ARTIS® PL E 인공수정체를 이용한 백내장수술의 임상적 결과

Abstract

Purpose To compare the clinical outcomes of cataract surgery using the ARTIS® PL E (Cristalens Industrie, Lannion, France) intraocular lens (IOL) and conventional Tecnis® ZCB00 (Johnson & Johnson Vision, Santa Ana, CA, USA) IOL. Methods This retrospective study examined patients who underwent in-the-bag implantation of either an ARTIS® PL E (33 eyes, group A) or Tecnis® ZCB00 (45 eyes, group B) IOL after phacoemulsification performed by a single surgeon. Best-corrected visual acuity (BCVA), spherical equivalent, and higher-order aberrations (HOA) were measured 1 and 3 months after cataract surgery. Results Preoperative BCVA did not differ significantly in groups A and B. Postoperative BCVA at 1 and 3 months improved significantly (p < 0.001) in both groups compared to preoperative baseline BCVA. At 1 and 3 months postoperatively, total HOA, spherical aberration, and coma were significantly lower compared to the preoperative baseline HOA (p < 0.05) in both groups. However, there were no significant differences in the trefoil values 1 and 3 months postoperatively compared to the preoperative baseline in both groups. The absolute refractive error 3 months postoperatively was 0.27 ± 0.20 (group A) and 0.28 ± 0.20 (group B), both within ± 0.50 diopters of the targeted goal diopter; there were no significant differences in the accuracy or predictability of the IOL power calculation in both groups (p = 0.390, p = 0.959). The absolute refractive error 1 and 3 months postoperatively did not differ significantly; there were no significant differences in the stability of both IOLs (p = 0.482, p = 0.372). Conclusions Conventional cataract surgery using the ARTIS® PL E IOL significantly increased the BCVA, while obtaining comparable clinical results to the verified Tecnis® ZCB00 IOL in postoperative visual acuity and HOA.