Influence Of Perimetric Index On Visual Functions Of Primary Open Angle Glaucoma Eyes With Diffractive Extended Depth-Of-Focus Intraocular Lenses
Published 2024 - 42nd Congress of the ESCRS
Reference: PP02.04 | Type: Poster | DOI: 10.82333/q62r-cb13
Authors: Keiichiro Minami* 1 , Yuka Ota 1 , Yoko Taira 2 , Hiroko Bissen-Miyajima 1 , Ryo Takemura 3
1Ophthalmology,Tokyo Dental College Suidobashi Hospital,Tokyo,Japan, 2Ryuundo Eye Clinic,Shiki,Japan, 3Clinical and Translational Research Center,Keio University Hospital,Tokyo,Japan
Purpose
The risk of degrading visual function after implantation of diffractive extended depth-of-focus (EDOF) intraocular lenses (IOLs) is still a concern in primary open angle glaucoma (POAG) eyes. However, perimetric factors involved have not been investigated. Therefore, the influences of perimetric indexes on the visual acuity and contrast sensitivity were examined for POAG eyes with EDF and monofocal IOLs.
Setting
Tokyo Dental College Suidobashi Hospital and Ryuundo Eye Clinic
Methods
Cataract eyes with POAG controlled with medical treatments, a mean deviation (MD) value of -10 dB or better, and no loss in the central visual field, received EDOF (ZXR00V, ZXV150-375: J&J) and monofocal (ZCB00V and ZCV150-375; J&J) IOLs. Preoperatively and 3-months postoperatively, MD, foveal sensitivity (FS), and the means of the central four points (central MD and central FS) were measured using the 30-2 SITA standard program (Humphrey Field Analyzer III; Carl Zeiss Meditec). Postoperative corrected distance visual acuity (CDVA) and photopic contrast sensitivity were measured at 3, 6, 12, and 18 cycles/degree (cpd) , and the influences of the perimetric indexes were evaluated through linear and stepwise multiple regression analyses.
Results
Linear regression analysis of POAG eyes with EDOF IOL showed no association between the perimetric indexes and CDVA. Significant correlations were found with most indexes and contrast sensitivity at 12 and 18 cpd with EDOF IOLs (P < 0.044). In eyes with monofocal IOLs, there were associations with FS on CDVA (P = 0.019) and MD on contrast sensitivity at 3 cpd (P = 0.023). The stepwise multiple regression revealed that the prominent influence of central FS on contrast sensitivity at 12 and 18 cpd.
Conclusions
In POAG eyes with EDOF IOLs, decrease of central perimetric indexes would be a risk of degradation of high-spatial-frequency contrast sensitivity, which was different from POAG eyes with monofocal IOLs.