Abstract
Purpose To investigate the benefits of multifocal lens in patients with high myopic cataract and compare the clinical effects between AT LISA tri 839MP and MPlus LS-313 MF30 intraocular lenses (IOLs) in high myopic eyes. Methods This retrospective cohort study analyzed 60 eyes with axial length >26 mm in 40 patients. Thirty eyes were implanted with MF30, and the remaining 30 eyes were implanted with 839MP. Postoperative uncorrected distance visual acuity (UDVA), best corrected distance visual acuity (BCDVA), uncorrected intermediate visual acuity (UIVA) and uncorrected near visual acuity (UNVA), defocus curve, modulation transfer function (MTF) curve, Strehl ratio (SR), and complications were compared between the two groups. Results All vision outcomes were significantly improved in both groups (p < 0.05). There was no significant between-group difference in UDVA at 1 and 3 months postoperatively (p > 0.05). However, UIVA and UNVA were significantly better in the 839MP group (p < 0.05). The VF-14 score, especially for near vision quality, was significantly higher in the MF30 group (2.2 ± 0.9 vs. 0.8 ± 0.7; p ≤ 0.001). The SR of both groups significantly increased postoperatively (p < 0.05). All the 3-month MTF curve values (MTF 10 total, MTF 10 internal, MTF 30 total, and MTF 30 internal) were significantly better in the 839MP group (p < 0.05). Meanwhile, all the high-order aberration values (coma, spherical aberration, and trefoil) were significantly greater in the MF30 group (p < 0.05). Conclusion Multifocal IOL implantation achieves good quality of distance, intermediate, and near vision in patients with high myopia, improving their quality of life. Both 839MP and MF30 IOLs can provide good distance vision, but 839MP performs better in near and intermediate vision. However, for some patients with an extra-long optic axis, MF30 may be a good choice because of its wider range of degrees.
Highlights
To investigate the benefits of multifocal lens in patients with high myopic cataract and compare the clinical effects between AT LISA tri 839MP and MPlus LS-313 MF30 intraocular lenses (IOLs) in high myopic eyes
This achieves excellent near vision, it is associated with loss of regulation and stereoscopic vision in the active state after surgery. e development of cataract phacoemulsification and advances in surgical technology and IOL calculation methods have greatly improved the predictability of refractive results after cataract surgery for high myopia
Among the 40 patients, there were 3 patients with one eye implanted in MF30 and another eye in 839MP; they simultaneously belonged to both groups, so there were totally 23 patients (30 eyes) and 20 patients (30 eyes) who underwent regional refraction multifocal IOLs (MIOLs) (MF30) implantation and diffraction MIOL (839MP) implantation categorized to the MF30 group and 839MP group, respectively
Summary
To investigate the benefits of multifocal lens in patients with high myopic cataract and compare the clinical effects between AT LISA tri 839MP and MPlus LS-313 MF30 intraocular lenses (IOLs) in high myopic eyes. Multifocal IOL implantation achieves good quality of distance, intermediate, and near vision in patients with high myopia, improving their quality of life. Some studies [2–4] have reported full range of vision after MIOL implantation in many patients with high myopia, significantly improving the patients’ quality of life (QOL). Given their multiple focus, these IOLs provide good vision for activities at multiple distances [5–7]. This study aimed to compare the clinical benefits between AT LISA tri 839MP and MPlus LS-313 MF30 IOLs in high myopic cataract Toward this goal, we evaluated the postoperative visual quality and compared the feasibility of these two IOLs in patients with high myopia
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