Comparison of the visual outcomes of enhanced and standard monofocal intraocular lens implantations in eyes with early glaucoma = 초기 녹내장 눈에서 향상된 단초점 인공수정체와 단초점 인공수정체의 임상적 효과의 비교

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to compare the efficacies and safety of enhanced and standard monofocal intraocular lenses (IOLs) in eyes with early glaucoma. Methods: Patients with concurrent cataracts and open-angle glaucoma (OAG) were enrolled. They underwent cataract surgery with IOL implantation. The comprehensive preoperative ophthalmic examination included the manifest refraction; monocular uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA); visual field (VF); and contrast sensitivity (CS); defocus curves and questionnaires were assessed three months postoperatively. Results: Totals of 34 and 38 patients had enhanced and standard monofocal IOLs, respectively. The enhanced monofocal IOL provided better UIVA than the standard monofocal IOL (p = 0.003) but similar UDVA, CDVA, and UNVA. The enhanced monofocal IOL had more consistent defocus curves than the standard monofocal IOL, especially at -1 (p = 0.042) and -1.5 (p = 0.026) diopters. The enhanced monofocal IOL provided better satisfaction (p = 0.019) and lower spectacle dependence (p = 0.004) than the standard monofocal IOL for intermediate vision, with similar VF and CS outcomes. Conclusion: Enhanced monofocal IOLs are recommended for patients with OAG because they provide better intermediate vision, higher satisfaction, and lower dependence on spectacles than standard monofocal IOLs, without worsening other visual outcomes.

목차 (Table of Contents)

• Content
• Abstract 1
• 1. Introduction 3
• 2. Materials and Methods 5
• 2.1. Study design 5
• 2.2. Participants 5
• 2.3. Preoperative examination 7
• 2.4. Surgical technique 7
• 2.5. Intraocular lenses 8
• 2.6. Postoperative examination 9
• 2.7. Statistical analysis 10
• 3. Results 11
• 4. Discussion 14
• 5. Conclusion 21
• References 22
• Abstract in Korean 29
• Tables 31
• Figures 34