Axial movement of the dual-optic accommodating intraocular lens for the correction of the presbyopia: Optical performance and clinical outcomes
Identifieur interne : 003316 ( Ncbi/Merge ); précédent : 003315; suivant : 003317Axial movement of the dual-optic accommodating intraocular lens for the correction of the presbyopia: Optical performance and clinical outcomes
Auteurs : Javier Tomás-Juan [Andorre, Colombie] ; Ane Murueta-Goyena Larra Aga [Espagne]Source :
- Journal of Optometry [ 1888-4296 ] ; 2014.
Abstract
Presbyopia occurs in the aging eye due to changes in the ciliary muscle, zonular fibers, crystalline lens, and an increased lens sclerosis. As a consequence, the capacity of accommodation decreases, which hampers to focus near objects. With the aim of restoring near vision, different devices that produce multiple focuses have been developed and introduced. However, these devices are still unable to restore accommodation. In order to achieve that goal, dual-optic accommodating Intraocular Lenses have been designed, whose anterior optic displaces axially to increase ocular power, and focus near objects. Although dual-optic accommodating IOLs are relatively new, their outcomes are promising, as they provide large amplitudes of accommodation and a greater IOL displacement than single-optic accommodating IOLs. The outcomes show comfortable near vision, higher patients’ satisfaction rates, and minimal postoperative complications like Posterior Capsular Opacification and Anterior Capsular Opacification, due to their design and material.
Url:
DOI: 10.1016/j.optom.2014.06.004
PubMed: 25248803
PubMed Central: 4401821
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<author><name sortKey="Tomas Juan, Javier" sort="Tomas Juan, Javier" uniqKey="Tomas Juan J" first="Javier" last="Tomás-Juan">Javier Tomás-Juan</name>
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<front><div type="abstract" xml:lang="en"><p>Presbyopia occurs in the aging eye due to changes in the ciliary muscle, zonular fibers, crystalline lens, and an increased lens sclerosis. As a consequence, the capacity of accommodation decreases, which hampers to focus near objects. With the aim of restoring near vision, different devices that produce multiple focuses have been developed and introduced. However, these devices are still unable to restore accommodation. In order to achieve that goal, dual-optic accommodating Intraocular Lenses have been designed, whose anterior optic displaces axially to increase ocular power, and focus near objects. Although dual-optic accommodating IOLs are relatively new, their outcomes are promising, as they provide large amplitudes of accommodation and a greater IOL displacement than single-optic accommodating IOLs. The outcomes show comfortable near vision, higher patients’ satisfaction rates, and minimal postoperative complications like Posterior Capsular Opacification and Anterior Capsular Opacification, due to their design and material.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Optom</journal-id>
<journal-id journal-id-type="iso-abbrev">J Optom</journal-id>
<journal-title-group><journal-title>Journal of Optometry</journal-title>
</journal-title-group>
<issn pub-type="ppub">1888-4296</issn>
<issn pub-type="epub">1989-1342</issn>
<publisher><publisher-name>Elsevier</publisher-name>
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<article-id pub-id-type="pmc">4401821</article-id>
<article-id pub-id-type="publisher-id">S1888-4296(14)00056-9</article-id>
<article-id pub-id-type="doi">10.1016/j.optom.2014.06.004</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review</subject>
</subj-group>
</article-categories>
<title-group><article-title>Axial movement of the dual-optic accommodating intraocular lens for the correction of the presbyopia: Optical performance and clinical outcomes</article-title>
<trans-title-group xml:lang="es"><trans-title>Movimiento axial de las lentes intraoculares acomodativas de doble óptica para la corrección de la presbicia: rendimiento óptico y resultados clínicos</trans-title>
</trans-title-group>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Tomás-Juan</surname>
<given-names>Javier</given-names>
</name>
<email>javier.tomas@live.com</email>
<xref rid="aff0005" ref-type="aff">a</xref>
<xref rid="aff0010" ref-type="aff">b</xref>
<xref rid="cor0005" ref-type="corresp">⁎</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Murueta-Goyena Larrañaga</surname>
<given-names>Ane</given-names>
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<xref rid="aff0015" ref-type="aff">c</xref>
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<aff id="aff0005"><label>a</label>
Department of Visual Science, Vallmedic Vision International Eye Center, Andorra</aff>
<aff id="aff0010"><label>b</label>
School of Health Sciences, La Salle University, Bogotá, Colombia</aff>
<aff id="aff0015"><label>c</label>
Collaborator Researcher at Department of Neuroscience. University of Basque Country, Leioa, Spain</aff>
<author-notes><corresp id="cor0005"><label>⁎</label>
Corresponding author at: Department of Visual Science, Vallmedic Vision Andorra, Avinguda Nacions Unides 17. AD700, Escaldes-Ergordany, Andorra. <email>javier.tomas@live.com</email>
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<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><season>Apr-Jun</season>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>22</day>
<month>9</month>
<year>2014</year>
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<volume>8</volume>
<issue>2</issue>
<fpage>67</fpage>
<lpage>76</lpage>
<history><date date-type="received"><day>1</day>
<month>3</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>3</day>
<month>6</month>
<year>2014</year>
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<permissions><copyright-statement>© 2014 Published by Elsevier España, S.L.U. on behalf of Spanish General Council of Optometry.</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder></copyright-holder>
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<abstract><p>Presbyopia occurs in the aging eye due to changes in the ciliary muscle, zonular fibers, crystalline lens, and an increased lens sclerosis. As a consequence, the capacity of accommodation decreases, which hampers to focus near objects. With the aim of restoring near vision, different devices that produce multiple focuses have been developed and introduced. However, these devices are still unable to restore accommodation. In order to achieve that goal, dual-optic accommodating Intraocular Lenses have been designed, whose anterior optic displaces axially to increase ocular power, and focus near objects. Although dual-optic accommodating IOLs are relatively new, their outcomes are promising, as they provide large amplitudes of accommodation and a greater IOL displacement than single-optic accommodating IOLs. The outcomes show comfortable near vision, higher patients’ satisfaction rates, and minimal postoperative complications like Posterior Capsular Opacification and Anterior Capsular Opacification, due to their design and material.</p>
</abstract>
<trans-abstract xml:lang="es"><title>Resumen</title>
<p>La presbicia se produce en el ojo envejecido debido a los cambios en el músculo ciliar, las fibras zonulares y el cristalino, y al incremento de la esclerosis del mismo. Como consecuencia, disminuye la capacidad de acomodación, lo que dificulta el enfoque de los objetos cercanos. Con el fin de restaurar la visión de cerca, se han desarrollado e introducido diferentes dispositivos que producen múltiples focos. Sin embargo, dichos dispositivos no son aún capaces de restaurar la acomodación. A fin de lograr este objetivo, se han diseñado las lentes intraoculares acomodativas de doble óptica, cuya óptica anterior se desplaza axialmente para incrementar la potencia ocular, y enfocar los objetos cercanos. Aunque estas LIOs acomodativas son relativamente nuevas, sus resultados son prometedores, ya que aportan grandes amplitudes de acomodación y un mayor desplazamiento de la LIO que las LIO acomodativas de óptica simple. Los resultados muestran una visión de cerca cómoda, unos índices elevados de satisfacción del paciente y unas mínimas complicaciones postoperatorias, tales como la opacificación capsular posterior y posterior, debido a su diseño y material.</p>
</trans-abstract>
<kwd-group><title>Keywords</title>
<kwd>Accommodative intraocular lenses</kwd>
<kwd>Dual optic intraocular lens</kwd>
<kwd>Pseudophakic accommodation</kwd>
<kwd>Presbyopia</kwd>
</kwd-group>
<kwd-group xml:lang="es"><title>Palabras clave</title>
<kwd>Lentes intraoculares acomodativas</kwd>
<kwd>Lentes intraoculares de óptica dual</kwd>
<kwd>Acomodación pseudofáquica</kwd>
<kwd>Presbicia</kwd>
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