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Multifocal intraocular lens

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https://www.readbyqxmd.com/read/28317674/clinical-and-patient-reported-outcomes-of-bilateral-implantation-of-a-2-5-diopter-multifocal-intraocular-lens
#1
Andrew Maxwell, Edward Holland, Lisa Cibik, Anna Fakadej, Gary Foster, Les Grosinger, Andrew Moyes, Stephen Nielsen, Steven Silverstein, Melissa Toyos, Arthur Weinstein, Scott Hartzell
PURPOSE: To assess the effectiveness and safety of a multifocal intraocular lens (IOL) with +2.5 diopter (D) additional power compared with a monofocal IOL. SETTING: Fifteen sites in the United States. DESIGN: Prospective randomized patient- and observer-masked clinical trial. METHODS: Randomized patients received multifocal or monofocal IOLs bilaterally. Visual acuity (33 cm, 40 cm, 53 cm, 60 cm, 4 m) was measured; safety was assessed through adverse event rates...
January 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28291198/-clinical-results-of-aphakia-correction-with-multifocal-intraocular-lenses
#2
G V Voronin, V R Mamikonyan, V M Sheludchenko, M N Narbut
AIM: to assess visual functions and ergonomics after bilateral versus unilateral implantation of Lentis Comfort LS-313 MF15 multifocal intraocular lenses (MIOL) in aphakic eyes. MATERIAL AND METHODS: A total of 20 patients with М LENTIS LS-313 MF15 MIOLs were followed up. Group 1 consisted of 12 patients after bilateral symmetric implantation, group 2 - of 8 patients after unilateral procedure. The following parameters were examined: uncorrected binocular visual acuity at far, near, and intermediate distances under photopic and mesopic conditions, the range of pseudoaccommodation, spatial contrast sensitivity to achromatic sinusoidal gratings, lens stability with account to its optical design, and patient satisfaction with the resultant vision...
2017: Vestnik Oftalmologii
https://www.readbyqxmd.com/read/28251083/predictive-factors-for-photic-phenomena-after-refractive-rotationally-asymmetric-multifocal-intraocular-lens-implantation
#3
Hungwon Tchah, Kiyeun Nam, Aeri Yoo
AIM: To investigate the independent factors associated with photic phenomena in patients implanted with refractive, rotationally asymmetric, multifocal intraocular lenses (MIOLs). METHODS: Thirty-four eyes of 34 patients who underwent unilateral cataract surgery, followed by implantation of rotationally asymmetric MIOLs were included. Distance and near visual acuity outcomes, intraocular aberrations, preferred reading distances, preoperative and postoperative refractive errors, mesopic and photopic pupil diameters, and the mesopic and photopic kappa angles were assessed...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28237150/spectacle-plane-add-power-of-multifocal-intraocular-lenses-according-to-effective-lens-position
#4
Youngsub Eom, Jong Suk Song, Hyo Myung Kim
OBJECTIVE: To evaluate the accuracy of predicting the spectacle plane add power of multifocal intraocular lenses (MIOLs) based on the effective lens position (ELP) using the Haigis formula. DESIGN: Retrospective cross-sectional study. PARTICIPANTS: A total of 26 eyes from 18 consecutive patients who underwent phacoemulsification with Tecnis MIOL (Z*B00) implantation. METHODS: The postoperative spectacle plane add power of MIOLs was determined from the monocular defocus curve...
February 2017: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/28133543/visual-outcomes-quality-of-vision-and-quality-of-life-of-diffractive-multifocal-intraocular-lens-implantation-after-myopic-laser-in-situ-keratomileusis-a-prospective-observational-case-series
#5
John S M Chang, Jack C M Ng, Vincent K C Chan, Antony K P Law
Purpose. To report visual performance and quality of life after implantation of a bifocal diffractive multifocal intraocular lens (MIOL) in postmyopic laser in situ keratomileusis (LASIK) patients. Methods. Prospective, observational case series. Patients with prior myopic LASIK who had implantation of Tecnis ZMA00/ZMB00 MIOL (Abbott Medical Optics) at Hong Kong Sanatorium and Hospital were included. Postoperative examinations included monocular and binocular distance, intermediate and near visual acuity (VA), and contrast sensitivity; visual symptoms (0-5); satisfaction (1-5); spectacle independence rate; and quality of life...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28106237/reading-and-quality-of-life-differences-between-tecnis-zcb00-monofocal-and-tecnis-zmb00-multifocal-intraocular-lenses
#6
Francisco de Asís Bartol-Puyal, Paula Talavero, Galadriel Giménez, Irene Altemir, José M Larrosa, Vicente Polo, Luis E Pablo
PURPOSE: To compare the NEI-RQL-42 quality of life questionnaire and the Radner Vissum reading test outcomes after bilateral cataract surgery with implantation of Tecnis ZCB00 monofocal and Tecnis ZMB00 multifocal intraocular lens (IOL). METHODS: Forty-two eyes of 21 patients who had phacoemulsification were implanted with Tecnis ZCB00 IOL and 82 eyes of 41 patients were implanted with Tecnis ZMB00 IOL. They answered the NEI-RQL-42 questionnaire before cataract surgery and 3 months after it...
January 2, 2017: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/28101039/multifocal-toric-intraocular-lens-for-traumatic-cataract-in-a-child
#7
Yanfeng Zeng, Licheng Fan, Peirong Lu
A child suffering from traumatic cataract and corneal astigmatism of 2.14 D had a phacoemulsification operation and implantation of a ReSTOR Toric intraocular lens (IOL) to correct the astigmatism. The primary outcome measurements were the uncorrected distance visual acuity (UDVA), uncorrected near vision at 40 cm, intraocular pressure, spherical equivalent refraction, residual astigmatism, corneal astigmatism, presence of unusual optical phenomena, and use of spectacles. At 7 months postoperatively, UDVA was maintained between 16/20 and 24/20, near vision was between J1 and J3, residual spherical refraction was 0-0...
September 2016: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28101037/successful-restoration-of-visual-acuity-with-an-extended-range-of-vision-intraocular-lens-after-multifocal-laser-ablation
#8
Sondra Black
As our baby boomer population is aging and developing cataracts, so are our post-LASIK patients. These patients underwent LASIK surgery as they wished to be spectacle-free and are hoping to remain so after intraocular lens (IOL) surgery. Unfortunately, very little information is available regarding the suitability of presbyopia correcting IOLs for post-LASIK patients. This case represents successful implantation of an extended range of vision IOL in a 59-year-old patient who underwent multifocal ablation excimer laser surgery 12 years before...
September 2016: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28091897/comparative-analysis-of-the-visual-and-refractive-outcomes-of-a-refractive-segmented-multifocal-intraocular-lens-with-and-without-toricity-1-year-results
#9
Ryo Shodai, Kazuno Negishi, Hiroyuki Arai, Ikuko Toda, Hidemasa Torii, Kazuo Tsubota
PURPOSE: To compare the visual and refractive outcomes up to 1 year postoperatively following implantation of a refractive segmented or a refractive segmented toric multifocal intraocular lens (IOL). METHODS: This retrospective study included 108 eyes of 64 patients who underwent cataract surgery with implantation of a refractive segmented multifocal IOL (Lentis Mplus LS-313 MF30 IOL) (LM group) and 81 eyes of 49 patients with implantation of a refractive segmented toric multifocal IOL (Lentis Mplus LU-313 MF30T IOL) (LMT group)...
March 2017: Japanese Journal of Ophthalmology
https://www.readbyqxmd.com/read/28007103/comparison-of-the-visual-performance-and-quality-of-vision-with-combined-symmetrical-inferonasal-near-addition-versus-inferonasal-and-superotemporal-placement-of-rotationally-asymmetric-refractive-multifocal-intraocular-lenses
#10
Richard N McNeely, Eric Pazo, Andrew Spence, Olivier Richoz, M Andrew Nesbit, Tara C B Moore, Jonathan E Moore
PURPOSE: To compare the postoperative quality of vision between different bilateral placements of near segments of rotationally asymmetric refractive multifocal intraocular lenses (IOLs) and to determine how this affects visual performance. SETTING: Cathedral Eye Clinic, Belfast, Northern Ireland, United Kingdom. DESIGN: Retrospective comparative case series. METHODS: The study enrolled consecutive patients having refractive lens exchange and implantation of rotationally asymmetric multifocal IOLs...
December 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28004156/-intramuscular-depot-steroids-possible-treatment-of-postsurgical-cystoid-macula-edema-with-steroid-response
#11
A-M Seuthe, P Szurman, K T Boden
We report on a patient with postsurgical cystoid macular edema (CME) after phacoemulsification and multifocal intraocular lens (MIOL) implantation. At first, there was a very good reaction to intravitreal triamcinolone, inducing complete regression of the edema without increasing intraocular pressure (IOP). One year later the patient suffered from retinal detachment and was treated with vitrectomy, laser, and gas tamponade. Afterward, he developed macular pucker with edema. After surgical treatment with pucker peeling and intravitreal triamcinolone, the patient showed a steroid response and an increase IOP...
December 21, 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/28003977/combination-of-toric-and-multifocal-intraocular-lens-implantation-in-bilateral-cataract-patients-with-unilateral-astigmatism
#12
Jing-Li Liang, Fang Tian, Hong Zhang, He Teng
AIM: To assess the binocular visual function in bilateral cataract patients with unilateral astigmatism after combined implantations of Toric with multifocal intraocular lens (IOL), and to compare with that of Toric and monofocal IOL implantation. METHODS: All the 30 patients with unilateral astigmatism suffered bilateral cataract were randomly divided into two groups: Toric plus multifocal IOL group and Toric plus monofocal IOL group. Uncorrected and corrected visual acuity at distance (5...
2016: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/27968838/effect-of-ocular-reconstruction-on-brain-function-and-structure-in-people-with-age-related-cataracts-a-prospective-controlled-clinical-trial
#13
Haotian Lin, Li Zhang, Kevin Chan, Yingwei Qiu, Duoru Lin, Wan Chen, Hui Chen, Yizhi Liu, Weirong Chen
BACKGROUND: Healthy ageing is accompanied by simultaneous decline of visual and neural function. Studies in animals and humans provide converging evidence that these functions' decrease is mostly associated with structural change in ocular and brain structure. We investigated whether regaining visual function after ocular reconstruction was associated with functional and structural changes in the brain. METHODS: We did a prospective controlled clinical trial including 21 consecutive typical ageing patients (42 eyes; mean age 63·14 years, SD 7·82) with decreased visual function and diagnosis of bilateral age-related cataracts requiring phacoemulsification surgery and multifocal or monofocal intraocular lens implantation...
October 2016: Lancet
https://www.readbyqxmd.com/read/27958211/toric-multifocal-intraocular-lens-implantation-in-a-case-of-bilateral-anterior-and-posterior-lenticonus-in-alport-syndrome
#14
Jeevan S Ladi, Nitant A Shah
We report the first case of toric multifocal intraocular lens (IOL) implantation in both the eyes of a young patient of Alport syndrome with anterior and posterior lenticonus with a successful outcome. An 18-year-old female patient presented with progressively blurred vision in both eyes since 4-5 years not improving with glasses. Refraction showed high myopia with astigmatism; however, the vision did not improve beyond 6/60 with glasses correction. Clinical examination on slit lamp showed anterior and posterior lenticonus bilaterally with a classical oil droplet appearance...
November 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27943250/multifocal-versus-monofocal-intraocular-lenses-after-cataract-extraction
#15
REVIEW
Samantha R de Silva, Jennifer R Evans, Varo Kirthi, Mohammed Ziaei, Martin Leyland
BACKGROUND: Good unaided distance visual acuity (VA) is now a realistic expectation following cataract surgery and intraocular lens (IOL) implantation. Near vision, however, still requires additional refractive power, usually in the form of reading glasses. Multiple optic (multifocal) IOLs are available which claim to allow good vision at a range of distances. It is unclear whether this benefit outweighs the optical compromises inherent in multifocal IOLs. OBJECTIVES: To assess the visual effects of multifocal IOLs in comparison with the current standard treatment of monofocal lens implantation...
December 12, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27913863/-multifocal-intraocular-lens-miol-surgery-in-young-non-presbyopic-ametropes-reasonable-and-safe
#16
A Frings, J Steinberg, S J Linke, V Druchkiv, T Katz
BACKGROUND: Refractive lens exchange and implantation of a multifocal intraocular lens (MIOL) is mainly advised for ametropes with presbyopia. Non-presbyopic young ametropes who wish spectacle-independence are usually treated with corneal refractive surgery or phakic lenses. OBJECTIVES: This retrospective case series aimed to analyse the refractive and subjective satisfaction outcome after MIOL surgery in both eyes of non-presbyopic ametropes where other treatment options were not possible...
December 2, 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/27898449/modern-phacoemulsification-and-intraocular-lens-implantation-refractive-lens-exchange-is-safe-and-effective-in-treating-high-myopia
#17
REVIEW
Bhaskar Srinivasan, Hiu Ying Leung, He Cao, Shu Liu, Lizhen Chen, Alex Hoi Fan
Improved efficacy, predictability, and safety of modern phacoemulsification have resulted in cataract surgery being considered as a refractive procedure. Refractive lens exchange by definition is a surgery aimed at replacing the cataractous or clear crystalline lens with an intraocular lens (IOL) in cases of high ametropia. The excellent intraocular optics of this procedure provide a better visual outcome as compared with laser refractive surgery in high myopia. With advances in technology and IOL formulas, the predictability of refractive outcome after cataract surgery in high myopes has improved...
November 2016: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/27867718/temporal-multiplexing-with-adaptive-optics-for-simultaneous-vision
#18
Eleni Papadatou, Antonio J Del Águila-Carrasco, Iván Marín-Franch, Norberto López-Gil
We present and test a methodology for generating simultaneous vision with a deformable mirror that changed shape at 50 Hz between two vergences: 0 D (far vision) and -2.5 D (near vision). Different bifocal designs, including toric and combinations of spherical aberration, were simulated and assessed objectively. We found that typical corneal aberrations of a 60-year-old subject changes the shape of objective through-focus curves of a perfect bifocal lens. This methodology can be used to investigate subjective visual performance for different multifocal contact or intraocular lens designs...
October 1, 2016: Biomedical Optics Express
https://www.readbyqxmd.com/read/27828894/rotationally-asymmetric-multifocal-intraocular-lenses-preoperative-considerations-and-postoperative-outcomes
#19
REVIEW
Jonathan E Moore, Richard N McNeely, Eric E Pazo, Tara C B Moore
PURPOSE OF REVIEW: The manuscript presents a review of recently published studies reporting objective and subjective outcomes and preoperative considerations of asymmetrical multifocal intraocular lenses (IOLs). RECENT FINDINGS: Current publications suggest that asymmetrical multifocal IOLs provide good, distance, intermediate and near vision for cataract and clear lens extraction patients. The contrast sensitivity achieved is similar to monofocal IOLs. Photopic phenomenon such as glare and halos has been reduced through the use of these IOLs leading to better patient satisfaction...
January 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/27824377/visual-performance-in-the-long-term-with-secondary-add-on-versus-primary-capsular-bag-multifocal-intraocular-lenses
#20
Jens Schrecker, Achim Langenbucher
PURPOSE: To compare the long-term results of a secondary sulcus-placed, multifocal add-on intraocular lens (IOL) with those of a multifocal IOL implanted in the capsular bag. METHODS: In this prospective clinical trial, 30 pseudophakic eyes were treated with a multifocal add-on IOL and 30 cataractous eyes with a standard multifocal IOL. The main outcome measures comprised manifest refraction, visual acuity, defocus curves, and contrast sensitivity. Patients who had bilateral implantation of the same lens type were asked to complete a questionnaire...
November 1, 2016: Journal of Refractive Surgery
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