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The tolerance of refractive errors of extended depth of focus intraocular lens in patients with previous corneal refractive surgery

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Abstract

Purpose

To evaluate the tolerance for refractive errors and visual outcomes of extended depth of focus intraocular lens (EDOF IOLs) in patients with previous corneal refractive surgery for myopia.

Methods

Patients from Aier Eye Hospital of Wuhan University with previous myopia excimer laser correction underwent cataract surgery and implantation of an EDOF IOL. The follow-up period was three months. The uncorrected distance, intermediate, and near visual acuities (UDVA, UIVA, UNVA), corrected distance visual acuity (CDVA), spherical equivalent (SE), defocus curve, optical quality, including modulation transfer functions (MTF) and Strehl ratio (SR), National Eye Institute Visual Functioning Questionnaire-14 for Chinese people (VF-14-CN), spectacle independence, and dysphotopsia were assessed.

Results

At the final visit, UDVA, CDVA, UIVA, and UNVA (LogMAR) were 0.06 ± 0.09, 0.01 ± 0.06, 0.11 ± 0.08, 0.20 ± 0.10, respectively. The mean spherical equivalent (SE) was − 0.57 ± 0.58D, sphere and cylinder were − 0.24 ± 0.60D, − 0.70 ± 0.58D respectively. No statistical difference in UDVA between eyes with SE in ± 0.50 D and in ± 1.0 D (p > 0.05). Corneal astigmatism > 1.00D has no significant effect on postoperative visual acuity (p > 0.05). The defocus curve showed that visual acuity could reach 0.2 in the refractive range of + 0.50D ~ − 1.50D. SR and MTF values were all higher than before the surgery. In bilateral implantation patients, the VF-14-CN questionnaire score and visual quality were quite excellent.

Conclusion

The EDOF IOL have a certain tolerance for refractive errors and corneal astigmatism, and it’s recommended for patients with prior myopia excimer laser surgery to achieve satisfactory visual performance.

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Data availability

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Abbreviations

IOL:

Intraocular lens

EDOF IOL:

Extended depth of focus intraocular lens

UDVA:

Uncorrected distance visual acuities

UIVA:

Uncorrected intermediate visual acuities

UNVA:

Uncorrected near visual acuities

CDVA:

Corrected distance visual acuity

SE:

Spherical equivalent

MTF:

Modulation transfer functions

SR:

Strehl’s ratio

VF-14-CN:

Visual functioning questionnaire-14 for Chinese people

LASIK:

Laser-assisted in situ keratomileusis

HOAs:

Higher-order aberrations

PD:

Pupil diameter

AST:

Astigmatism

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Acknowledgements

Not Applicable.

Funding

The study was supported in part by Medical Research Projects of Wuhan Municipal Health Commission (Grant No. WX21A03), Science Research Foundation of Aier Eye Hospital Group (Grant No. AR2002D4), Science Research Foundation of Aier Eye Hospital Group (Grant No. AR2110D1).

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Authors and Affiliations

  1. Aier Eye Hospital of Wuhan University (Wuhan Aier Eye Hostital)), Wuhan, People’s Republic of China

    Hansong Zheng, Suowang Zhou, Wenjing Luo & Yong Wang

  2. Aier School of Ophthalmology, Central South University, Changsha, People’s Republic of China

    Qian Tan

  3. Clinica Baviera, (AIER Eye Hospital Group), Calle Ibañez de Bilbao, 9, Bilbao, Spain

    Julio Ortega-Usobiaga

  4. The Department of Ophthalmology, Baylor College of Medicine, Cullen Eye Institute, Texas Medical Center, Houston, TX, USA

    Li Wang

Authors
  1. Hansong Zheng
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  4. Wenjing Luo
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  5. Julio Ortega-Usobiaga
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  7. Yong Wang
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Contributions

Hansong Zheng and Yong Wang conceived of and designed this study. Yong Wang performed the surgeries and contributed to the data acquisition. Hansong Zheng performed the patient follow-up and data collection, the data analysis and rechecking, and drafted the initial manuscript. Qian Tan, Suowang Zhou, Wenjing Luo, Julio Ortega-Usobiaga, Li Wang, and Yong Wang revised the manuscript critically for important intellectual content. This manuscript has been read and approved by all the authors, and each author believes that the manuscript represents honest work.

Corresponding author

Correspondence to Yong Wang.

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Competing interests

The authors declare no competing interests.

Ethical approval

The study was approved by the Institutional Review Board of Aier Eye Hospital of Wuhan University (ID:2021IRBKY1011). All enrolled patients were treated in accordance with the tenets of the Declaration of Helsinki. Due to the retrospective nature of the study,the need for informed consent was waived by the Institutional Review Board of Aier Eye Hospital of Wuhan University.

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Zheng, H., Tan, Q., Zhou, S. et al. The tolerance of refractive errors of extended depth of focus intraocular lens in patients with previous corneal refractive surgery. Int Ophthalmol 43, 3989–3997 (2023). https://doi.org/10.1007/s10792-023-02802-2

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  • DOI: https://doi.org/10.1007/s10792-023-02802-2

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