The use of OPD-Scan Ⅲ with mesopic/phtopic pupil analysis system in assessment of SBL-3 multifocal intraocular lens

doi:10.3877/cma.j.issn.2095-2007.2019.03.005

Abstract

Abstract:

Objective

The aim of this study was to evaluate a new method to assess the orientation and centration of SBL-3 intraocular lens using with OPD-Scan Ⅲ.

Methods

The design of the study was retrospective. 33 age-related cataract patients (66 eyes) underwent phacoemulsification and SBL-3 intraocular lens implantation in Department of Ophthalmology, Peking University Third Hospital from June 2017 to July 2018 were included. In this retrospective study, the refraction distribution and mesopic/phtopic pupil analysis system of OPD-Scan Ⅲ were used to assess the distribution of the near segment and the distance segment and centration of SBL-3 intraocular lens with two veterans of operating equipment at 3 months post-operation. Intra-class correlation coefficient (ICC) and Bland-Altman method were used to assess the reliability and consistency of this method. The center of SBL-3 and visual axis were used to assess the centration of SBL-3 intraocular lens. The placement of SBL-3 is defined as the transition zone between the near and distant segment measured by refractive distribution.

Results

In this study, there is no statistically significant difference between two operators (Z=-0.994, P>0.05). And the ICC was 0.950 (P<0.05). Bland-Altman 95% limits of agreement (LoA) were 7.0°. There is no significant difference on the distance and angle between two operators on these factors (t=1.659, P>0.05; Z=-1.253, P>0.05). And the ICC was 0.913 and 0.607 (P<0.05), respectively. Bland-Altman 95% LoA were 0.17 mm and 348.2°, respectively.

Conclusion

This new metheod to assess the orientation and centration distance of SBL-3 intraocular lens using OPD-Scan Ⅲ has shown that there was a good reliability and consistency. The measurement of centration angle had a good consistency but medium reliability.

Key words: Cataract, Multifocal intraocular lens, Segmental refractive, Centration, Orientation

Yiyun Liu, Tong Sun, Yufei Gao, Siyi Ma, Siyuan Qin, Chuhao Tang, Tianshu Lu, Hong Qi. The use of OPD-Scan Ⅲ with mesopic/phtopic pupil analysis system in assessment of SBL-3 multifocal intraocular lens[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2019, 09(03): 153-159.

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References 42

[1]	Venter JA, Barclay D, Pelouskova M, et al. Initial experience with a new refractive rotationally asymmetric multifocal intraocular lens[J]. J Refract Surg, 2014, 30(11): 770-776.
[2]	de Wit DW, Diaz J, Moore TCB, et al. Effect of position of near addition in an asymmetric refractive multifocal intraocular lens on quality of vision[J]. J Cataract Refract Surg, 2015, 41(5): 945-955.
[3]	Pazo EE, Richoz O, McNeely R, et al. Optimized Visual Outcome After Asymmetrical Multifocal IOL Rotation[J]. J Refract Surg, 2016, 32(7): 494-496.
[4]	刘丽芳，黄楚开，张铭志. TonoLab眼压计在遗传性小鼠高眼压模型中眼压测量的可重复性[J]. 中华实验眼科杂志，2014, 32(12)：1080-1083.
[5]	林志博，黄芳，潘安鹏，等. 区域折射型多焦点人工晶状体植入术后视觉质量的临床研究[J]. 中华眼视光学与视觉科学杂志，2017, 19(8)：482-487.
[6]	胡东瑞，曾庆森，马嘉培，等. 区域折射型多焦点人工晶状体SBL-3的疗效观察[J]. 国际眼科杂志，2018, 18(10)：1830-1833.
[7]	王慧娟，秦虹，冯骅，等. 区域折射型与衍射折射型多焦点人工晶状体植入术后患者视力与视觉质量对比研究[J]. 眼科新进展，2018, 38(6)：566-568.
[8]	Crnej A, Hirnschall N, Nishi Y, et al. Impact of intraocular lens haptic design and orientation on decentration and tilt[J]. J Cataract Refract Surg, 2011, 37(10): 1768-1774.
[9]	McNeely RN, Pazo E, Spence A, et al. Visual outcomes and patient satisfaction 3 and 12 months after implantation of a refractive rotationally asymmetric multifocal intraocular lens[J]. J Cataract Refract Surg, 2017, 43(5): 633-638.
[10]	McNeely RN, Pazo E, Spence A, et al. Visual quality and performance comparison between 2 refractive rotationally asymmetric multifocal intraocular lenses[J]. J Cataract Refract Surg, 2017, 43(8): 1020-1026.
[11]	Altmann GE, Nichamin LD, Lane SS, et al. Optical performance of 3 intraocular lens designs in the presence of decentration[J]. J Cataract Refract Surg, 2005, 31(3): 574-585.
[12]	Cochener B, Lafuma A, Khoshnood B, et al. Comparison of outcomes with multifocal intraocular lenses: a meta-analysis[J]. Clin Ophthalmol, 2011, 2011(5): 45-56.
[13]	de Vries NE, Nuijts RM. Multifocal intraocular lenses in cataract surgery: literature review of benefits and side effects[J]. J Cataract Refract Surg, 2013, 39(2): 268-278.
[14]	郭元懿，孔珺，张劲松. 多焦点人工晶状体的发展和临床应用[J]. 中国实用眼科杂志，2010, 28(7)：694-698.
[15]	Alio JL, Plaza-Puche AB, Fernandez-Buenaga R, et al. Multifocal intraocular lenses: An overview[J]. Surv Ophthalmol, 2017, 62(5): 611-634.
[16]	Davison JA, Simpson MJ. History and development of the apodized diffractive intraocular lens[J]. J Cataract Refract Surg, 2006, 32(5): 849-858.
[17]	Winther-Nielsen A, Corydon L, Olsen T. Contrast sensitivity and glare in patients with a diffractive multifocal intraocular lens[J]. J Cataract Refract Surg, 1993, 19(2): 254-257.
[18]	Pieh S, Weghaupt H, Skorpik C. Contrast sensitivity and glare disability with diffractive and refractive multifocal intraocular lenses[J]. J Cataract Refract Surg, 1998, 24(5): 659-662.
[19]	He W, Qiu X, Zhang S, et al. Comparison of long-term decentration and tilt in two types of multifocal intraocular lenses with OPD-Scan Ⅲ aberrometer[J]. Eye (Lond), 2018, 32(7): 1237-1243.
[20]	Gyory JF, Madar E, Srinivasan S. Implantation of a diffractive-refractive trifocal intraocular lens with centralized diffractive rings: Two-year results[J]. J Cataract Refract Surg, 2019, 45(5): 639-646.
[21]	Hansen SO, Tetz MR, Solomon KD, et al. Decentration of flexible loop posterior chamber intraocular lenses in a series of 222 postmortem eyes[J]. Ophthalmology, 1988, 95(3): 344-349.
[22]	王珂，潘清，刘文艳，等. 人工晶状体的倾斜度和偏心量测量方法的研究进展[J]. 中国医疗设备，2014, 29(2)：66-69.
[23]	Dada T, Sihota R, Gadia R, et al. Comparison of anterior segment optical coherence tomography and ultrasound biomicroscopy for assessment of the anterior segment[J]. J Cataract Refract Surg, 2007, 33(5): 837-840.
[24]	方艳文，卢奕，汪琳. 折叠式人工晶状体囊袋内植入后偏心与倾斜的临床研究[J]. 眼视光学杂志，2008, 4(10)：252-255.
[25]	Zhang Q, Jin WQ, Wang QM. Repeatability, reproducibility, and agreement of central anterior chamber depth measurements in pseudophakic and phakic eyes: Optical coherence tomography versus ultrasound biomicroscopy[J]. J Cataract Refract Surg, 2010, 36(6): 941-946.
[26]	Oliveira CM, Ribeiro C, Franco S. Corneal imaging with slit-scanning and Scheimpflug imaging techniques[J]. Clinical and Experimental Optometry, 2011, 94(1): 33-42.
[27]	周琳，张健. Pentacam在白内障手术中的应用[J]. 国际眼科杂志，2015，15(8)：1358-1362.
[28]	Kumar DA, Agarwal A, Prakash G, et al. Evaluation of intraocular lens tilt with anterior segment optical coherence tomography[J]. Am J Ophthalmol, 2011, 151(3): 406-412.
[29]	郁苏娟，王珂，闫岩，等. 基于几何学方法测量人工晶状体的移位[J]. 北京生物医学工程，2011, 30(3)：310-313，330.
[30]	Ding X, Wang Q, Chang P, et al. The repeatability assessment of three-dimensional capsule-intraocular lens complex measurements by means of high-speed swept-source optical coherence tomography[J]. PloS One, 2015, 10(11): e0142556.
[31]	赵泽林，谭美迪，黄胜海，等. 前节OCT三维重建对Nd∶YAG激光后囊膜切开术后IOL稳定性的评估[J]. 中华眼视光学与视觉科学杂志，2016, 18(6)：358-362.
[32]	de Castro A, Rosales P, Marcos S. Tilt and decentration of intraocular lenses in vivo from Purkinje and Scheimpflug imaging. Validation study[J]. J Cataract Refract Surg, 2007, 33(3): 418-429.
[33]	Becker KA, Auffarth GU, Volcker HE. Measurement method for the determination of rotation and decentration of intraocular lenses[J]. Ophthalmologe, 2004, 101(6): 600-603.
[34]	Shah GD, Praveen MR, Vasavada AR, et al. Rotational stability of a toric intraocular lens: influence of axial length and alignment in the capsular bag[J]. J Cataract Refract Surg, 2012, 38(1): 54-59.
[35]	Gualdi L, Cappello V, Giordano C. The use of NIDEK OPD Scan II wavefront aberrometry in toric intraocular lens implantation[J]. J Refract Surg, 2009, 25(S1): S110-S115.
[36]	栗勇涛，张红，田芳，等. iTrace像差仪在Toric人工晶状体植入术后轴位测量中的应用[J]. 眼科新进展，2017, 37(2)：161-163.
[37]	Carey PJ, Leccisotti A, McGilligan VE, et al. Assessment of toric intraocular lens alignment by a refractive power/corneal analyzer system and slitlamp observation[J]. J Cataract Refract Surg, 2010, 36(2): 222-229.
[38]	Chang DF. Comparative rotational stability of single-piece open-loop acrylic and plate-haptic silicone toric intraocular lenses[J]. J Cataract Refract Surg, 2008, 34(11): 1842-1847.
[39]	Asgari S, Hashemi H, Jafarzadehpur E, et al. OPD-Scan Ⅲ：a repeatability and inter-device agreement study of a multifunctional device in emmetropia, ametropia, and keratoconus[J]. Int Ophthalmol, 2016, 36(5): 697-705.
[40]	McGinnigle S, Naroo SA, Eperjesi F. Evaluation of the auto-refraction function of the Nidek OPD-Scan Ⅲ[J]. Clinical and Experimental Optometry, 2014, 97(2): 160-163.
[41]	Zhu R, Long KL, Wu XM, et al. Comparison of the VISX wavescan and OPD-scan Ⅲ with the subjective refraction[J]. Eur Review Med Pharmacol Sci, 2016, 20(14): 2988-2992.
[42]	杜亚茹，李学喜. 四种不同仪器测量白内障患者术前角膜曲率和散光的比较[J]. 国际眼科杂志，2018, 18(5)：904-908.

组别	晶状体轴位(°)	晶状体偏心距(mm)	晶状体偏中心角度(°)
研究人员A	1.6±4.5	0.23±0.11	195.5±102.8
研究人员B	1.8±4.4	0.22±0.11	162.1±104.4
Z/t	-0.994^a	1.659^b	-1.253^a
P值	>0.05	>0.05	>0.05

组别	晶状体轴位(°)	晶状体偏心距(mm)	晶状体偏中心角度(°)
研究人员A	1.6±4.5	0.23±0.11	195.5±102.8
研究人员B	1.8±4.4	0.22±0.11	162.1±104.4
Z/t	-0.994^a	1.659^b	-1.253^a
P值	>0.05	>0.05	>0.05

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