Visual performance after the implantation of a new trifocal intraocular lens
Identifieur interne : 002A16 ( Ncbi/Curation ); précédent : 002A15; suivant : 002A17Visual performance after the implantation of a new trifocal intraocular lens
Auteurs : Jérôme C. Vryghem [Belgique] ; Steven Heireman [Belgique]Source :
- Clinical Ophthalmology (Auckland, N.Z.) [ 1177-5467 ] ; 2013.
Abstract
To evaluate the subjective and objective visual results after the implantation of a new trifocal diffractive intraocular lens.
A new trifocal diffractive intraocular lens was designed combining two superimposed diffractive profiles: one with +1.75 diopters (D) addition for intermediate vision and the other with +3.50 D addition for near vision. Fifty eyes of 25 patients that were operated on by one surgeon are included in this study. The uncorrected and best distance-corrected monocular and binocular, near, intermediate, and distance visual acuities, contrast sensitivity, and defocus curves were measured 6 months postoperatively. In addition to the standard clinical follow-up, a questionnaire evaluating individual satisfaction and quality of life was submitted to the patients.
The mean age of patients at the time of surgery was 70 ± 10 years. The mean uncorrected and corrected monocular distance visual acuity (VA) were LogMAR 0.06 ± 0.10 and LogMAR 0.00 ± 0.08, respectively. The outcomes for the binocular uncorrected distance visual acuity were almost the same (LogMAR −0.04 ± 0.09). LogMAR −010 ± 0.15 and 0.02 ± 0.06 were measured for the binocular uncorrected intermediate and near VA, respectively. The distance-corrected visual acuity was maintained in mesopic conditions. The contrast sensitivity was similar to that obtained after implantation of a bifocal intraocular lens and did not decrease in mesopic conditions. The binocular defocus curve confirms good VA even in the intermediate distance range, with a moderate decrease of less than LogMAR 0.2 at −1.5 D, with respect to the best distance VA at 0 D defocus. Patient satisfaction was high. No discrepancy between the objective and subjective outcomes was evidenced.
The introduction of a third focus in diffractive multifocal intraocular lenses improves the intermediate vision with minimal visual discomfort for the patient.
Url:
DOI: 10.2147/OPTH.S44415
PubMed: 24124348
PubMed Central: 3794849
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Vryghem</name><affiliation wicri:level="3"><nlm:aff id="af1-opth-7-1957">Brussels Eye Doctors, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Brussels Eye Doctors, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="af2-opth-7-1957">Clinique Saint-Jean, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Clinique Saint-Jean, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Heireman, Steven" sort="Heireman, Steven" uniqKey="Heireman S" first="Steven" last="Heireman">Steven Heireman</name><affiliation wicri:level="3"><nlm:aff id="af1-opth-7-1957">Brussels Eye Doctors, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Brussels Eye Doctors, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="af2-opth-7-1957">Clinique Saint-Jean, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Clinique Saint-Jean, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24124348</idno><idno type="pmc">3794849</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3794849</idno><idno type="RBID">PMC:3794849</idno><idno type="doi">10.2147/OPTH.S44415</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000D81</idno><idno type="wicri:Area/Pmc/Curation">000D81</idno><idno type="wicri:Area/Pmc/Checkpoint">000E98</idno><idno type="wicri:Area/Ncbi/Merge">002A16</idno><idno type="wicri:Area/Ncbi/Curation">002A16</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Visual performance after the implantation of a new trifocal intraocular lens</title><author><name sortKey="Vryghem, Jerome C" sort="Vryghem, Jerome C" uniqKey="Vryghem J" first="Jérôme C" last="Vryghem">Jérôme C. Vryghem</name><affiliation wicri:level="3"><nlm:aff id="af1-opth-7-1957">Brussels Eye Doctors, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Brussels Eye Doctors, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="af2-opth-7-1957">Clinique Saint-Jean, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Clinique Saint-Jean, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Heireman, Steven" sort="Heireman, Steven" uniqKey="Heireman S" first="Steven" last="Heireman">Steven Heireman</name><affiliation wicri:level="3"><nlm:aff id="af1-opth-7-1957">Brussels Eye Doctors, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Brussels Eye Doctors, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="af2-opth-7-1957">Clinique Saint-Jean, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Clinique Saint-Jean, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author></analytic><series><title level="j">Clinical Ophthalmology (Auckland, N.Z.)</title><idno type="ISSN">1177-5467</idno><idno type="eISSN">1177-5483</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>To evaluate the subjective and objective visual results after the implantation of a new trifocal diffractive intraocular lens.</p></sec><sec><title>Methods</title><p>A new trifocal diffractive intraocular lens was designed combining two superimposed diffractive profiles: one with +1.75 diopters (D) addition for intermediate vision and the other with +3.50 D addition for near vision. Fifty eyes of 25 patients that were operated on by one surgeon are included in this study. The uncorrected and best distance-corrected monocular and binocular, near, intermediate, and distance visual acuities, contrast sensitivity, and defocus curves were measured 6 months postoperatively. In addition to the standard clinical follow-up, a questionnaire evaluating individual satisfaction and quality of life was submitted to the patients.</p></sec><sec><title>Results</title><p>The mean age of patients at the time of surgery was 70 ± 10 years. The mean uncorrected and corrected monocular distance visual acuity (VA) were LogMAR 0.06 ± 0.10 and LogMAR 0.00 ± 0.08, respectively. The outcomes for the binocular uncorrected distance visual acuity were almost the same (LogMAR −0.04 ± 0.09). LogMAR −010 ± 0.15 and 0.02 ± 0.06 were measured for the binocular uncorrected intermediate and near VA, respectively. The distance-corrected visual acuity was maintained in mesopic conditions. The contrast sensitivity was similar to that obtained after implantation of a bifocal intraocular lens and did not decrease in mesopic conditions. The binocular defocus curve confirms good VA even in the intermediate distance range, with a moderate decrease of less than LogMAR 0.2 at −1.5 D, with respect to the best distance VA at 0 D defocus. Patient satisfaction was high. No discrepancy between the objective and subjective outcomes was evidenced.</p></sec><sec><title>Conclusion</title><p>The introduction of a third focus in diffractive multifocal intraocular lenses improves the intermediate vision with minimal visual discomfort for the patient.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Mesci, C" uniqKey="Mesci C">C Mesci</name></author><author><name sortKey="Erbil, H" uniqKey="Erbil H">H Erbil</name></author><author><name sortKey="Ozdoker, L" uniqKey="Ozdoker L">L Ozdoker</name></author><author><name sortKey="Karakurt, Y" uniqKey="Karakurt Y">Y Karakurt</name></author><author><name sortKey="Bilge, Ad" uniqKey="Bilge A">AD Bilge</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maxwell, Wa" uniqKey="Maxwell W">WA Maxwell</name></author><author><name sortKey="Lane, Ss" uniqKey="Lane S">SS Lane</name></author><author><name sortKey="Zhou, F" uniqKey="Zhou 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