Evaluation of Visual and Subjective Outcomes with Mix-and-Match of Three One-Piece Tecnis Multifocal IOLs of Varying Add Powers

Steven J Dell Dell Laser Consultants, Austin, TX, USACorrespondence: Steven J DellDell Laser Consultants, Austin, TX, USATel +1 512-347-0255Email steven@dellmd.comPurpose: To evaluate visual and subjective outcomes after bilateral mix-and-match implantation of one-piece diffractive multifocal IOLs i...

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Autor principal:	Dell SJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	extended range of vision tecnis multifocal iol zkb00 zlb00 zmb00 cataract blended vision contralateral mix-and-match Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/29bc791fede44af6af17fd11094fce4b
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spelling	oai:doaj.org-article:29bc791fede44af6af17fd11094fce4b2021-12-02T12:05:15ZEvaluation of Visual and Subjective Outcomes with Mix-and-Match of Three One-Piece Tecnis Multifocal IOLs of Varying Add Powers1177-5483https://doaj.org/article/29bc791fede44af6af17fd11094fce4b2020-09-01T00:00:00Zhttps://www.dovepress.com/evaluation-of-visual-and-subjective-outcomes-with-mix-and-match-of-thr-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Steven J Dell Dell Laser Consultants, Austin, TX, USACorrespondence: Steven J DellDell Laser Consultants, Austin, TX, USATel +1 512-347-0255Email steven@dellmd.comPurpose: To evaluate visual and subjective outcomes after bilateral mix-and-match implantation of one-piece diffractive multifocal IOLs in different near add powers (+2.75 D, +3.25 D, +4.0 D).Setting: Four US clinics.Design: Prospective, multi-center, parallel comparison clinical study design.Patients and Methods: Two treatment groups received implantation with either the +3.25 D (ZLB00) or the +4.00 D (ZMB00) Tecnis® Multifocal 1-piece IOL in their non-dominant eye, and the +2.75 D (ZKB00) Tecnis Multifocal 1-piece IOL in their dominant eye (Abbott Medical Optics, Inc., Santa Ana, CA). Each study patient underwent the same routine cataract extraction procedures for each eye, with the second eye scheduled to undergo cataract extraction within 7 to 30 days after the 1st eye surgery. Visual and subjective outcomes were evaluated at 90 days after 2nd eye surgery for the two groups: +3.25D/+2.75D (n=41) and +4.00D/+2.75D (n=36).Results: Mean binocular uncorrected distance visual acuities at 90 days postop were 0.02 ± 0.082 (+3.25D/+2.75D) vs 0.07 ± 0.128 (+4.00D/+2.75D) (p=0.025). Mean binocular uncorrected intermediate visual acuities at 90 days postop were 0.14 ± 0.185 (+3.25D/+2.75D) vs 0.26 ± 0.261 (+4.00D/+2.75D) (p=0.024). Mean binocular uncorrected near visual acuities at 90 days postop were 0.06 ± 0.098 (+3.25D/+2.75D) vs 0.19 ± 0.286 (+4.00D/+2.75D) (p=0.018). Over 88% of patients reported “none” for visual symptoms of glare, halos, starburst, or other. Freedom from glasses or contacts was reported by groups +3.25D/+2.75D and +4.00D/+2.75D as follows: distance (95.1% vs 97.1%), intermediate (92.7% vs 94.1%), and near activities (82.9% vs 64.7%).Conclusion: At 90 days postoperatively, both groups demonstrated good visual and subjective outcomes; however, differences in near and intermediate outcomes favored the +3.25/+2.75 IOL combination.Clinicaltrials.gov Registration: NCT02863159 (08/11/2016).Keywords: extended range of vision, TECNIS multifocal IOL, ZKB00, ZLB00, ZMB00, cataract, blended vision, contralateral, mix-and-matchDell SJDove Medical Pressarticleextended range of visiontecnis multifocal iolzkb00zlb00zmb00cataractblended visioncontralateralmix-and-matchOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2903-2911 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	extended range of vision tecnis multifocal iol zkb00 zlb00 zmb00 cataract blended vision contralateral mix-and-match Ophthalmology RE1-994
spellingShingle	extended range of vision tecnis multifocal iol zkb00 zlb00 zmb00 cataract blended vision contralateral mix-and-match Ophthalmology RE1-994 Dell SJ Evaluation of Visual and Subjective Outcomes with Mix-and-Match of Three One-Piece Tecnis Multifocal IOLs of Varying Add Powers
description	Steven J Dell Dell Laser Consultants, Austin, TX, USACorrespondence: Steven J DellDell Laser Consultants, Austin, TX, USATel +1 512-347-0255Email steven@dellmd.comPurpose: To evaluate visual and subjective outcomes after bilateral mix-and-match implantation of one-piece diffractive multifocal IOLs in different near add powers (+2.75 D, +3.25 D, +4.0 D).Setting: Four US clinics.Design: Prospective, multi-center, parallel comparison clinical study design.Patients and Methods: Two treatment groups received implantation with either the +3.25 D (ZLB00) or the +4.00 D (ZMB00) Tecnis® Multifocal 1-piece IOL in their non-dominant eye, and the +2.75 D (ZKB00) Tecnis Multifocal 1-piece IOL in their dominant eye (Abbott Medical Optics, Inc., Santa Ana, CA). Each study patient underwent the same routine cataract extraction procedures for each eye, with the second eye scheduled to undergo cataract extraction within 7 to 30 days after the 1st eye surgery. Visual and subjective outcomes were evaluated at 90 days after 2nd eye surgery for the two groups: +3.25D/+2.75D (n=41) and +4.00D/+2.75D (n=36).Results: Mean binocular uncorrected distance visual acuities at 90 days postop were 0.02 ± 0.082 (+3.25D/+2.75D) vs 0.07 ± 0.128 (+4.00D/+2.75D) (p=0.025). Mean binocular uncorrected intermediate visual acuities at 90 days postop were 0.14 ± 0.185 (+3.25D/+2.75D) vs 0.26 ± 0.261 (+4.00D/+2.75D) (p=0.024). Mean binocular uncorrected near visual acuities at 90 days postop were 0.06 ± 0.098 (+3.25D/+2.75D) vs 0.19 ± 0.286 (+4.00D/+2.75D) (p=0.018). Over 88% of patients reported “none” for visual symptoms of glare, halos, starburst, or other. Freedom from glasses or contacts was reported by groups +3.25D/+2.75D and +4.00D/+2.75D as follows: distance (95.1% vs 97.1%), intermediate (92.7% vs 94.1%), and near activities (82.9% vs 64.7%).Conclusion: At 90 days postoperatively, both groups demonstrated good visual and subjective outcomes; however, differences in near and intermediate outcomes favored the +3.25/+2.75 IOL combination.Clinicaltrials.gov Registration: NCT02863159 (08/11/2016).Keywords: extended range of vision, TECNIS multifocal IOL, ZKB00, ZLB00, ZMB00, cataract, blended vision, contralateral, mix-and-match
format	article
author	Dell SJ
author_facet	Dell SJ
author_sort	Dell SJ
title	Evaluation of Visual and Subjective Outcomes with Mix-and-Match of Three One-Piece Tecnis Multifocal IOLs of Varying Add Powers
title_short	Evaluation of Visual and Subjective Outcomes with Mix-and-Match of Three One-Piece Tecnis Multifocal IOLs of Varying Add Powers
title_full	Evaluation of Visual and Subjective Outcomes with Mix-and-Match of Three One-Piece Tecnis Multifocal IOLs of Varying Add Powers
title_fullStr	Evaluation of Visual and Subjective Outcomes with Mix-and-Match of Three One-Piece Tecnis Multifocal IOLs of Varying Add Powers
title_full_unstemmed	Evaluation of Visual and Subjective Outcomes with Mix-and-Match of Three One-Piece Tecnis Multifocal IOLs of Varying Add Powers
title_sort	evaluation of visual and subjective outcomes with mix-and-match of three one-piece tecnis multifocal iols of varying add powers
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/29bc791fede44af6af17fd11094fce4b
work_keys_str_mv	AT dellsj evaluationofvisualandsubjectiveoutcomeswithmixandmatchofthreeonepiecetecnismultifocaliolsofvaryingaddpowers
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Evaluation of Visual and Subjective Outcomes with Mix-and-Match of Three One-Piece Tecnis Multifocal IOLs of Varying Add Powers

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