Katarak hastalarında monofokal ve akomodatif göz içi lensi kullanımının karşılaştırılması

Abstract

Introduction: The aim of this study is to compare the visual outcomes of monofocal and accommodating intraocular lenses in patients with cataract. Material and Method: 42 eyes of 26 patients with cataract were included in this retrospective study. 21 eyes of 13 patients (8 patien ts had bilateral, 5 patients had unilateral surgery) had WIOL-CF accommodating intraocular lens implantation and they classified as Group 1. Other 21 eyes of 13 patients (8 patients had bilateral, 5 patients had unilateral surgery) had Acriva monofocal intraocular lens and they classified as Group2. Follow-up time was 6 months for both groups. Distance and near vision results were compared between two groups. Also changes in corneal endothelial cell count and intraocular pressure were evaluated in each group. Results: At postoperative sixth month mean best- corrected visual acuity was 0.91±0.1 (range: 0.7 and 1) in Group 1 and 0.9±0.1 (range: 0.7 and 1) for Group2. Mean uncorrected near vision for Group1 was 1.52±1.03 (range: Jaeger1 and Jaeger4). Near visual acuity was statistically significantly better in Grup 1 against Grup 2. (p<0.05) After 6 months follow up time, there was no significant change in corneal endothelial cell count and intraocular eye pressure for both groups. Discussion: With WIOL-CF accommodating intraocular lens, successful distance vision results as Acriva monofocal intraocular lens can be achieved in patients with cataract. Additionally near vision can be obtainable