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Refractive and visual outcomes of two different aspheric monofocal intraocular lenses with differing tinting and spherical aberration values

Hung-Yuan Lin, Ya-Jung Chuang, Ting-Yu Lin, Pi-Jung Lin

Purpose: To compare refractive and visual outcomes of two diffractive monofocal intraocular lenses (IOLs) with different tinting and spherical aberration values.

Study design: Retrospective case series.

Methods: The right eye of consecutive patients who had undergone bilateral implantation of SZ-1 (NIDEK Co. Ltd., Gamagori, Japan) or ZCB00 (Johnson and Johnson Inc. New Brunswick, NJ, USA) IOLs was evaluated. Refractive outcomes, changes in visual acuity, ocular spherical aberration, and changes in photopic and mesopic contrast sensitivity were analyzed.

Results: Thirty-three eyes received the SZ-1 IOL (SZ-1 group, while 29 eyes received the ZCB00 IOL (ZCB00 group). The mean preoperative manifest refraction spherical equivalent (MRSE) was −1.48 ± 4.74 D and −0.34 ± 1.50 in the SZ-1 group and ZCB00 group, respectively. At 3 months, the mean MRSE was −0.87 ± 1.08 D and −0.65 ± 0.76, respectively (p=0.25). At 3 months postoperatively, the mean best spectacle-corrected visual acuity was 0.14 ± 0.20 LogMAR and 0.11 ± 0.17 LogMAR, respectively (p=0.67). At the same time point, ocular spherical aberration was statistically significantly different (0.01 ± 0.23 μm vs. −0.51 ± 0.51 μm, respectively; p<0.0001).

Postoperatively, the mean photopic and scotopic contrast sensitivity did not differ between the groups (p=0.57).

Conclusion: Postoperative refractive outcomes and visual acuity following the implantation of these aspheric IOLs were similar. The different asphericity and yellow tinting of the SZ-1 IOL did not affect postoperative visual performance.