocular Lens with a Reduced Near Add Power (+ 2.75 D)
A. Boujan
1   Augenklinik, Universitätsklinikum Heidelberg
,
T. Tandogan
1   Augenklinik, Universitätsklinikum Heidelberg
2   Augenheilkunde, International Vision Correction Research Centre Network (IVCRC.net), Universität Heidelberg
,
G. Pinelli
1   Augenklinik, Universitätsklinikum Heidelberg
,
M. Gerl
2   Augenheilkunde, International Vision Correction Research Centre Network (IVCRC.net), Universität Heidelberg
3   Augenheilkunde, 2. Augenklinik Ahaus–Raesfeld–Rheine, Gerl Group
,
R. H. Gerl
2   Augenheilkunde, International Vision Correction Research Centre Network (IVCRC.net), Universität Heidelberg
3   Augenheilkunde, 2. Augenklinik Ahaus–Raesfeld–Rheine, Gerl Group
,
M. Mueller
2   Augenheilkunde, International Vision Correction Research Centre Network (IVCRC.net), Universität Heidelberg
3   Augenheilkunde, 2. Augenklinik Ahaus–Raesfeld–Rheine, Gerl Group
,
M. J. Koss
1   Augenklinik, Universitätsklinikum Heidelberg
2   Augenheilkunde, International Vision Correction Research Centre Network (IVCRC.net), Universität Heidelberg
,
G. U. Auffarth
1   Augenklinik, Universitätsklinikum Heidelberg
2   Augenheilkunde, International Vision Correction Research Centre Network (IVCRC.net), Universität Heidelberg
,
F. T. A. Kretz
2   Augenheilkunde, International Vision Correction Research Centre Network (IVCRC.net), Universität Heidelberg
3   Augenheilkunde, 2. Augenklinik Ahaus–Raesfeld–Rheine, Gerl Group
› Author Affiliations
Further Information

Publication History

eingereicht 31 December 2015

akzeptiert 22 February 2016

Publication Date:
17 May 2016 (online)

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Zusammenfassung

Hintergrund: Evaluierung der klinischen Ergebnisse 3 Monate nach Implantation einer neuen diffraktiven multifokalen Intraokularlinse (MIOL) mit einer reduzierten Nahaddition von + 2,75 dpt. Methoden: Im Rahmen einer prospektiven Studie wurden Patienten nach erfolgreicher Kataraktoperation oder refraktivem Linsenaustausch mit Implantation einer MIOL (Tecnis ZKB00, Abbott Medical Optics, Santa Ana, California, USA) eingeschlossen. Drei Monate postoperativ wurde die Sehschärfe in unterschiedlichen Testentfernungen bewertet. Bei den postoperativen Untersuchungen nach einer bilateralen IOL-Implantation wurde zusätzlich ein Fragebogen zur Evaluierung der subjektiven Zufriedenheit, der Sehqualität und der Tragegewohnheiten einer Brille vorgelegt und in die Auswertung mit einbezogen. Ergebnisse: Es wurde zwischen Oktober 2013 und August 2014 bei 115 Augen von 62 Patienten die ZKB00-IOL implantiert. Die postoperative Refraktion lag im sphärischen Äquivalent bei − 0,27 ± 0,44 dpt. Der korrigierte binokulare Fernvisus lag bei − 0,01 ± 0,3 logMAR. Der unkorrigierte binokulare Fernvisus wurde mit 0,06 ± 0,08 logMAR nach 3 Monaten ermittelt. Im Nahbereich konnte die unkorrigierte binokulare Sehschärfe mit 0,07 ± 0,10 logMAR nach 3 Monaten postoperativ bestimmt werden. Schlussfolgerung: Die ZKB00-IOL gehört einer neuen Generation von MIOL an, die einen deutlich verbesserten Intermediärvisus anbieten. Unsere Studie belegte für die Implantation dieser IOL eine ausgezeichnete Sehfunktion in allen Bereichen in Korrelation mit einer sehr hohen allgemeinen Patientenzufriedenheit und einer subjektiv hohen Abbildungsqualität.

Abstract

Purpose: Evaluation of the clinical data 3 months after implantation of a new diffractive multifocal intraocular lens (MIOL) with a reduced near add power of + 2.75 D. Methods: In a prospective study, patients who underwent cataract surgery or refractive lens exchange with implantation of an MIOL (Tecnis ZKB00, Abbott Medical Optics, Santa Ana, California, USA) were included. Three months postoperative corrected and uncorrected visual acuities at different distances were measured and evaluated. Those patients that underwent bilateral MIOL implantation additionally filled out a questionnaire 3 months postoperatively. Results: Between October 2013 and August 2014, 115 eyes of 62 patients were implanted with the ZKB00 IOL. Mean postoperative refractions were − 0.27 ± 0.44 D for the spherical equivalent, respectively. Mean binocular CDVA was − 0.01 ± 0.3 logMAR with a mean binocular UDVA of 0.06 ± 0.08 logMAR. For near distance in 40 cm, an UNVA of 0.07 ± 0.10 logMAR three months postoperatively was measured. Conclusion: The ZKB00 IOL belongs to a group of novel MIOL with an increased intermediate visual performance. Our study shows good visual acuity at all distances, as well as a high rate of satisfaction and subjectively good image quality.

Schlüsselwörter

Katarakt - refraktive Chirurgie - multifokale Intraokularlinse - Low Add MIOL

Key words

cataract - refractive surgery - multifocal intraocular lens - low add MIOL
 

  • Literatur

  • 1 Auffarth GU, Rabsilber TM, Kohnen T et al. [Design and optical principles of multifocal lenses]. Ophthalmologe 2008; 105: 522-526
    CrossrefPubMedGoogle Scholar
  • 2 Agresta B, Knorz MC, Kohnen T et al. Distance and near visual acuity improvement after implantation of multifocal intraocular lenses in cataract patients with presbyopia: a systematic review. J Refract Surg 2012; 28: 426-435
    CrossrefPubMedGoogle Scholar
  • 3 Lichtinger A, Rootman DS. Intraocular lenses for presbyopia correction: past, present, and future. Curr Opin Ophthalmol 2012; 23: 40-46
    CrossrefPubMedGoogle Scholar
  • 4 Thomas BC, Auffarth GU, Philips R et al. [Clinical results after implantation of a new segmental refractive multifocal intraocular lens]. Ophthalmologe 2013; 110: 1058-1062
    CrossrefPubMedGoogle Scholar
  • 5 Holzer MP, Rabsilber TM, Auffarth GU. [Presbyopia correction using intraocular lenses]. Ophthalmologe 2006; 103: 661-666
    CrossrefPubMedGoogle Scholar
  • 6 Rabsilber TM, Rudalevicius P, Jasinskas V et al. Influence of + 3.00 D and + 4.00 D near addition on functional outcomes of a refractive multifocal intraocular lens model. J Cataract Refract Surg 2013; 39: 350-357
    CrossrefPubMedGoogle Scholar
  • 7 Schmidinger G, Geitzenauer W, Hahsle B et al. Depth of focus in eyes with diffractive bifocal and refractive multifocal intraocular lenses. J Cataract Refract Surg 2006; 32: 1650-1656
    CrossrefPubMedGoogle Scholar
  • 8 Kohnen T, Klaproth OK. [The basics of refractive lens exchange]. Ophthalmologe 2008; 105: 991-992 994–998
    CrossrefPubMedGoogle Scholar
  • 9 Mester U, Junker B, Kaymak H. [Functional results with two multifocal intraocular lenses with different near addition]. Ophthalmologe 2011; 108: 137-142
    CrossrefPubMedGoogle Scholar
  • 10 Alfonso JF, Fernandez-Vega L, Puchades C et al. Intermediate visual function with different multifocal intraocular lens models. J Cataract Refract Surg 2010; 36: 733-739
    CrossrefPubMedGoogle Scholar
  • 11 Terwee T, Weeber H, van der Mooren M et al. Visualization of the retinal image in an eye model with spherical and aspheric, diffractive, and refractive multifocal intraocular lenses. J Refract Surg 2008; 24: 223-232
    PubMedGoogle Scholar
  • 12 Kretz FTA, Mackensen F, Auffarth GU. [Seclusio pupillae, cataracta complicata in chronic, recurrent panuveitis: combined surgery with synechiolyses, pupilloplastic, cataract surgery and intravitreal dexamethasone implants]. Klin Monatsbl Augenheilkd 2013; 230: 168-169
    Article in Thieme ConnectPubMedGoogle Scholar
  • 13 Pérez-Merino P, Dorronsoro C, Llorente L et al. In vivo chromatic aberration in eyes implanted with intraocular lenses. Invest Ophthalmol Vis Sci 2013; 54: 2654-2661
    CrossrefPubMedGoogle Scholar
  • 14 Kugelberg M, Wejde G, Jayaram H et al. Posterior capsule opacification after implantation of a hydrophilic or a hydrophobic acrylic intraocular lens: one-year follow-up. J Cataract Refract Surg 2006; 32: 1627-1631
    CrossrefPubMedGoogle Scholar
  • 15 Kretz FT, Gerl M, Gerl R et al. Clinical evaluation of a new pupil independent diffractive multifocal intraocular lens with a + 2.75 D near addition: a European multicentre study. Br J Ophthalmol 2015; 99: 1655-1659
    CrossrefPubMedGoogle Scholar
  • 16 Kretz FT, Koss MJ, Auffarth GU et al. Intermediate and near visual acuity of an aspheric, bifocal, diffractive multifocal intraocular lens with + 3.25 D near addition. J Refract Surg 2015; 31: 295-299
    CrossrefPubMedGoogle Scholar
  • 17 Bautista CP, González DC, Gomez AC. Evolution of visual performance in 70 eyes implanted with the Tecnis(®) ZMB00 multifocal intraocular lens. Clin Ophthalmol 2012; 6: 403-407
    PubMedGoogle Scholar
  • 18 Friedrich R. Intraocular lens multifocality combined with the compensation for corneal spherical aberration: a new concept of presbyopia-correcting intraocular lens. Case Rep Ophthalmol 2012; 3: 375-383
    CrossrefPubMedGoogle Scholar
  • 19 Schmickler S, Bautista CP, Goes F et al. Clinical evaluation of a multifocal aspheric diffractive intraocular lens. Br J Ophthalmol 2013; 97: 1560-1564
    CrossrefPubMedGoogle Scholar
  • 20 Lubiński W, Gronkowska-Serafin J, Podborączyńska-Jodko K. Clinical outcomes after cataract surgery with implantation of the Tecnis ZMB00 multifocal intraocular lens. Med Sci Monit 2014; 20: 1220-1226
    CrossrefPubMedGoogle Scholar
  • 21 Chang JS, Ng JC, Chan VK et al. Visual outcomes and patient satisfaction after refractive lens exchange with a single-piece diffractive multifocal intraocular lens. J Ophthalmol 2014; 2014: 458296
    PubMedGoogle Scholar
  • 22 Mojzis P, Peña-García P, Liehneova I et al. Outcomes of a new diffractive trifocal intraocular lens. J Cataract Refract Surg 2014; 40: 60-69
    CrossrefPubMedGoogle Scholar
  • 23 Vryghem JC, Heireman S. Visual performance after the implantation of a new trifocal intraocular lens. Clin Ophthalmol 2013; 7: 1957-1965
    PubMedGoogle Scholar
  • 24 Ehmer A, Rabsilber TM, Mannsfeld A et al. [Influence of different multifocal intraocular lens concepts on retinal stray light parameters]. Ophthalmologe 2011; 108: 952-956
    CrossrefPubMedGoogle Scholar
  • 25 Petermeier K, Messias A, Gekeler F et al. Effect of + 3.00 diopter and + 4.00 diopter additions in multifocal intraocular lenses on defocus profiles, patient satisfaction, and contrast sensitivity. J Cataract Refract Surg 2011; 37: 720-726
    CrossrefPubMedGoogle Scholar
  • 26 Gatinel D, Houbrechts Y. Comparison of bifocal and trifocal diffractive and refractive intraocular lenses using an optical bench. J Cataract Refract Surg 2013; 39: 1093-1099
    CrossrefPubMedGoogle Scholar
  • 27 Petermeier K, Messias A, Gekeler F et al. Outcomes of the Acrysof ReSTOR IOL in myopes, emmetropes, and hyperopes. J Refract Surg 2009; 25: 1103-1109
    CrossrefPubMedGoogle Scholar
  • 28 Mojzis P, Kukuckova L, Majerova K et al. Comparative analysis of the visual performance after cataract surgery with implantation of a bifocal or trifocal diffractive IOL. J Refract Surg 2014; 30: 666-672
    CrossrefPubMedGoogle Scholar
  • 29 Vega F, Alba-Bueno F, Millán MS et al. Halo and through-focus performance of four diffractive multifocal intraocular lenses. Invest Ophthalmol Vis Sci 2015; 56: 3967-3975
    CrossrefPubMedGoogle Scholar