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:: Volume 24, Issue 3 (Iranian Journal of Ophthalmology 2012) ::
2012, 24(3): 45-51 Back to browse issues page
Comparison of Visual Acuity, Contrast Sensitivity and Spherical Aberration after Implantation of Aspheric and Spheric Intraocular Lenses
Mohammad Nasser Hashemian Dr., Morteza Movassat Dr., Abdolreza Shakib Dr., Mohammad Yaser Kiarudi Dr., Mohammad Ali Zare Dr. *, Mohsen Rafizadeh Dr., Firoozeh Rahimi Dr.
, zaremehrjardy@yahoo.com
Abstract:   (13230 Views)

Purpose : To compare visual outcome of aspheric and spheric intraocular lenses (IOLs) implantation in patients with age-related cataract in terms of visual acuity (VA), contrast sensitivity (CS) and spherical aberration

Methods : In this prospective randomized interventional study, 59 consecutive cases of senile cataract who had been admitted for cataract surgery to Farabi Eye Hospital, Tehran, Iran between June 2008 and July 2010 were recruited. Patients were randomly assigned to two treatment groups using computerized software eyes were implanted with either a aspheric or spheric IOLs (Acrylic, Lens Tec Co, Tehran, Iran). Pre and postoperatively, patients underwent complete ocular examination and their uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA) were measured. Three months after the operation patients were visited to measure spherical aberration and CS.

Results : Fifty-two patients with the mean age of 55.7±5.9 years (range, 45-73 years) remained for surgical interventions. Postoperative UCVA and BCVA did not show a significant difference between our two study groups (P=0.124 and 0.400, respectively). Spherical aberration after cataract surgery in pseudophakic situation and pupil diameter of 5 mm was significantly lower in eyes with aspheric IOLs compared to spherical ones (0.22±0.10 vs. 0.30±0.12 µ, respectively, P=0.03). CS in all frequencies was better in aspheric IOLs compared to the spheric ones and except to the frequency of 20 cpd this difference was statistically significant (P<0.05).

Conclusion : Although both aspheric and spheric IOLs resulted into a favorable VA, aspheric IOLs lead to better visual performance through a lower spherical aberration and better CS and quality of vision. However intraindividualization of asphericity by individual IOL surface design may be the best future option.


Iranian Journal of Ophthalmology 201224(3):45-51 © 2012 by the Iranian Society of Ophthalmology

Keywords: Spherical Aberration, Contrast Sensitivity, Cataract Surgery, Aspheric Intraocular Lens, Spheric Intraocular Lens
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Type of Study: Original | Subject: Anterior segment
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Hashemian M N, Movassat M, Shakib A, Kiarudi M Y, Zare M A, Rafizadeh M et al . Comparison of Visual Acuity, Contrast Sensitivity and Spherical Aberration after Implantation of Aspheric and Spheric Intraocular Lenses. Iranian Journal of Ophthalmology. 2012; 24 (3) :45-51
URL: http://irjo.org/article-1-702-en.html

Volume 24, Issue 3 (Iranian Journal of Ophthalmology 2012) Back to browse issues page
مجله چشم پزشکی ایران Iranian Journal of Ophthalmology
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