[Use of "mix-and-match" aspheric intraocular lenses in cataract surgery to enhance depth of field and stereoscopic performance].
BACKGROUND
One of the remaining challenges in cataract surgery is to compensate for lost accommodative function. The purpose of our study is to evaluate reading ability with a combination of two different aspheric intraocular lenses.


METHODS
This retrospective study included 40 eyes (20 patients). The control group (28 eyes, 14 patients) received two negative aspheric intraocular lenses (Acrismart 36A(®), Carl Zeiss Meditec), while the aspheric-optimized group (12 eyes, six patients) received an AcriSmart 36A(®) in the dominant eye and a zero-aspheric intraocular lens (Acrismart 46 LC(®), Carl Zeiss Meditec) in the fellow eye. Patients with corneal asphericity between 0.15 and 0.30 μm and a bilateral monocular postoperative visual acuity of at least 20/20 were eligible for inclusion. Uncorrected and best corrected visual acuity was measured for near, intermediate and distance vision. Corneal and total higher-order aberrations, monocular and binocular defocus curve, and stereoscopic performance were assessed.


RESULTS
Postoperative spherical equivalent and best corrected distance visual acuity were not significantly different between the two groups (P=0.11 and P=0.82 respectively). However, the aspheric-optimized group (36A(®)/46 LC(®)) exhibited better near and intermediate visual acuity (P<0.05), and better stereoscopic vision (P=0.027).


CONCLUSIONS
The depth of field results in pseudophakes implanted with "mix-and-match" aspheric lenses demonstrates that the binocular combination of two different aspheric profiles seems to improve near vision without affecting stereoscopic vision.
Service d'ophtalmologie, CHU de Bretonneau, 2, boulevard Tonnellé, 37000 Tours, France. naoual.tarfaoui@etu.univ-tours.fr
N
N
Tarfaoui
Y
Y
Nochez
T H
TH
Luong
S
S
Majzoub
P-J
PJ
Pisella
D000065:Accommodation, Ocular / Q000502:physiology; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000534:rehabilitation*; D003867:Depth Perception / Q000502:physiology*; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000534:rehabilitation*; D007910:Lenses, Intraocular; D008875:Middle Aged; D009216:Myopia / Q000503:physiopathology / Q000601:surgery; D011932:Reading; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology