Implantation of refractive multifocal intraocular lens with a surface-embedded near section for cataract eyes complicated with a coexisting ocular pathology
Identifieur interne : 000008 ( Pmc/Curation ); précédent : 000007; suivant : 000009Implantation of refractive multifocal intraocular lens with a surface-embedded near section for cataract eyes complicated with a coexisting ocular pathology
Auteurs : M. Ouchi [Japon] ; S. Kinoshita [Japon]Source :
- Eye [ 0950-222X ] ; 2015.
Abstract
To evaluate the postoperative outcomes of cataract eyes complicated with coexisting ocular pathologies that underwent implantation of a refractive multifocal intraocular lens (MIOL) with a surface-embedded near section.
LENTIS MPlus (Oculentis GmbH) refractive MIOLs were implanted in 15 eyes with ocular pathologies other than cataract (ie, six high-myopia eyes with an axial length longer than 28 mm, two fundus albipunctatus eyes, two branch retinal-vein occlusion eyes, four glaucoma eyes (one with high myopia), and two keratoconus eyes). Uncorrected or corrected distance and near visual acuity (VA) (UDVA, UNVA, CDVA, and CNVA), contrast sensitivity, and defocus curve were measured at 1 day and 6 months postoperatively, and each patient completed a 6-month postoperative questionnaire regarding vision quality and eyeglass use.
Thirteen eyes (87%) registered 0 or better in CDVA and 12 eyes (73%) registered better than 0 in CNVA. Contrast sensitivity in the eyes of all patients was comparable to that of normal healthy subjects. No patient required eyeglasses for distance vision, but three patients (20%) required them for near vision. No patient reported poor or very poor vision quality.
With careful case selection, sectorial refractive MIOL implantation is effective for treating cataract eyes complicated with ocular pathologies.
Url:
DOI: 10.1038/eye.2015.12
PubMed: 25744442
PubMed Central: 4429271
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<author><name sortKey="Ouchi, M" sort="Ouchi, M" uniqKey="Ouchi M" first="M" last="Ouchi">M. Ouchi</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Ouchi Eye Clinic</institution>
, Kyoto,<country>Japan</country>
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<country xml:lang="fr">Japon</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Ophthalmology, Kyoto Prefectural University of Medicine</institution>
, Kyoto,<country>Japan</country>
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<country xml:lang="fr">Japon</country>
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<author><name sortKey="Kinoshita, S" sort="Kinoshita, S" uniqKey="Kinoshita S" first="S" last="Kinoshita">S. Kinoshita</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Implantation of refractive multifocal intraocular lens with a surface-embedded near section for cataract eyes complicated with a coexisting ocular pathology</title>
<author><name sortKey="Ouchi, M" sort="Ouchi, M" uniqKey="Ouchi M" first="M" last="Ouchi">M. Ouchi</name>
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<author><name sortKey="Kinoshita, S" sort="Kinoshita, S" uniqKey="Kinoshita S" first="S" last="Kinoshita">S. Kinoshita</name>
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<series><title level="j">Eye</title>
<idno type="ISSN">0950-222X</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>To evaluate the postoperative outcomes of cataract eyes complicated with coexisting ocular pathologies that underwent implantation of a refractive multifocal intraocular lens (MIOL) with a surface-embedded near section.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>LENTIS MPlus (Oculentis GmbH) refractive MIOLs were implanted in 15 eyes with ocular pathologies other than cataract (ie, six high-myopia eyes with an axial length longer than 28 mm, two fundus albipunctatus eyes, two branch retinal-vein occlusion eyes, four glaucoma eyes (one with high myopia), and two keratoconus eyes). Uncorrected or corrected distance and near visual acuity (VA) (UDVA, UNVA, CDVA, and CNVA), contrast sensitivity, and defocus curve were measured at 1 day and 6 months postoperatively, and each patient completed a 6-month postoperative questionnaire regarding vision quality and eyeglass use.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>Thirteen eyes (87%) registered 0 or better in CDVA and 12 eyes (73%) registered better than 0 in CNVA. Contrast sensitivity in the eyes of all patients was comparable to that of normal healthy subjects. No patient required eyeglasses for distance vision, but three patients (20%) required them for near vision. No patient reported poor or very poor vision quality.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusion</title>
<p>With careful case selection, sectorial refractive MIOL implantation is effective for treating cataract eyes complicated with ocular pathologies.</p>
</sec>
</div>
</front>
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<pmc article-type="other"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Eye (Lond)</journal-id>
<journal-id journal-id-type="iso-abbrev">Eye (Lond)</journal-id>
<journal-title-group><journal-title>Eye</journal-title>
</journal-title-group>
<issn pub-type="ppub">0950-222X</issn>
<issn pub-type="epub">1476-5454</issn>
<publisher><publisher-name>Nature Publishing Group</publisher-name>
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<article-meta><article-id pub-id-type="pmid">25744442</article-id>
<article-id pub-id-type="pmc">4429271</article-id>
<article-id pub-id-type="pii">eye201512</article-id>
<article-id pub-id-type="doi">10.1038/eye.2015.12</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Clinical Study</subject>
</subj-group>
</article-categories>
<title-group><article-title>Implantation of refractive multifocal intraocular lens with a surface-embedded near section for cataract eyes complicated with a coexisting ocular pathology</article-title>
<alt-title alt-title-type="running">Sectorial refractive multifocal IOL for complicated ocular pathologies</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Ouchi</surname>
<given-names>M</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="aff" rid="aff2">2</xref>
<xref ref-type="corresp" rid="caf1">*</xref>
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<contrib contrib-type="author"><name><surname>Kinoshita</surname>
<given-names>S</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
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<aff id="aff1"><label>1</label>
<institution>Ouchi Eye Clinic</institution>
, Kyoto,<country>Japan</country>
</aff>
<aff id="aff2"><label>2</label>
<institution>Department of Ophthalmology, Kyoto Prefectural University of Medicine</institution>
, Kyoto,<country>Japan</country>
</aff>
</contrib-group>
<author-notes><corresp id="caf1"><label>*</label>
<institution>Ouchi Eye Clinic</institution>
, 47-1 Karahashi Rajomon-cho, Minami-ku, Kyoto 601-8453, <country>Japan</country>
Tel: +81 75 662 7117; Fax: +81 75 662 7118. E-mail: <email>mouchi@skyblue.ocn.ne.jp</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>05</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>06</day>
<month>03</month>
<year>2015</year>
</pub-date>
<volume>29</volume>
<issue>5</issue>
<fpage>649</fpage>
<lpage>655</lpage>
<history><date date-type="received"><day>29</day>
<month>07</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>24</day>
<month>12</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2015 Royal College of Ophthalmologists</copyright-statement>
<copyright-year>2015</copyright-year>
<copyright-holder>Royal College of Ophthalmologists</copyright-holder>
</permissions>
<abstract><sec><title>Purpose</title>
<p>To evaluate the postoperative outcomes of cataract eyes complicated with coexisting ocular pathologies that underwent implantation of a refractive multifocal intraocular lens (MIOL) with a surface-embedded near section.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>LENTIS MPlus (Oculentis GmbH) refractive MIOLs were implanted in 15 eyes with ocular pathologies other than cataract (ie, six high-myopia eyes with an axial length longer than 28 mm, two fundus albipunctatus eyes, two branch retinal-vein occlusion eyes, four glaucoma eyes (one with high myopia), and two keratoconus eyes). Uncorrected or corrected distance and near visual acuity (VA) (UDVA, UNVA, CDVA, and CNVA), contrast sensitivity, and defocus curve were measured at 1 day and 6 months postoperatively, and each patient completed a 6-month postoperative questionnaire regarding vision quality and eyeglass use.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>Thirteen eyes (87%) registered 0 or better in CDVA and 12 eyes (73%) registered better than 0 in CNVA. Contrast sensitivity in the eyes of all patients was comparable to that of normal healthy subjects. No patient required eyeglasses for distance vision, but three patients (20%) required them for near vision. No patient reported poor or very poor vision quality.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusion</title>
<p>With careful case selection, sectorial refractive MIOL implantation is effective for treating cataract eyes complicated with ocular pathologies.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
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