Refractive-Error Quality of Life (RQL) in Patients with AcrySof IQ Aspherical Intraocular Lenses
Purpose: To compare refractive-error quality of life, and spherical aberration in pseudophakic eyes with an aspherical intraocular lens (AcrySof IQ) vs. a conventional spherical intraocular lens (AcrySof Single-Piece). Methods: 65 patients were randomized to implantation of either an aspherical IOL...
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doaj-a6528919f828440a93c0916db99c40ff2020-11-25T01:32:28ZengElsevierJournal of Optometry1888-42962010-01-0131445010.3921/joptom.2010.44Refractive-Error Quality of Life (RQL) in Patients with AcrySof IQ Aspherical Intraocular LensesI-Chan Lin0I-Jong Wang1Mei-Shu Lei2Fung-Rong Hu3Luke L-K Lin4Department of Ophthalmology, Taipei Medical University –Shuang Ho HospitalDepartment of Ophthalmology, National Taiwan University Hospital, Taipei, TaiwanGraduate Institute of Preventive Medicine, College of Public health, National Taiwan University, Taipei, TaiwanDepartment of Ophthalmology, National Taiwan University Hospital, Taipei, TaiwanDepartment of Ophthalmology, National Taiwan University Hospital, Taipei, TaiwanPurpose: To compare refractive-error quality of life, and spherical aberration in pseudophakic eyes with an aspherical intraocular lens (AcrySof IQ) vs. a conventional spherical intraocular lens (AcrySof Single-Piece). Methods: 65 patients were randomized to implantation of either an aspherical IOL (Alcon AcrySof IQ) (30 eyes) or a spherical IOL (Alcon AcrySof Single-Piece (35 eyes). Three months postoperatively, complete ophthalmologic examinations including uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BCVA), and a wavefront analysis were performed. Patients completed the National Eye Institute Refractive Error Quality of life Instrument (NEI RQL) to evaluate vision-related quality of life. Results: The mean postoperative best-corrected visual acuity was 0.09±0.07 logMAR in the aspherical group and 0.12±0.08 in the spherical group, and the difference was not statistically significant. Spherical aberrations were significantly lower in the aspherical group (0.12±0.23 μm), than in the spherical group (0.33±0.20 μm) (P=0.001). Patients with aspherical AcrySof IQ IOLs implantation also experienced less difficulties driving at night (P=0.04), but the difference was not significant after Bonferroni correction. Conclusion: The NEI RQL instrument is sensitive enough to detect the visual benefit of cataract surgery. The aspherical AcrySof IQ IOL reduces both spherical aberration and total higher-order aberrations, compared with the performance achieved by the spherical AcrySof Single-Piece IOL. Although the difference between the two IOLs is not statistically significant, there is a tendency toward the association of objective optical performance of aspherical AcrySof IQ IOLs with a subjective improvement in patients’ night driving.http://www.sciencedirect.com/science/article/pii/S1888429610700066Refractive Error Quality of Lifeaspherical intraocular lensesspherical aberrationnight driving |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
I-Chan Lin I-Jong Wang Mei-Shu Lei Fung-Rong Hu Luke L-K Lin |
spellingShingle |
I-Chan Lin I-Jong Wang Mei-Shu Lei Fung-Rong Hu Luke L-K Lin Refractive-Error Quality of Life (RQL) in Patients with AcrySof IQ Aspherical Intraocular Lenses Journal of Optometry Refractive Error Quality of Life aspherical intraocular lenses spherical aberration night driving |
author_facet |
I-Chan Lin I-Jong Wang Mei-Shu Lei Fung-Rong Hu Luke L-K Lin |
author_sort |
I-Chan Lin |
title |
Refractive-Error Quality of Life (RQL) in Patients with AcrySof IQ Aspherical Intraocular Lenses |
title_short |
Refractive-Error Quality of Life (RQL) in Patients with AcrySof IQ Aspherical Intraocular Lenses |
title_full |
Refractive-Error Quality of Life (RQL) in Patients with AcrySof IQ Aspherical Intraocular Lenses |
title_fullStr |
Refractive-Error Quality of Life (RQL) in Patients with AcrySof IQ Aspherical Intraocular Lenses |
title_full_unstemmed |
Refractive-Error Quality of Life (RQL) in Patients with AcrySof IQ Aspherical Intraocular Lenses |
title_sort |
refractive-error quality of life (rql) in patients with acrysof iq aspherical intraocular lenses |
publisher |
Elsevier |
series |
Journal of Optometry |
issn |
1888-4296 |
publishDate |
2010-01-01 |
description |
Purpose: To compare refractive-error quality of life, and spherical aberration in pseudophakic eyes with an aspherical intraocular lens (AcrySof IQ) vs. a conventional spherical intraocular lens (AcrySof Single-Piece).
Methods: 65 patients were randomized to implantation of either an aspherical IOL (Alcon AcrySof IQ) (30 eyes) or a spherical IOL (Alcon AcrySof Single-Piece (35 eyes). Three months postoperatively, complete ophthalmologic examinations including uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BCVA), and a wavefront analysis were performed. Patients completed the National Eye Institute Refractive Error Quality of life Instrument (NEI RQL) to evaluate vision-related quality of life.
Results: The mean postoperative best-corrected visual acuity was 0.09±0.07 logMAR in the aspherical group and 0.12±0.08 in the spherical group, and the difference was not statistically significant. Spherical aberrations were significantly lower in the aspherical group (0.12±0.23 μm), than in the spherical group (0.33±0.20 μm) (P=0.001). Patients with aspherical AcrySof IQ IOLs implantation also experienced less difficulties driving at night (P=0.04), but the difference was not significant after Bonferroni correction.
Conclusion: The NEI RQL instrument is sensitive enough to detect the visual benefit of cataract surgery. The aspherical AcrySof IQ IOL reduces both spherical aberration and total higher-order aberrations, compared with the performance achieved by the spherical AcrySof Single-Piece IOL. Although the difference between the two IOLs is not statistically significant, there is a tendency toward the association of objective optical performance of aspherical AcrySof IQ IOLs with a subjective improvement in patients’ night driving. |
topic |
Refractive Error Quality of Life aspherical intraocular lenses spherical aberration night driving |
url |
http://www.sciencedirect.com/science/article/pii/S1888429610700066 |
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