Citation:Chen Y,Wang X,Zhou CD,Wu Q.Evaluation of visual quality of spherical and aspherical intraocular lenses by Optical Quality Analysis System.Int J Ophthalmol 2017;10(6):914-918,doi:10.18240/ijo.2017.06.13
Evaluation of visual quality of spherical and aspherical intraocular lenses by Optical Quality Analysis System
Received:November 20, 2016  Revised:January 20, 2017
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DOI:10.18240/ijo.2017.06.13
Key Words:optical quality analysis system  age-related cataract  spherical lens  aspherical lens  objective scattering index
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Yan Chen Department of Ophthalmology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai , China
Xue Wang Department of Ophthalmology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai , China
Chuan-Di Zhou Department of Ophthalmology, Shanghai Jiao Tong University Affiliated First People’s Hospital, Shanghai , China
Qiang Wu Department of Ophthalmology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai , China
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Abstract:
      AIM: To evaluate the impact of spherical and aspherical intraocular lenses on the postoperative visual quality of age-related cataract patients using Optical Quality Analysis System (OQAS).

    METHODS: Seventy-four eyes with age-related cataracts were randomly divided into spherical and aspherical lens implantation groups. Best-corrected visual acuity (BCVA) was measured preoperatively, one day, one week, two weeks, one month and two months after surgery. A biometric systems analysis using the OQAS objective scattering index (OSI) was performed.

    RESULTS: There were no significant differences in visual acuity (P>0.05) before and after spherical and aspheric lens implantation. There was a negative linear correction between the OSI value and BCVA (r=-0.634, P=0.000), and positive corrections between the OSI value and the lens LOCUS III value of nucleus color (NC), nucleus opacity (NO), cortex (C) and posterior lens capsular (P) (r=0.704, P=0.000; r=0.514, P=0.000; r=0.276, P=0.020; r=0.417, P=0.000, respectively). OSI values of spherical vs aspherical lenses were 11.5±3.6 vs 11.8±3.4, 4.1±0.9 vs 3.3±0.8, 3.5±0.9 vs 2.7±0.7, 3.3±0.8 vs 2.6±0.7, 3.2±0.7 vs 2.5±0.8, and 3.2±0.8 vs 2.5±0.8 before and 1d, 1, 2wk, 1 and 2mo after surgery, respectively. All time points varied significantly (P<0.01) between the two groups.

    CONCLUSION: Aspherical IOLs does not significantly affect visual acuity compared with spherical IOLs. The OSI value, was significantly lower in the aspherical lens group compared with the spherical lens. This study shows that objective visual quality of aspheric IOLs is better than that of the spherical lens by means of OQAS biological measurement method.

PMC FullText Html:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5515137/
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