두 구면수차 제거 비구면 인공수정체 삽입안에서 임상결과 비교 = Comparison of Clinical Results Between Two Spherical Aberraion-Free Intraocular Lenses

다국어 초록 (Multilingual Abstract)

Purpose: To compare the postoperative outcomes between Akreos MI60 and Akreos AO intraocular lens (IOLs) after cataract surgery. Methods: A prospective analysis among 55 eyes of 55 patients who had undergone microcoaxial phacoemulsification and implantation of aspheric IOLs (Akreos MI60, 30 eyes; Akreos Adapt-AO, 25 eyes) was performed. The best corrected visual acuity (BCVA), spherical equivalent, intraocular pressure (IOP), corneal thickness, endothelial cell density (ECD), surgically induced astigmatism (SIA), predictability of postoperative spherical equivalent, higher order aberrations, and contrast sensitivity test were evaluated during the follow-up period of 3 months. Results: There were no significant differences in BCVA, spherical equivalent, IOP, corneal thickness, ECD, SIA, higher order aberrations and contrast sensitivity test (p＞0.05). The predictability of postoperative spherical equivalent in the Akreos Adapt- AO (-0.57±0.22D) represented statistically significant myopic shift compared with the Akreos MI60 group (-0.05±0.69D) (p=0.02). Conclusions: Both the Akreos MI60 and the Akreos Adapt-AO implantation groups performed similiarly, following cataract surgery, showed similar visual function. J Korean Ophthalmol Soc 2010;51(5):670-676

참고문헌 (Reference)

1 지동현, "소절개창 크기에 따른 난시변화" 대한안과학회 44 (44): 10-598, 2003

2 김희중, "미세각막절개 백내장 수술과 고전적 백내장 수술에서의 각막내피세포의 손상정도 비교" 대한안과학회 48 (48): 19-26, 2007

3 황상조, "미세 절개 및 고전적 백내장 수술에서의 수술 유발 난시 및 각막 고위 수차 비교" 대한안과학회 49 (49): 1597-1602, 2008

4 Werner L, "Wavefront corrections of intraocular lenses" 17 : 233-245, 2004

5 Johansson B, "Visual and optical performance of the Akreos Adapt Advanced Optics and Tecnis Z9000 intraocular lenses: Swedish multicenter study" 33 : 1565-1572, 2007

6 Shentu X, "Spherical aberration, visual performance and pseudoaccommodation of eyes implanted with different aspheric intraocular lens" 36 : 620-624, 2008

7 Dick HB, "Recent developments in aspheric intraocular lenses" 20 : 25-32, 2009

8 Hyashi K, "Postoperative corneal shape changes: microincision versus small-incision coaxial cataract surgery" 35 : 233-239, 2009

9 Kellman CD, "Phaco-emulsification and aspiration; a new technique of cataract removal; a preliminary report" 64 : 23-35, 1967

10 Alió J, "Outcomes of microincision cataract versus coaxial phacoemulsification" 112 : 1997-2003, 2005

11 Altmann GE, "Optical performance of 3 intraocular lens designs in the presence of decentration" 31 : 574-585, 2005

12 Wang L, "Optical aberrations of the human anterior cornea" 29 : 1514-1521, 2003

13 Oscher RH, "Microcoaxial phacoemulsification Part 2: clinical studies" 33 : 408-412, 2007

14 Oscher RH, "Microcoaxial phacoemulsification Part 1: laboratory studies" 33 : 401-407, 2007

15 Vasavada V, "Intraoperative performance and postoperative outcomes of microcoaxial phacoemulsification. Observational study" 33 : 1019-1024, 2007

16 Masket S, "Induced astigmatism with 2.2- and 3.0-mm coaxial phacoemulsification incisions" 25 : 21-24, 2009

17 Simsek S, "Effect of superior and temporal clear corneal incision on astigmatism after sutureless phacoemulsification" 24 : 515-518, 1998

18 Yamaguchi T, "Effect of spherical aberration on visual function under photopic and mesopic conditions after cataract surgery" 35 : 57-63, 2009

19 Chalita MR, "Correlation of aberrations with visual acuity and symptoms" 17 : 135-142, 2004

20 Guirao A, "Corneal optical aberrations and retinal image quality in patients whom monofocal intraocular lenses were implanted" 120 : 1143-1151, 2002

21 Pandita D, "Contrast sensitivity and glare disability after implantation of acrySof IQ natural aspheric intraocular lens; prospective randomized masked clinical trial" 33 : 603-610, 2007

22 Huang FC, "Compression of surgically induced astigmatism after sutureless temporal clear corneal and slceral frown incision" 24 : 477-481, 1998

23 Choi JA, "Clinical results after implantation of a spherical aberration-free intraocular lens: Effect of contrast sensitivity and wavefront aberration - a clinical comparative study" 223 : 320-325, 2009

24 Kershner RM, "Clear corneal cataract surgery and the correction of myopia, hyperopia, and astigmatism" 104 : 381-389, 1997

25 Cravy TV, "Calculation of the change in corneal astigmatism following cataract extraction" 10 : 38-49, 1979

26 Holladay JT, "Calculating the surgically induced refractive change following ocular surgery" 18 : 429-443, 1992

27 Cavallini GM, "Bimanual microphaco- emulsification vs coaxial miniphacoemulsification: Prospective study" 33 : 387-392, 2007

28 Holladay JT, "A new intraocular lens design to reduce spherical aberration of pseudophakic eyes" 18 : 683-691, 2002

29 최진아, "2.2 mm 동축 소절개 백내장수술의 단기 임상 결과 비교" 대한안과학회 49 (49): 904-910, 2008