glazmagThe EYE ГЛАЗThe EYE GLAZ2222-44082686-8083Академия медицинской оптики и оптометрии10.33791/2222-4408-2023-4-294-301glazmag-490Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESКлинические результаты имплантации интраокулярной линзы с расширенной глубиной фокуса Tecnis SymfonyClinical outcomes with a novel extended depth of focus intraocular lens Tecnis Symfonyhttps://orcid.org/0000-0002-6105-1632АнисимоваН. С.AnisimovaN. S.

Анисимова Наталья Сергеевна, кандидат медицинских наук, главный врач, ассистент кафедры глазных болезней

127473,  г. Москва, ул. Делегатская, д. 20/1

123007,  г. Москва, ул. Полины Осипенко, д. 10-1

Natalia S. Anisimova, Cand. Sci. (Med.), Chief Physician, assistant at the Department of Eye Diseases

20/1, Delegatskaya Str., Moscow, 127473

10/1, Poliny Osipenko Str., Moscow, 123007

https://orcid.org/0000-0003-1922-4939АнисимовС. И.AnisimovS. I.

Анисимов Сергей Игоревич, доктор медицинских наук, научный директор, профессор кафедры глазных болезней

127473,  г. Москва, ул. Делегатская, д. 20/1

123007,  г. Москва, ул. Полины Осипенко, д. 10-1

Sergey I. Anisimov, Dr. Sci. (Med.), Scientifi c Director, Professor of the Department of Eye Diseases

20/1, Delegatskaya Str., Moscow, 127473

10/1, Poliny Osipenko Str., Moscow, 123007

https://orcid.org/0000-0002-9289-3920ДанильченкоМ. И.DanilchenkoM. I.

Данильченко Марина Ивановна, врач-офтальмолог, аспирант кафедры глазных болезней

127473,  г. Москва, ул. Делегатская, д. 20/1

347045, г. Белая Калитва, ул. Вокзальная, д. 8

Marina I. Danilchenko, Ophthalmologist, Postgraduate Student of the Departmentof Eye Diseases

20/1, Delegatskaya Str., Moscow, 127473

8, Vokzalnaya Str., Belaya Kalitva, 347045

eyedocmk@gmail.comФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России; Глазной центр «Восток-Прозрение»РоссияA.I. Yevdokimov Moscow State University of Medicine and Dentistry; “Vostok-Prozrenie” Eye CenterRussian FederationФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России; Глазная клиника «Точка зрения»РоссияA.I. Yevdokimov Moscow State University of Medicine and Dentistry; “Tochka zreniya” Eye clinicRussian Federation202318122023254294301Copyright © Академия медицинской оптики и оптометрии, 20232023Академия медицинской оптики и оптометрииАкадемия медицинской оптики и оптометрииhttps://www.theeyeglaz.com/jour/about/submissions#copyrightNoticehttps://www.theeyeglaz.com/jour/article/view/490

Актуальность. Одни из самых современных интраокулярных линз (ИОЛ) – это ИОЛ с расширенной глубиной фокуса. Такие линзы позволяют снизить зависимость от очков, распределяя световую энергию на дальний фокус и фокус средней дистанции без потери качества зрения. Исследования, в которых проводится анализ результатов имплантации данного типа линз, немногочисленны. Цель: оценить клинические результаты имплантации модели ИОЛ Tecnis Symfony с увеличенной глубиной фокуса. Материалы и методы. В проспективное исследование был включен 61 пациент (79 глаз) в возрасте от 18 до 86 лет. Пациентам после операции факоэмульсификации имплантировали ИОЛ Tecni s Symfony (США). Исследование проводили с ноября 2020 года по ноябрь 2022 года. В работе исследовали некорригированную и корригированную остроту зрения вдаль (НКОЗ и КОЗ) и на расстоянии 30, 40 и 50 см, монокулярную кривую дефокусировки, а также данные рефракции в ранний послеоперационный период. При расчете ИОЛ целевой сферический эквивалент составлял –0,35 ± 0,11 дптр. Результаты. Через 3 месяца после операции в 82,4 % случаев НКОЗ вдаль, а также в 100 % – КОЗ вдаль и в 50 % – НКОЗ вблизи составили 0,7 и лучше. Через 3 месяца после операции НКОЗ вдаль и вблизи на расстоянии 40 см составила в среднем 0,85 ± 0,15 и 0,69 ± 0,18 соответственно. КОЗ вдаль и вблизи на 40 см составила 0,98 ± 0,04 и 0,8 ± 0,14 соответственно. В 85,7 % случаев получили остроту зрения не менее 0,5 при глубине дефокуса от 1,5 до –1,5 дптр. Заключение. Имплантация ИОЛ Tecnis Symfony при коррекции афакии в ходе операции по удалению катаракты обеспечивает хорошие функциональные данные остроты зрения вдаль и на среднем расстоянии. Острота зрения вблизи является удовлетворительной и может быть улучшена с помощью микромонозрения

Relevance. Some of the most current intraocular lenses (IOL) are lenses with an extended depth of focus. Lenses of this type allow you to reduce dependence on glasses by distributing light energy to long-range and focus at medium distance, without losing the quality of vision. Studies that analyze the results of implantation of this type of lens are few. Purpose: to evaluate the clinical outcomes of extended depth of focus (EDOF) intraocular lens (IOL) implantation. Materials and methods. Prospective randomized study enrolled 61 patients of 79 eyes (18 to 86 years) undergone uncomplicated phacoemulsifi cation with EDOF IOL Tecnis Symfony (USA) implantation. The study was conducted from November 2020 through November 2022. Uncorrected near visual acuity (UNVA); corrected near visual acuity (CNVA) and uncorrected and corrected distance visual acuity (UDVA and CDVA), monocular defocus curve and refractive outcomes were evaluated during a 3-month period. When calculating the IOL, the target spherical equivalent was –0.35 ± 0.11 D. Results. In the postoperative period 3 months, visual acuity were 0.7 or better in 82.4% UCDVA, 100% CDVA and 50% UCNVA. 3 months after surgery, UDVA and UNVA at 40 cm averaged 0.85 ± 0.15 and 0.69 ± 0.18, respectively. CDVA and CNVA at 40 cm was 0.98 ± 0.04 and 0.8 ± 0.14, respectively. A total of 85.7% of eyes achieved postoperative visual acuity about 0.5 for the range of defocus levels between +1.00 and −1.50 D. Conclusions. Cataract surgery with Tecnis Symfony EDOF IOL implantation provide functional levels of visual acuity in distance, intermediate zones. The near visual performance with this IOL might be signifi cantly enhanced using a micro-monovision approach

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The authors declare that there are no conflicts of interest present.