Pupil influence on the quality of vision in rotationally asymmetric multifocal IOLs with surface-embedded near segment

被引:20
作者
Pazo, Eric E. [1 ,2 ]
McNeely, Richard N. [1 ,2 ]
Richoz, Olivier [1 ]
Nesbit, M. Andrew [2 ]
Moore, Tara C. B. [2 ]
Moore, Jonathan E. [1 ,2 ]
机构
[1] Cathedral Eye Clin, 89-91 Acad St, Belfast BT1 2LS, Antrim, North Ireland
[2] Ulster Univ, Sch Biomed Sci, Coleraine, Londonderry, North Ireland
关键词
INTRAOCULAR-LENS; CONTRAST SENSITIVITY; VISUAL-ACUITY; IMPLANTATION; SIZE; DECENTRATION; PERFORMANCE; EXTRACTION; EXPERIENCE; OUTCOMES;
D O I
10.1016/j.jcrs.2017.08.013
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To evaluate the influences of preoperative pupil parameters on the visual outcomes of the SBL-3, a rotationally asymmetric multifocal intraocular lens (IOL) with a surface embedded near segment. Setting: Cathedral Eye Clinic, Belfast, Northern Ireland, United Kingdom. Design: Retrospective comparative case series. Methods: Postoperatively, patients divided into 4 groups according to their pupil size as follows: Group A: 2.50 to 2.99 mm, Group B: 3.00 to 3.50 mm, Group C: 3.51 to 4.00 mm, and Group D: 4.01 to 4.50 mm. The uncorrected distance (UDVA), intermediate (UIVA), and near (UNVA) visual acuities, IOL centration and tilt, and quality of vision (QoV) questionnaires were compared between the 4 groups for 18 months postoperatively. Results: The study comprised 90 patients (180 eyes). The mean preoperative pupil (photopic and mesopic) diameter was 4.3 mm 0.3 (SD) and 5.6 +/- 1.4 mm, respectively, which decreased to 3.8 +/- 0.7 mm and 4.9 +/- 1.2 mm, respectively, at 18 months. Eighteen months postoperatively, both photopic and mesopic pupil groups had a statistically significant reduction in size from preoperative levels. No significant differences in UDVA, UIVA, and UNVA were found between the groups >.001). Significant differences in the QoV questionnaire day scores and night scores were found between the 4 groups (P <.001). Conclusions: The rotationally asymmetric multifocal IOL provided excellent optical performance during 18-months follow-up. The preoperative photopic pupil is an important parameter for consideration of this type of IOL because smaller pupils have a significant negative subjective impact on QoV. (C) 2017 ASCRS and ESCRS
引用
收藏
页码:1420 / 1429
页数:10
相关论文
共 31 条
[1]   Correlation of pupil size with visual acuity and contrast sensitivity after implantation of an apodized diffractive intraocular lens [J].
Alfonso, Jose F. ;
Fernandez-Vega, Luis ;
Baamonde, M. Begona ;
Montes-Mico, Robert .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2007, 33 (03) :430-438
[2]  
Birren JE., 1950, J Gerontol, V5, P216, DOI DOI 10.1093/GERONJ/5.3.216
[3]  
Boerner C F, 1984, J Am Intraocul Implant Soc, V10, P49
[4]   Optical performance measurement and night driving simulation of ReSTOR, ReZoom, and Tecnis multifocal intraocular lenses in a model eye [J].
Choi, Junoh ;
Schwiegerling, Jim .
JOURNAL OF REFRACTIVE SURGERY, 2008, 24 (03) :218-222
[5]   Multifocal intraocular lenses in cataract surgery: Literature review of benefits and side effects [J].
de Vries, Niels E. ;
Nuijts, Rudy M. M. A. .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2013, 39 (02) :268-278
[6]   Effect of position of near addition in an asymmetric refractive multifocal intraocular lens on quality of vision [J].
de Wit, Deric W. ;
Diaz, Jose ;
Moore, Tara C. B. ;
Moutari, Salissou ;
Moore, Jonathan E. .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2015, 41 (05) :945-955
[7]   MULTIFOCAL INTRAOCULAR LENSES [J].
DUFFEY, RJ ;
ZABEL, RW ;
LINDSTROM, RL .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 1990, 16 (04) :423-429
[8]   A review of the surgical options for the correction of presbyopia [J].
Gil-Cazorla, Raquel ;
Shah, Sunil ;
Naroo, Shehzad A. .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2016, 100 (01) :62-70
[9]   Comparison of immersion ultrasound biometry and partial coherence interferometry for intraocular lens calculation according to Haigis [J].
Haigis, W ;
Lege, B ;
Miller, N ;
Schneider, B .
GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2000, 238 (09) :765-773
[10]   Correlation between pupillary size and intraocular lens decentration and visual acuity of a zonal-progressive multifocal lens and a monofocal lens [J].
Hayashi, K ;
Hayashi, H ;
Nakao, F ;
Hayashi, F .
OPHTHALMOLOGY, 2001, 108 (11) :2011-2017