Visual quality after implantation of trifocal intraocular lenses in highly myopic eyes with different axial lengths

AIM: To analyze postoperative clinical results after implantation of trifocal intraocular lenses (IOLs) in highly myopic eyes with different axial lengths (ALs). METHODS: This retrospective study describes 61 eyes of 44 patients that were implanted with trifocal diffractive IOLs (AT LISA tri 839MP). Twenty-one eyes (15 patients) were included in the AL<26 mm group, 19 eyes (13 patients) in the AL≥26 mm and <28 mm group, and 21 eyes (16 patients) in the AL≥28 mm group. Postoperative outcomes, including corrected and uncorrected distance visual acuity (UDVA), intermediate and near visual acuity at 167 cd/m2 luminance, depth of focus at 85 cd/m2 luminance, and objective optical quality parameters assessed using the Optical Quality Analysis System (OQAS), were compared among the groups at 3mo. RESULTS: There were no significant differences in the mean UDVA, uncorrected intermediate visual acuity, uncorrected near visual acuity, corrected distance visual acuity, distance-corrected intermediate visual acuity, and distance-corrected near visual acuity (DCNVA) among the three groups (P>0.05). Better near and intermediate visual acuity (from -1.5 D to -3.0 D) were noted on the defocus curve of the AL<26 mm group (P<0.01 vs AL≥28 mm group). Significantly higher objective scatter index (OSI) values and lower modulation transfer function (MTF) cut-off values, Strehl ratio (SR), and OQAS values (OVs) were observed in the AL≥28 mm group (P<0.01 vs AL<26 mm group). All OQAS parameters had statistically significant correlations with DCNVA and visual acuity at the vergence of -2.5 D (P<0.05 to P<0.01). CONCLUSION: Implantation of trifocal IOLs provides good short-term visual and refractive outcomes in highly myopic eyes with different ALs. However, the near vision decreases in the extremely myopic eyes at lower luminance, which is associated with the lower objective optical quality in these eyes.

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Comparison of Visual Performance between Refractive and Diffractive Multifocal Intraocular Lenses

10.21203/rs.2.14898/v1 ◽

2019 ◽

Author(s):

Lingying Ye ◽

Tianyu Chen ◽

Zhixiang Hu ◽

Qiudong Su ◽

Jin Li

Keyword(s):

Visual Acuity ◽

Life Quality ◽

Optical Quality ◽

Intraocular Lenses ◽

Visual Performance ◽

Distance Visual Acuity ◽

Multifocal Intraocular Lenses ◽

Good Visual Acuity ◽

Significant Difference ◽

Near Visual Acuity

Abstract AIM To compare the visual performance of asymmetric refractive multifocal intraocular lenses (MIOLs) with all optic zone diffractive MIOLs.METHODS A prospective study. Patients underwent phacoemulsification were divided into two groups according to the type of MIOLs: 25 patients were implanted with asymmetric refractive MIOLs and 25 patients with all optic zone diffractive MIOLs. Visual acuity, refraction, defocus curves, objective optical quality and the questionnaire of life quality were measured 3 months after surgery.RESULTS There was no significant difference between two groups in uncorrected distance visual acuity、uncorrected near visual acuity、best corrected distance visual acuity or distance corrected near visual acuity. However, the uncorrected intermediate visual acuity was 0.24±0.10 in refractive group and 0.31±0.13 in diffractive group (P<0.05); the distance corrected intermediate visual acuity was 0.22±0.09 in refractive group and 0.31±0.14 in diffractive group (P<0.05). Defocus curves showed two crests in both groups. However, the curve between two crests of refractive group was smoother than diffractive group. The Modulated transfer function cut-off frequency was (22.74±12.29)c/d in refractive group and(30.50±10.04)c/d in diffractive group (P<0.05); the OQAS values 100% (OV100%) were 0.75±0.41 in refractive group and 1.02±0.34 in diffractive group(P<0.05),OV20% were 0.52±0.34 in refractive group and 0.71±0.25 in diffractive group (P<0.05).There was no significant difference between two groups at overall satisfaction, independence spectacles ratio or visual interference phenomenon.CONCLUSIONS Both MIOLs achieve good visual acuity at distance and near. The asymmetric refractive MIOLs show better intermediate visual acuity, and the all optic zone diffractive MIOLs appear to have better objective visual quality.

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Comparison of Clinical Outcomes, Visual Quality and Visual Function of Two Presbyopia-Correcting Intraocular Lenses Made from the Same Material, but with Different Design and Optics

Journal of Clinical Medicine ◽

10.3390/jcm10153268 ◽

2021 ◽

Vol 10 (15) ◽

pp. 3268

Author(s):

Ladislav Viktor Nováček ◽

Marie Němcová ◽

Kateřina Tyx ◽

Kristýna Lahodová ◽

Leoš Rejmont ◽

...

Keyword(s):

Visual Acuity ◽

Contrast Sensitivity ◽

Clinical Outcomes ◽

Visual Function ◽

Comparative Investigation ◽

Optical Quality ◽

Intraocular Lenses ◽

Refractive Outcomes ◽

Uncorrected Distance Visual Acuity ◽

Near Visual Acuity

This semi-prospective, parallel, comparative investigation evaluated the clinical outcomes and quality of vision (contrast sensitivity, visual function, dysphotopsia, spectacle use, overall satisfaction) after mono- or bilateral implantation of two presbyopia-correcting intraocular lenses (IOL)—the Liberty® 677MY or the AT LISA® tri 839M—in 50 eyes of 25 cataract patients. Clinical outcomes were assessed 3 and 12 months postoperatively. Eighty-nine percent of eyes implanted with the Liberty IOL and 59% of eyes implanted with the AT LISA IOL achieved a refractive outcome ±0.5 diopters of the target (emmetropia). Refractive outcomes were stable with both lenses. The proportions of eyes with 20/20 uncorrected distance visual acuity (UDVA) and 20/20 uncorrected near visual acuity (UNVA) were higher in the Liberty group than in the AT LISA group (UDVA: 56% vs. 41%; UNVA: 83% vs. 66%). Optical quality assessment results were comparable for the two IOLs. Superior photopic contrast sensitivity was found with the Liberty lens. The rate of Nd:YAG capsulotomy at the 12-month follow-up was 16.7% in the Liberty group and 40.6% for the AT LISA IOL. Considering that both lenses are made from the same material, we propose that the noted differences in clinical outcomes may derive from differences in design and optical surface between the two IOLs.

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Comparison of Visual Performance between Refractive and Diffractive Multifocal Intraocular Lenses

10.21203/rs.2.14898/v2 ◽

2020 ◽

Author(s):

Lingying Ye ◽

Tianyu Chen ◽

Zhixiang Hu ◽

Qiuwen Yang ◽

Qiudong Su ◽

...

Keyword(s):

Visual Acuity ◽

Optical Quality ◽

Intraocular Lenses ◽

Visual Performance ◽

Interference Phenomenon ◽

Distance Visual Acuity ◽

Multifocal Intraocular Lenses ◽

Significant Difference ◽

Near Visual Acuity ◽

Two Peaks

Abstract BACKGROUND: To compare the visual performance of asymmetric refractive multifocal intraocular lenses (MIOLs) with all optic zone diffractive MIOLs. METHODS: A prospective study. Patients underwent phacoemulsification were divided into two groups according to the type of MIOLs: 25 patients were implanted with asymmetric refractive MIOLs and 25 patients with all optic zone diffractive MIOLs. Visual acuity, refraction, defocus curves, objective optical quality and the questionnaire of life quality were measured 3 months after surgery. RESULTS: There was no significant difference between two groups in uncorrected distance visual acuity、uncorrected near visual acuity、best corrected distance visual acuity or distance corrected near visual acuity. However, the uncorrected intermediate visual acuity was 0.24±0.10 in refractive group and 0.31±0.13 in diffractive group (P<0.05); the distance corrected intermediate visual acuity was 0.22±0.09 in refractive group and 0.31±0.14 in diffractive group (P<0.05). Defocus curves showed two peaks of maximum vision in both groups. However, the curve between two peaks of refractive group was smoother than diffractive group. The Modulated transfer function cut-off frequency was （22.74±12.29）c/d in refractive group and（30.50±10.04）c/d in diffractive group (P<0.05); the OQAS values 100% (OV100%) were 0.75±0.41 in refractive group and 1.02±0.34 in diffractive group（P<0.05），OV20% were 0.52±0.34 in refractive group and 0.71±0.25 in diffractive group （P<0.05）.There was no significant difference between two groups at overall satisfaction, independence spectacles ratio or visual interference phenomenon. CONCLUSIONS: Both MIOLs achieve good visual acuity at distance and near. The asymmetric refractive MIOLs show better intermediate visual acuity, and the all optic zone diffractive MIOLs appear to have better objective visual quality.

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Comparison of the visual performance of iris-fixated phakic lens and implantable collamer lens to correct high myopia

BMC Ophthalmology ◽

10.1186/s12886-021-01995-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Xiao-ling Jiao ◽

Jun Li ◽

Zhe Yu ◽

Ping-hui Wei ◽

Hui Song

Keyword(s):

Visual Acuity ◽

High Myopia ◽

Optical Quality ◽

Visual Performance ◽

Quality Analysis ◽

Modulation Transfer ◽

Implantable Collamer Lens ◽

Good Visual Acuity ◽

Significant Difference ◽

Group 6

Abstract Background To compare visual performance between the iris-fixated phakic intraocular len (pIOL) and implantable collamer len (ICL) to correct high myopia. Methods Twenty-four eyes underwent iris-fixated pIOL implantation and 24 eyes underwent ICL implantation. At the 6-month follow-up, the best-corrected visual acuity (BCVA) and uncorrected distance visual acuity (UDVA) were compared between the iris-fixated pIOL and ICL groups. The objective scatter index (OSI), modulation transfer function (MTF) cutoff, and ocular aberrations were performed to evaluate postoperative visual quality between the two groups. Results No significant difference was found in UDVA, BCVA, and spherical equivalent between the iris-fixated pIOL and ICL groups (P > 0.05). Six months after surgery, the following values were significantly higher in the ICL group than in the iris-fixated pIOL group: MTF cutoff, strehl ratio and optical quality analysis system values at contrasts of 9 %, 20 %, and 100 % (P < 0.01). The OSI in the iris-fixated pIOL group was higher than in the ICL group 6 months after surgery (P < 0.01). All high-order aberrations were slightly more severe in the iris-fixated pIOL group than in the ICL group 6 months after surgery, although only trefoil (P = 0.023) differed significantly in this regard. Conclusions Both iris-fixated lenses and ICLs can provide good visual acuity. ICLs confer better visual performance in MTF-associated parameters and induce less intraocular light scattering than iris-fixated pIOLs.

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Visual acuity and image quality in 5 diffractive intraocular lenses

European Journal of Ophthalmology ◽

10.5301/ejo.5000994 ◽

2017 ◽

Vol 28 (1) ◽

pp. 36-41 ◽

Cited By ~ 9

Author(s):

Genís Cardona ◽

Fidel Vega ◽

Miguel A. Gil ◽

Consuelo Varón ◽

José A. Buil ◽

...

Keyword(s):

Visual Acuity ◽

Image Quality ◽

Optical Quality ◽

Intraocular Lenses ◽

Modulation Transfer ◽

Multifocal Intraocular Lenses ◽

Corrected Distance Visual Acuity ◽

Good For

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. In addition, corrected distance visual acuity and distance-corrected intermediate and near visual acuities (DCIVA and DCNVA) were assessed in a group of 79 patients, randomly implanted with one of the lenses. Results: Image quality and VA at the distant focus was good for all lens designs, but was similarly compromised at the intermediate focus, where the best DCIVA corresponded to the low add ZKB00. At the near focus, the monofocal lens and the distance dominant SV25T0 had the worst AMTF values, with the ZLB00 presenting the best DCNVA. The relationship between AMTF and VA was found not to be linear, with VA being similarly good for AMTF values over a certain threshold. Conclusions: Visual acuity of pseudophakic patients reflected the optical quality of the specific IOL design within a certain range of measurements, beyond which maximum VA is limited by other ocular, optical, and neuropsychophysical factors.

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Comparative Analysis of Double and Trifocal IOL Implantation in Femtosecond Laser-Assisted Cataract Surgery

Ophthalmology in Russia ◽

10.18008/1816-5095-2019-1s-68-73 ◽

2019 ◽

Vol 16 (1S) ◽

pp. 68-73 ◽

Cited By ~ 1

Author(s):

O. I. Orenburkina

Keyword(s):

Visual Acuity ◽

Femtosecond Laser ◽

Cataract Surgery ◽

Average Distance ◽

Clinical Results ◽

Main Group ◽

Intraocular Lenses ◽

Control Group ◽

Lighting Conditions ◽

Near Visual Acuity

Purpose: to compare the clinical results of implantations of bi-and trifocal intraocular lenses (IOL) in femtosecond laser-assisted cataract surgery. Patients and methods. The article presents the results of the Acrysof IQ Panoptix trifocal lens implantations in 84 patients (112 eyes) — the main group and Acrysof IQ Restor bifocal IOL implantations in 52 patients (98 eyes) — the control group. All patients underwent femtosecond laser-assisted cataract surgery (FLACS). The following data were evaluated: uncorrected distance visual acuity (UCDVA) , uncorrected near visual acuity (30–45 cm) and at an average distance (50–70 cm) at discharge, after 14 days, 1 and 3 months after the surgery under photopic and mesopic lighting conditions. Postoperative refractometry data; the defocusing curve was performed in patients with a high UCDVA (0.9–1.0) monocularly under photopic conditions using standard optotypes 14 days after surgery; aberrometry indicators. Results. It was shown that both lenses provided high uncorrected distance and near visual acuity in photopic lighting conditions. At the same time, the Acrysof IQ Panoptix lens provided significantly better visual acuity at an intermediate distance and was more resistant to defocusing conditions. Refraction data: after 1 month, emmetropia was observed in 87 % of patients in the main group and in 85 % of control group, after 6 months — 92 and 89 % respectively. There were no significant differences in high order aberrations and total aberrations between patients of the compared groups. Conclusion. The use of the PanOptix trifocal lens made it possible to obtain maximum visual acuity at different distances, regardless of the level of illumination.

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Comparison of visual and optical quality of monofocal versus multifocal intraocular lenses

European Journal of Ophthalmology ◽

10.1177/1120672119827858 ◽

2019 ◽

Vol 30 (2) ◽

pp. 299-306 ◽

Cited By ~ 1

Author(s):

Irene Altemir-Gomez ◽

Maria S Millan ◽

Fidel Vega ◽

Francisco Bartol-Puyal ◽

Galadriel Gimenez-Calvo ◽

...

Keyword(s):

Visual Acuity ◽

Transfer Function ◽

Contrast Sensitivity ◽

Intraocular Lens ◽

Modulation Transfer Function ◽

Area Under The Curve ◽

Optical Quality ◽

Intraocular Lenses ◽

Modulation Transfer ◽

Multifocal Intraocular Lenses

Objective: To compare visual quality in patients implanted with Tecnis® monofocal (ZCB00) and multifocal (ZMB00) intraocular lenses taking into account their optical quality measured in vitro with an eye model. Methods: In total, 122 patients participated in this study: 44 implanted with monofocal and 78 with multifocal intraocular lenses. Measurements of visual acuity and contrast sensitivity were performed. The optical quality of the intraocular lenses was evaluated in three image planes (distance, intermediate and near) using an eye model on a test bench. The metric considered was the area under the curve of the modulation transfer function. Results: Optical quality at the far focus of the monofocal intraocular lens (area under the curve of the modulation transfer function = 66.97) was considerably better than that with the multifocal lens (area under the curve of the modulation transfer function = 32.54). However, no significant differences were observed between groups at the distance-corrected visual acuity. Distance-corrected near vision was better in the multifocal (0.15 ± 0.20 logMAR) than that in the monofocal group (0.43 ± 0.21 logMAR, p < 0.001), which correlated with the better optical quality at near reached by the multifocal intraocular lens (area under the curve of the modulation transfer function = 29.11) in comparison with the monofocal intraocular lens (area under the curve of the modulation transfer function = 5.0). In intermediate vision, visual acuity was 0.28 ± 0.16 logMAR (multifocal) and 0.36 ± 0.14 logMAR (monofocal) with p = 0.014, also in good agreement with the values measured in the optical quality (area under the curve of the modulation transfer function = 10.69 (multifocal) and 8.86 (monofocal)). The contrast sensitivity was similar in almost all frequencies. Pelli–Robson was slightly better in the monofocal (1.73) than in the multifocal group (1.64; p = 0.023). Conclusion: Patients implanted with multifocal ZMB00 achieved a distance visual acuity similar to those implanted with monofocal ZCB00, but showed significantly better intermediate and near visual acuity. A correlation was found between intraocular lenses’ optical quality and patients’ visual acuity. Contrast sensitivity was very similar between the multifocal and monofocal groups.

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Comparison of Optical Quality and Distinct Macular Thickness in Femtosecond Laser-Assisted versus Phacoemulsification Cataract Surgery

10.21203/rs.2.15660/v1 ◽

2019 ◽

Author(s):

Yong Wang ◽

Jinling Zhang ◽

Miaomiao Qin ◽

Jianguo Miao ◽

Wei Chen ◽

...

Keyword(s):

Visual Acuity ◽

Femtosecond Laser ◽

Cataract Surgery ◽

Optical Quality ◽

Macular Thickness ◽

Modulation Transfer ◽

Distance Visual Acuity ◽

Spatial Frequencies ◽

Post Operation ◽

Phacoemulsification Cataract Surgery

Abstract Background: Optical quality and macular thickness changing optical quality is rarely reported after femtosecond laser-assisted cataract surgery. In current research, we evaluated optical quality recovery and distinct macular thicknesschanges after FLACS and phacoemulsification cataract surgery (PCS). Methods: A total of 100 cataract patients (100 eyes) were included (50 eyes for the FLACS group and 50 eyes for the PCS group). Modulation transfer function (MTF), point spread function (PSF) and dysfunctional lens index (DLI) were measured by a ray-tracing aberrometer (iTrace). Uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA) were also assessed pre-operation and 1 month after surgery. The MTF values at spatial frequencies of 5, 10, 15, 20, 25 and 30 cycles/degree (c/d) were selected. We used optical coherence tomography (OCT) to assess the macular thickness of different regions pre-operatively and1month after the surgery. Results: In PCS group, we found the statistically significant differences between pre-operation and post-operation in DLI ( p <0.0001), PSF(strehl ratio, SR) ( p= 0.027) and MTF ( p =0.028), but not intraocular pressure (IOP) ( p =0.857). The differences between pre-operation and post-operation for DLI ( p =0.031), SR ( p =0.01) and IOP ( p =0.03), but not MTF ( p =0.128) were also found in FLACS group. The differences were statistically significant when the spatial frequencies were at 5, 10 and 25 ( p =0.013, 0.031 and 0.048) between pre-operation and post-operation in PCS group but not FLACS group. In PCS group, we found the differences between pre-operation and post-operation in nasal inter macular ring thickness (NIMRT) ( p =0.03), foveal volume (FV) ( p =0.034) and average retinal thickness (ART) ( p =0.025) but not FLACS group. Conclusion: FLACSis safe that did not cause significant increase of macular thickness in current study. However, it also cannot produce better optical quality. In contrast,PCS can produce macular thickness changes, but better optical quality recovery. The slightly retinal change may not affect optical quality.

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Assessment of Optical Quality at Different Contrast Levels in Pseudophakic Eyes

Journal of Ophthalmology ◽

10.1155/2016/4247973 ◽

2016 ◽

Vol 2016 ◽

pp. 1-8 ◽

Cited By ~ 7

Author(s):

Chang Won Park ◽

Hyojin Kim ◽

Choun-Ki Joo

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Visual Function ◽

Optical Quality ◽

Intraocular Lenses ◽

Quality Analysis ◽

Age Group ◽

Low Contrast ◽

Analysis System ◽

Scattering Index

Purpose. To assess visual function using Optical Quality Analysis System (OQAS) at varying levels of contrast in pseudophakic eyes.Methods. The study included patients admitted to Seoul St. Mary’s Hospital between January and February 2012: 143 pseudophakic eyes with one of five intraocular lens types, examined 2–6 months after cataract surgery, and 93 normal eyes (enhanced visual acuity (VA) < 0.1 logMAR) in age-matched controls. Subjects were examined at three contrast levels using the OQAS.Results. At 100%, 20%, and 9% contrast, simulated mean VA was0.16±0.18 logMAR,0.30±0.18 logMAR, and0.52±0.17 logMAR, in normal eyes, and0.16±0.12 logMAR,0.33±0.20 logMAR, and0.56±0.21 logMAR, respectively, in pseudophakic eyes. Simulated VA decreased significantly when contrast was reduced, regardless of ocular status, age group, and lens type (p<0.05). There were no significant differences between normal and pseudophakic eyes among subjects aged 50–69 (p>0.05). Among subjects aged 70–79, pseudophakic eyes showed improved simulated VA (p=0.000) and objective scattering index values (p=0.008).Conclusions. Patients with intraocular lenses have similar or superior visual function when compared to those with normal eyes at 2–6 months after cataract surgery, even under low-contrast conditions.

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Comparative Analysis of Visual Performance and Optical Quality with a Rotationally Asymmetric Multifocal Intraocular Lens and an Apodized Diffractive Multifocal Intraocular Lens

Journal of Ophthalmology ◽

10.1155/2020/7923045 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Xiao Wang ◽

Haixia Tu ◽

Yong Wang

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Intraocular Lens ◽

Visual Function ◽

Optical Quality ◽

Modulation Transfer ◽

Multifocal Intraocular Lens ◽

Distance Visual Acuity ◽

Age Related ◽

Significant Difference

Purpose. To compare the short-term visual outcomes and intraocular optical performance of a rotationally asymmetric multifocal intraocular lens (MIOL) (SBL-3, Lenstec, Inc., Christ Church, Barbados) and an apodized diffractive MIOL (the Acrysof IQ ResTOR SN6AD1, Alcon Laboratories, Inc., Fort Worth, Texas, United States). Methods. A prospective, comparative, nonrandomized, and single-center study. Sixty-eight age-related cataract patients (81 eyes) after phacoemulsification cataract surgery and in-the-bag MIOL implantation were enrolled. Thirty-eight eyes received SBL-3, and 43 eyes received SN6AD1. Ophthalmological evaluation included uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), corrected distance visual acuity (CDVA), modulation transfer function (MTF), Strehl ratio (SR), intraocular aberrations (4 mm optical zone), and defocus curve at 3 months postoperatively. The Chinese version of the visual function index-14 (VF-12-CN) and spectacle independence were assessed in all patients. Results. There was no statistically significant difference between groups in postoperative UDVA (p=0.186). Postoperative UIVA and UNVA were significantly better for the SBL-3 group than for the SN6AD1 group (p<0.01). Statistically significant differences were revealed in defocus levels from –3.50 D to −4.00 D with better visual acuities for the SBL-3 group (p<0.01). For intraocular optical quality outcomes, statistically significant differences between groups were observed in RMS of intraocular total aberrations, coma, and trefoil high-order aberrations, presenting significantly higher values of these parameters in the eyes of the SBL-3 group (p < 0.01). Statistically significant differences were revealed in the MTF values at spatial frequencies of 5 and 10 cycles/degree between groups. There were no significant differences in scores of VF-12-CN, and spectacle independence between the groups (p>0.05). Conclusions. Both MIOLs were able to successfully restore visual function after cataract surgery. SBL-3 provided better UIVA and UNVA with a wider range of intermediate vision.

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