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Contrast sensitivity with silicone and poly(methyl methacrylate) intraocular lenses

Identifieur interne : 009410 ( Main/Merge ); précédent : 009409; suivant : 009411

Contrast sensitivity with silicone and poly(methyl methacrylate) intraocular lenses

Auteurs : Johnny Johansen ; Mikael Dam-Johansen ; Thomas Olsen

Source :

RBID : ISTEX:23E3C9171A23CED91BC2634760D55C00BF819BD0

Abstract

Purpose: To compare the optical performance of silicone intraocular lenses (IOLs) with that of conventional poly(methyl methacrylate) (PMMA) IOLs.Setting: University hospital outpatient cataract clinic.Methods: Ninety-one patients were randomly assigned to receive a PMMA IOL (n = 48 eyes) or a silicone IOL (n = 43 eyes). Contrast sensitivity was evaluated 4 months after surgery using the Vistech sinusoidal-grating chart and the Pelli-Robson letter sensitivity chart.Results: No between-group differences were found using the Vistech test. Using the Pelli-Robson test, mean uncorrected contrast sensitivity was 1.59 log units ±0.13 (SD) in the PMMA group and 1.53 ± 0.15 log units in the silicone group. Mean best corrected contrast sensitivity was 1.67 ± 0.11 and 1.63 ± 0.16, respectively. The differences between groups using the Pelli-Robson test were statistically significant (P < .05). No correlation was found between reduced contrast sensitivity and brownish discoloration or thickness of silicone IOLs or posterior capsule fibrosis.Conclusion: Contrast sensitivity was lower in patients with silicone IOLs than in those with conventional PMMA lenses.

Url:
DOI: 10.1016/S0886-3350(97)80085-5

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ISTEX:23E3C9171A23CED91BC2634760D55C00BF819BD0

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<div type="abstract" xml:lang="en">Purpose: To compare the optical performance of silicone intraocular lenses (IOLs) with that of conventional poly(methyl methacrylate) (PMMA) IOLs.Setting: University hospital outpatient cataract clinic.Methods: Ninety-one patients were randomly assigned to receive a PMMA IOL (n = 48 eyes) or a silicone IOL (n = 43 eyes). Contrast sensitivity was evaluated 4 months after surgery using the Vistech sinusoidal-grating chart and the Pelli-Robson letter sensitivity chart.Results: No between-group differences were found using the Vistech test. Using the Pelli-Robson test, mean uncorrected contrast sensitivity was 1.59 log units ±0.13 (SD) in the PMMA group and 1.53 ± 0.15 log units in the silicone group. Mean best corrected contrast sensitivity was 1.67 ± 0.11 and 1.63 ± 0.16, respectively. The differences between groups using the Pelli-Robson test were statistically significant (P < .05). No correlation was found between reduced contrast sensitivity and brownish discoloration or thickness of silicone IOLs or posterior capsule fibrosis.Conclusion: Contrast sensitivity was lower in patients with silicone IOLs than in those with conventional PMMA lenses.</div>
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