Influence of Angle κ and Higher-Order Aberrations on Visual Quality Employing Two Diffractive Trifocal IOLs

Prospective, randomized, comparative, and controlled study to estimate the association between angle κ distance and higher-order aberrations (HOAs) with postoperative visual acuity after presbyopia-correcting IOL implantation. Forty-three eyes from 43 patients were included and randomly assigned in...

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Main Authors: Cecilio Velasco-Barona, Claudia Corredor-Ortega, Alejandra Mendez-Leon, Nadia L. Casillas-Chavarín, Daniel Valdepeña-López Velarde, Guadalupe Cervantes-Coste, Daniel Malacara-Hernández, Roberto Gonzalez-Salinas
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2019/7018937
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author Cecilio Velasco-Barona
Claudia Corredor-Ortega
Alejandra Mendez-Leon
Nadia L. Casillas-Chavarín
Daniel Valdepeña-López Velarde
Guadalupe Cervantes-Coste
Daniel Malacara-Hernández
Roberto Gonzalez-Salinas
author_facet Cecilio Velasco-Barona
Claudia Corredor-Ortega
Alejandra Mendez-Leon
Nadia L. Casillas-Chavarín
Daniel Valdepeña-López Velarde
Guadalupe Cervantes-Coste
Daniel Malacara-Hernández
Roberto Gonzalez-Salinas
author_sort Cecilio Velasco-Barona
collection DOAJ
description Prospective, randomized, comparative, and controlled study to estimate the association between angle κ distance and higher-order aberrations (HOAs) with postoperative visual acuity after presbyopia-correcting IOL implantation. Forty-three eyes from 43 patients were included and randomly assigned in two groups for either AT LISA tri 839MP or Acrysof IQ PanOptix IOL implantation. The OPD-Scan III analyzer was utilized to assess the angle κ distance and higher-order aberration (HOAs). Twenty-three eyes were in the Acrysof IQ PanOptix group and 20 patients in the AT LISA tri 839MP group. The uncorrected distance visual acuity (UDVA) for the PanOptix group was 0.092 ± 0.10, whereas for AT LISA tri was 0.050 ± 0.06 (P=0.229). The uncorrected intermediate visual acuity (UIVA) for the PanOptix group was 0.173 ± 0.18, whereas for AT LISA tri, it was 0.182 ± 0.11 (P=0.669). Uncorrected near visual acuity (UNVA) was 0.068 ± 0.04 and 0.085 ± 0.07, respectively (P=0.221). Also, correlation coefficient between HOAs and the Strehl ratio for each group were −0.768 (P<0.0001) and −0.863 (P=0.0001). Patients implanted with both trifocal IOLs showed excellent postoperative visual performance at all distances at the six-month follow-up visit. No association was found between angle κ distance and postoperative visual acuity regardless of the angle κ magnitude or the two trifocal IOLs inner optical diameter. Also, internal aberrations demonstrated a significant inverse correlation with the Strehl ratio for both trifocal IOLs.
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spelling doaj-art-89af7b46d40c4e78b4a1d9e7969434352025-02-03T06:05:59ZengWileyJournal of Ophthalmology2090-004X2090-00582019-01-01201910.1155/2019/70189377018937Influence of Angle κ and Higher-Order Aberrations on Visual Quality Employing Two Diffractive Trifocal IOLsCecilio Velasco-Barona0Claudia Corredor-Ortega1Alejandra Mendez-Leon2Nadia L. Casillas-Chavarín3Daniel Valdepeña-López Velarde4Guadalupe Cervantes-Coste5Daniel Malacara-Hernández6Roberto Gonzalez-Salinas7Anterior Segment Surgery Department, Asociación para Evitar la Ceguera, Mexico City 04030, MexicoAnterior Segment Surgery Department, Asociación para Evitar la Ceguera, Mexico City 04030, MexicoAnterior Segment Surgery Department, Asociación para Evitar la Ceguera, Mexico City 04030, MexicoAnterior Segment Surgery Department, Asociación para Evitar la Ceguera, Mexico City 04030, MexicoAnterior Segment Surgery Department, Asociación para Evitar la Ceguera, Mexico City 04030, MexicoAnterior Segment Surgery Department, Asociación para Evitar la Ceguera, Mexico City 04030, MexicoCentro de Investigaciones en Óptica A.C. (CIO), León 37150, Guanajuato, MexicoLaboratorio Nacional de óptica de la Visión, León, MexicoProspective, randomized, comparative, and controlled study to estimate the association between angle κ distance and higher-order aberrations (HOAs) with postoperative visual acuity after presbyopia-correcting IOL implantation. Forty-three eyes from 43 patients were included and randomly assigned in two groups for either AT LISA tri 839MP or Acrysof IQ PanOptix IOL implantation. The OPD-Scan III analyzer was utilized to assess the angle κ distance and higher-order aberration (HOAs). Twenty-three eyes were in the Acrysof IQ PanOptix group and 20 patients in the AT LISA tri 839MP group. The uncorrected distance visual acuity (UDVA) for the PanOptix group was 0.092 ± 0.10, whereas for AT LISA tri was 0.050 ± 0.06 (P=0.229). The uncorrected intermediate visual acuity (UIVA) for the PanOptix group was 0.173 ± 0.18, whereas for AT LISA tri, it was 0.182 ± 0.11 (P=0.669). Uncorrected near visual acuity (UNVA) was 0.068 ± 0.04 and 0.085 ± 0.07, respectively (P=0.221). Also, correlation coefficient between HOAs and the Strehl ratio for each group were −0.768 (P<0.0001) and −0.863 (P=0.0001). Patients implanted with both trifocal IOLs showed excellent postoperative visual performance at all distances at the six-month follow-up visit. No association was found between angle κ distance and postoperative visual acuity regardless of the angle κ magnitude or the two trifocal IOLs inner optical diameter. Also, internal aberrations demonstrated a significant inverse correlation with the Strehl ratio for both trifocal IOLs.http://dx.doi.org/10.1155/2019/7018937
spellingShingle Cecilio Velasco-Barona
Claudia Corredor-Ortega
Alejandra Mendez-Leon
Nadia L. Casillas-Chavarín
Daniel Valdepeña-López Velarde
Guadalupe Cervantes-Coste
Daniel Malacara-Hernández
Roberto Gonzalez-Salinas
Influence of Angle κ and Higher-Order Aberrations on Visual Quality Employing Two Diffractive Trifocal IOLs
Journal of Ophthalmology
title Influence of Angle κ and Higher-Order Aberrations on Visual Quality Employing Two Diffractive Trifocal IOLs
title_full Influence of Angle κ and Higher-Order Aberrations on Visual Quality Employing Two Diffractive Trifocal IOLs
title_fullStr Influence of Angle κ and Higher-Order Aberrations on Visual Quality Employing Two Diffractive Trifocal IOLs
title_full_unstemmed Influence of Angle κ and Higher-Order Aberrations on Visual Quality Employing Two Diffractive Trifocal IOLs
title_short Influence of Angle κ and Higher-Order Aberrations on Visual Quality Employing Two Diffractive Trifocal IOLs
title_sort influence of angle κ and higher order aberrations on visual quality employing two diffractive trifocal iols
url http://dx.doi.org/10.1155/2019/7018937
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