Visual performance after the implantation of a new trifocal intraocular lens
Identifieur interne : 002A16 ( Ncbi/Checkpoint ); 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
Affiliations:
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<author><name sortKey="Vryghem, Jerome C" sort="Vryghem, Jerome C" uniqKey="Vryghem J" first="Jérôme C" last="Vryghem">Jérôme C. Vryghem</name>
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<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>
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<author><name sortKey="Heireman, Steven" sort="Heireman, Steven" uniqKey="Heireman S" first="Steven" last="Heireman">Steven Heireman</name>
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<series><title level="j">Clinical Ophthalmology (Auckland, N.Z.)</title>
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<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>
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<author><name sortKey="Akcakaya, Aa" uniqKey="Akcakaya A">AA Akçakaya</name>
</author>
</analytic>
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</listBibl>
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</TEI>
<affiliations><list><country><li>Belgique</li>
</country>
<region><li>Région de Bruxelles-Capitale</li>
</region>
<settlement><li>Bruxelles</li>
</settlement>
</list>
<tree><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Vryghem, Jerome C" sort="Vryghem, Jerome C" uniqKey="Vryghem J" first="Jérôme C" last="Vryghem">Jérôme C. Vryghem</name>
</region>
<name sortKey="Heireman, Steven" sort="Heireman, Steven" uniqKey="Heireman S" first="Steven" last="Heireman">Steven Heireman</name>
<name sortKey="Heireman, Steven" sort="Heireman, Steven" uniqKey="Heireman S" first="Steven" last="Heireman">Steven Heireman</name>
<name sortKey="Vryghem, Jerome C" sort="Vryghem, Jerome C" uniqKey="Vryghem J" first="Jérôme C" last="Vryghem">Jérôme C. Vryghem</name>
</country>
</tree>
</affiliations>
</record>
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