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Multifocal IOL

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https://www.readbyqxmd.com/read/28917400/visual-quality-and-performance-comparison-between-2-refractive-rotationally-asymmetric-multifocal-intraocular-lenses
#1
Richard N McNeely, Eric Pazo, Andrew Spence, Olivier Richoz, M Andrew Nesbit, Tara C B Moore, Jonathan E Moore
PURPOSE: To compare the 12-month postoperative quality of vision and visual performance of 2 different refractive rotationally asymmetric multifocal intraocular lenses (IOLs). SETTING: Cathedral Eye Clinic, Belfast, Northern Ireland, United Kingdom. DESIGN: Retrospective case series. METHODS: Refractive lens exchange (RLE) patients were divided into 2 groups. Group A comprised eyes receiving a Lentis Mplus LS-312 MF30 IOL and Group B, eyes receiving a Lenstec SBL-3 IOL...
August 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28868034/correction-of-high-astigmatism-after-penetrating-keratoplasty-with-toric-multifocal-intraocular-lens-implantation
#2
Raffaele Nuzzi, Francesca Monteu
After penetrating keratoplasty (PK), high astigmatism is often induced, being frequently about 4-6 dpt. According to the entity and typology of astigmatism, different methods of correction can be used. Selective suture removal, relaxing incisions, wedge resections, compression sutures, photorefractive keratectomy, and laser-assisted in situ keratomileusis can reduce corneal astigmatism and ametropia, but meanwhile they can cause a reduction in the corneal integrity and cause an over- or undercorrection. In case of moderate-to-high regular astigmatisms, the authors propose a toric multifocal intraocular lens (IOL) implantation to preserve the corneal integrity (especially in PK after herpetic corneal leukoma keratitis)...
May 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28832744/posterior-argentinean-flag-like-sign-during-primary-posterior-continuous-curvilinear-capsulorhexis
#3
Frederico França Marques, Daniela Mieira Villano Marques, Fabio Kenji Matsumoto
We describe a unique complication during primary posterior continuous curvilinear capsulorhexis (PCCC) in a patient with megalocornea scheduled for phacoemulsification with toric multifocal intraocular lens (IOL) implantation. After nucleus emulsification and cortex removal, the capsular bag was filled with cohesive viscoelastic in preparation for PCCC to achieve reverse optic capture of the IOL, thus ensuring stability. However, as soon as the initial puncture was made using a 27-gauge needle to start the capsulotomy, the posterior capsule opening extended peripherally from 0º-180º...
June 2017: Arquivos Brasileiros de Oftalmologia
https://www.readbyqxmd.com/read/28790805/bilateral-implantation-of-3-0-d-multifocal-toric-intraocular-lenses-results-of-a-us-food-and-drug-administration-clinical-trial
#4
Robert Lehmann, Satish Modi, Bret Fisher, Magda Michna, Michael Snyder
PURPOSE: The purpose of this study was to evaluate the clinical outcomes of apodized diffractive +3.0 D multifocal toric intraocular lens (IOL) implantations in subjects with preoperative corneal astigmatism. PATIENTS AND METHODS: This was a prospective cohort study conducted at 21 US sites. The study population consisted of 574 subjects, aged ≥21 years, with preoperative astigmatism 0.75-2.82 D, and potential postoperative visual acuity (VA) ≥0.2 logMAR, undergoing bilateral cataract removal by phacoemulsification...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28780781/multifocal-intraocular-lenses-and-extended-depth-of-focus-intraocular-lenses
#5
Detlev R H Breyer, Hakan Kaymak, Timon Ax, Florian T A Kretz, Gerd U Auffarth, Philipp R Hagen
Presbyopia and cataract patients' desire for increased spectacle independence after surgery is one of the main drivers for the development of multifocal intraocular lenses (MIOLs) and extended depth of focus (EDOF) intraocular lenses (IOLs). As education, biometry, diagnostics, surgical techniques, and MIOL/EDOF IOL designs have improved over the past decade, an increasing number of cataract surgeons have become cataract-refractive surgeons to help address this need. There is not 1 single MIOL/EDOF IOL, however, that suits all patients' needs...
July 2017: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/28780780/intraocular-lens-explantation-after-cataract-surgery-indications-results-and-explantation-techniques
#6
Roberto Fernández-Buenaga, Jorge L Alió
Intraocular lens (IOL) explantation after uneventful cataract surgery is rare but associated with a high risk of complications. In the past few years, the number of published reports about IOL explantation has grown significantly and most of them focus on explantation surgery due to spontaneous late IOL in-the-bag dislocations. This is related to the growth of the pseudophakic population, first as a result of longer lifespans, and second, because the improvements in safety and accuracy of phacoemulsification surgery have led to an increased number of phacorefractive procedures performed in younger patients...
July 2017: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/28744096/subjective-evaluation-of-uncorrected-vision-in-patients-undergoing-cataract-surgery-with-diffractive-multifocal-lenses-and-monovision
#7
Ricardo Alexandre Stock, Thaís Thumé, Luan Gabriel Paese, Elcio Luiz Bonamigo
PURPOSE: To analyze patient satisfaction and difficulties with bilateral multifocal intraocular lenses (IOLs) implantation and aspheric monofocal IOLs implantation using monovision, after cataract surgery. MATERIALS AND METHODS: A total of 61 participants were included in the study, 29 with monovision and 32 with multifocal lenses. The inclusion criteria were patients undergoing phacoemulsification for bilateral visual impairment due to cataracts and presenting with postoperative visual acuity of 20/30 or better for distance and line J3 or better for near vision...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28732609/refractive-outcomes-after-multifocal-intraocular-lens-exchange
#8
Eric J Kim, Ahmar Sajjad, Ildamaris Montes de Oca, Douglas D Koch, Li Wang, Mitchell P Weikert, Zaina N Al-Mohtaseb
PURPOSE: To evaluate the refractive outcomes after multifocal intraocular lens (IOL) exchange. SETTING: Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA. DESIGN: Retrospective case series. METHODS: Patients had multifocal IOL explantation followed by IOL implantation. Outcome measures included type of IOL, surgical indication, corrected distance visual acuity (CDVA), and refractive prediction error...
June 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28732606/visual-performance-after-bilateral-implantation-of-2-new-presbyopia-correcting-intraocular-lenses-trifocal-versus-extended-range-of-vision
#9
Gaspare Monaco, Mariangela Gari, Fabio Di Censo, Andrea Poscia, Giada Ruggi, Antonio Scialdone
PURPOSE: To compare the visual outcomes and quality of vision of 2 new diffractive multifocal intraocular lenses (IOLs) with those of a monofocal IOL. SETTING: Fatebenefratelli e Oftalmico Hospital, Milan, Italy. DESIGN: Prospective case series. METHODS: Patients had bilateral cataract surgery with implantation of a trifocal IOL (Panoptix), an extended-range-of-vision IOL (Symfony), or a monofocal IOL (SN60WF). Postoperative examinations included assessing distance, intermediate, and near visual acuity; binocular defocus; intraocular and total aberrations; point-spread function (PSF); modulation transfer function (MTF); retinal straylight; and quality-of-vision (QoV) and spectacle-dependence questionnaires...
June 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28718041/quality-of-vision-patient-satisfaction-and-long-term-visual-function-after-bilateral-implantation-of-a-low-addition-multifocal-intraocular-lens
#10
Emilio Pedrotti, Rodolfo Mastropasqua, Jacopo Bonetto, Christian Demasi, Francesco Aiello, Carlo Nucci, Cesare Mariotti, Giorgio Marchini
PURPOSE: The aim of the current study was to compare the quality of vision, contrast sensitivity and patient satisfaction with a biaspheric, segmented, rotationally asymmetric IOL (Lentis Comfort LS-313 MF 15-Oculentis GmbH, Berlin, Germany) as opposed to those of a monofocal IOL. METHODS: This prospective single-blind comparative study included two groups of patients affected by bilateral senile cataract who underwent lens extraction and IOL implantation. The first group received a bilateral implantation of a monofocal IOL, and the second group received a bilateral implantation of the Comfort IOL...
July 17, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28717577/temporal-multiplexing-to-simulate-multifocal-intraocular-lenses-theoretical-considerations
#11
Vyas Akondi, Carlos Dorronsoro, Enrique Gambra, Susana Marcos
Fast tunable lenses allow an effective design of a portable simultaneous vision simulator (SimVis) of multifocal corrections. A novel method of evaluating the temporal profile of a tunable lens in simulating different multifocal intraocular lenses (M-IOLs) is presented. The proposed method involves the characteristic fitting of the through-focus (TF) optical quality of the multifocal component of a given M-IOL to a linear combination of TF optical quality of monofocal lenses viable with a tunable lens. Three different types of M-IOL designs are tested, namely: segmented refractive, diffractive and refractive extended depth of focus...
July 1, 2017: Biomedical Optics Express
https://www.readbyqxmd.com/read/28665477/visual-acuity-and-image-quality-in-5-diffractive-intraocular-lenses
#12
Genís Cardona, Fidel Vega, Miguel A Gil, Consuelo Varón, José A Buil, María S Millán
PURPOSE: To compare objective image quality at distant, intermediate, and near foci with the corresponding visual acuity (VA) in patients symmetrically implanted with 5 different diffractive multifocal intraocular lenses (IOLs) (ReSTOR SV25T0, Tecnis ZKB00, Tecnis ZLB00, AT LISA 809, and AT LISA Tri 839MP) and a monofocal lens (Tecnis ZA9003) 3 months after cataract intervention. METHODS: Objective image quality, measured as the area under the modulation transfer function curve (AMTF), was tested in vitro in an eye model...
June 26, 2017: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/28662629/in-vitro-optical-quality-measurements-of-three-intraocular-lens-models-having-identical-platform
#13
Hyeck Soo Son, Tamer Tandogan, Stephanie Liebing, Patrick Merz, Chul Young Choi, Ramin Khoramnia, Gerd U Auffarth
BACKGROUND: With recent advances in technology and introduction of new intraocular lens (IOL) models, surgeons today have the opportunity to choose from various optical designs, which can influence the postoperative quality of vision. In our laboratory study, we compared the optical quality of three different IOLs that use the identical platform and are produced by the same manufacturer. The study included two diffractive multifocal IOLs, a bifocal and a trifocal one, as well as a monofocal IOL...
June 29, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28661569/effect-of-active-evaluation-on-the-detection-of-negative-dysphotopsia-after-sequential-cataract-surgery-discrepancy-between-incidences-of-unsolicited-and-solicited-complaints
#14
Natalia Y Makhotkina, Marjan D Nijkamp, Tos T J M Berendschot, Bart van den Borne, Rudy M M A Nuijts
PURPOSE: To evaluate the incidence of negative dysphotopsia after sequential cataract surgery. METHODS: Retrospective cohort study. The incidence of negative dysphotopsia was assessed by retrospective reviewing of medical records and interviews with patients between 2 and 4 months after sequential cataract surgery. Inclusion criteria were uncomplicated surgery, postoperative corrected distance visual acuity (CDVA) ≥20/25 Snellen and the absence of ocular comorbidity...
June 29, 2017: Acta Ophthalmologica
https://www.readbyqxmd.com/read/28650130/supplementary-iols-monofocal-and-multifocal-their-applications-and-limitations
#15
Bita Manzouri, Maria Dari, Charles Claoué
Supplemental intraocular lenses (IOLs) have been developed to replace IOLs designed for in-the-bag placement being used as "piggy-back" IOLs in the sulcus due to unacceptable complications. The new IOLs have unique platform designs to avoid these complications. As a result, a new nomenclature is needed to describe the 4 scenarios when supplemental IOL use is now indicated.
July 2017: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/28639448/-hybrid-monovision
#16
P Studený, M Kacerovský, J Kacerovská, N Gajarová, Z Straňák
AIM: To evaluate our own results of the use of hybrid monovision technique, in patients after bilateral cataract surgery, where in the dominant eye the monofocal intraocular lens is implanted and in the non-dominant eye the multifocal intraocular lens (IOL) is implanted. MATERIAL AND METHODS: Prospective follow-up of group of 33 patients with bilateral cataract surgery and induced hybrid monovision. In the dominant eye, the hydrophilic monofocal aspheric intraocular lens Auroflex (Aurolab) was implanted, and in the non-dominant eye the hydrophilic multifocal aspheric intraocular lens Seelens (Hanita) was implanted...
2017: Ceská a Slovenská Oftalmologie
https://www.readbyqxmd.com/read/28602334/intraindividual-comparative-analysis-of-the-visual-performance-after-cataract-surgery-with-implantation-of-a-trifocal-and-a-bifocal-intraocular-lens
#17
Ghada Al-Khateeb, Mehdi Shajari, Thomas Kohnen
Presbyopia-treating intraocular lenses (IOLs) are now widely available and offer high predictability at all distances, better visual outcomes, and high patient satisfaction. In most patients, the same multifocal IOL is implanted bilaterally. In certain circumstances, such as during complex surgeries, it is important to be prepared with a backup plan to maintain surgical expectations. We report 3 patients who had femtosecond laser-assisted cataract surgeries in both eyes. The complicated eye had implantation of a bifocal IOL and the fellow eye of a trifocal IOL...
May 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28602324/visual-outcomes-and-patient-satisfaction-3%C3%A2-and-12%C3%A2-months-after-implantation-of%C3%A2-a%C3%A2-refractive-rotationally-asymmetric-multifocal%C3%A2-intraocular-lens
#18
Richard N McNeely, Eric Pazo, Andrew Spence, Olivier Richoz, M Andrew Nesbit, Tara C B Moore, Jonathan E Moore
PURPOSE: To assess the 3-month and 12-month postoperative visual performance and subjective patient satisfaction after refractive lens exchange (RLE) with implantation of a rotationally asymmetric multifocal intraocular lens (IOL). SETTING: Cathedral Eye Clinic, Belfast, United Kingdom. DESIGN: Prospective case series. METHODS: The refraction, uncorrected (UDVA) and corrected distance visual acuities, uncorrected intermediate (UIVA) and near (UNVA) visual acuities, distance-corrected intermediate and near visual acuities, and a quality of vision (QoV) questionnaire were evaluated 3 months and 12 months after implantation of an SBL-3 IOL...
May 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28586499/a-new-extended-depth-of-focus-intraocular-lens-based-on-spherical-aberration
#19
Roberto Bellucci, Maria C Curatolo
PURPOSE: To describe a new extended depth of focus intraocular lens (IOL) design offering multifocality by the variation of spherical aberration in the central optical zone. METHODS: The new IOL (Mini WELL; SIFI, Catania, Italy) is an aspheric IOL with positive spherical aberration in the central 2-mm zone and negative spherical aberration in the pericentral 1-mm annulus, the amount of which was determined by specific optic calculation. The new IOL design was tested at the optical bench to investigate depth of focus and sensitivity to tilt, decentration, and angle Kappa...
June 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28574135/patient-centered-and-visual-quality-outcomes-of-premium-cataract-surgery-a-systematic-review
#20
REVIEW
Sophia Y Wang, Maxwell S Stem, Gale Oren, Roni Shtein, Paul R Lichter
PURPOSE: Over 8 million cataract surgeries are performed in the United States and the European Union annually, with many patients choosing to pay out of pocket for premium options including premium intraocular lens implants (IOLs) or laser-assisted cataract surgery (LACS). This report provides a systematic review evaluating patient-centered and visual quality outcomes comparing standard monofocal IOLs to premium cataract surgery options. METHODS: PubMed and EMBASE were searched for publications published between January 1, 1980, and September 18, 2016, on multifocal, accommodative, and toric IOLs, monovision, and LACS, which reported on 1) dysphotopsias, 2) contrast sensitivity, 3) spectacle independence, 4) vision-related quality of life or patient satisfaction, and 5) IOL exchange...
June 26, 2017: European Journal of Ophthalmology
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