ABSTRACT
PURPOSE: To evaluate the impact of the position of an asymmetric multifocal near segment on visual quality. SETTING: Cathedral Eye Clinic, Belfast, United Kingdom. DESIGN: Retrospective comparative case series. METHODS: Data from consecutive patients who had bilateral implantation of the Lentis Mplus LS-312 multifocal intraocular lens were divided into 2 groups. One group received inferonasal near-segment placement and the other, superotemporal near-segment placement. A +3.00 diopter (D) reading addition (add) was used in all eyes. The main outcome measures included uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), contrast sensitivity, and quality of vision. Follow-up was 3 months. RESULTS: Patients ranged in age from 43 to 76 years. The inferonasal group comprised 80 eyes (40 patients) and the superotemporal group, 76 eyes (38 patients). The mean 3-month spherical equivalent was -0.11 D ± 0.49 (SD) in the inferonasal group and -0.18 ± 0.46 D in the superotemporal group. The mean postoperative UDVA was 0.14 ± 0.10 logMAR and 0.18 ± 0.15 logMAR, respectively. The mean monocular UNVA was 0.21 ± 0.14 logRAD and 0.24 ± 0.13 logRAD, respectively. No significant differences were observed in the higher-order aberrations, total Strehl ratio (point-spread function), or modulation transfer function between the groups. Dysphotopic symptoms measured with a validated quality-of-vision questionnaire were not significantly different between groups. CONCLUSION: Positioning of the near add did not significantly affect objective or subjective visual function parameters.
Subject(s)
Lens Implantation, Intraocular , Lenses, Intraocular , Prosthesis Design , Pseudophakia/physiopathology , Quality of Life/psychology , Vision, Ocular/physiology , Visual Acuity/physiology , Adult , Aged , Female , Humans , Male , Middle Aged , Phacoemulsification , Pseudophakia/psychology , Retrospective Studies , Surveys and QuestionnairesABSTRACT
PURPOSE: To evaluate visual and refractive outcomes in amblyopic patients who had bilateral implantation of a multifocal intraocular lens (IOL) with a surface-embedded near section. SETTING: Cathedral Eye Clinic, Belfast, Northern Ireland, United Kingdom. DESIGN: Comparative case series. METHODS: Anisometropic amblyopic patients having bilateral implantation of Lentis Mplus multifocal IOLs were examined for distance and near visual acuities, contrast sensitivity, defocus curves, extent of crowding, reading speed, stereoacuity, and Quality of Vision (QoV) questionnaire scores preoperatively and at 3-month intervals during 12 months. A +3.00 diopter (D) reading addition IOL was used in all eyes. RESULTS: Twenty-eight eyes (14 patients) (mean age 59.4 years) were included. In the nonamblyopic eye, the mean uncorrected distance visual acuity (UDVA) was 0.16 logMAR ± 0.17 (SD), the mean corrected distance visual acuity (CDVA) was 0.02 ± 0.07 logMAR, and the mean near acuity was M 0.5 (Jaeger [J] 2 = logRAD 0.1) or better. In the amblyopic eye, the means were 0.30 ± 0.14 logMAR, 0.21 ± 0.11 logMAR, and M 0.8 (J4 = logRAD 0.3) or better, respectively. Bilateral reading speeds (mean 137.73 ± 28.7 words per minute [wpm]) surpassed unilateral nonamblyopic eye speeds (mean 130.6 ± 29.4 wpm). The mean QoV scores improved from 7.78 ± 10.23 preoperatively to 1.92 ± 5.21 at 12 months. No glare or halos were reported; 1 patient had mild starburst symptoms at 1 year. Patients rated distance and near vision as excellent. CONCLUSION: Anisometropic amblyopic patients may benefit from bilateral implantation of the multifocal IOL; no unwanted side effects were detected.
