scholarly journals Longitudinal Evaluation of Trifocal and Extended Depth of Focus Lenses Implantation using Standard Automated Perimetry Parameters

Author(s):  
Ricardo Y Abe ◽  
Maíra Gomes Barbosa da Silva ◽  
Thiago Nogueira Alves ◽  
Wilson Takashi Hida

Abstract Purpose: To evaluate reliability and global indices parameters from standard automated perimetry (SAP) in normal eyes undergoing phacoemulsification cataract surgery with implantation of trifocal or extended depth of focus intraocular lens (IOL).Methods: Prospective comparative study. Comparison of trifocal IOL AcrySof IQ PanOptix® and extended depth of focus intraocular lens (EDOF) Tecnis Symfony® IOL. Patients underwent SAP pre- and postoperatively. Reliability indices (false negative rate - FN, false positive rate – FP), global indices (foveal sensitivity threshold, visual field index - VFI, standard pattern deviation – PSD, mean deviation MD) and test duration were analyzed.Results: A total of 23 eyes from 13 patients were in the trifocal IOL group and a total of 22 eyes from 14 patients were in the EDOF group The following results were obtained by analyzing pre- and postoperative SAP of EDOF IOL: the rate of change of FN was 1.95/1.41% (p=0.61); FP 1.64/1.27 (p=0.60); MD -1.60/-1.08dB (p=0.15); foveal sensitivity was 34.5/33.9dB (p=0.41); VFI 98.5/98.4% (p>0.99); PSD 1.85/1.86 (p=0.07); and for test duration 305.81/298.36s (p=0.35); all respectively. Analysis of pre- and postoperative parameters of trifocal IOL was: the rates of change of FN 1.22/1.83% (p=0.29); FP 1.65/1.48% (p=0.95); MD -1.55/-1.37dB (p=0.19) ; foveal sensitivity 33.9/34.9dB (p=0.47) ; VFI 98.6/98.3% (p=0.62); PSD 1.58/2.05 (p=0.02); and test duration 297.17/298.57s (p=0.87); all respectively. Conclusion: We identified a change in the PSD parameters in the trifocal IOL group. No other significant changes were identified in SAP parameters after implantation of trifocal AcrySof IQ PanOptix® and EDOF Tecnis Symfony® IOL. Longitudinal evaluation showed no changes in SAP after Trifocal and EDOF IOL implantation in normal subjects.

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Jinhee Lee ◽  
Yosai Mori ◽  
Ryohei Nejima ◽  
Keiichiro Minami ◽  
Kazunori Miyata

AbstractThis prospective study aimed to investigate the influence of an extended depth-of-focus intraocular lens (EDOF IOL) on standard automated perimetry. Ninety eyes of 90 patients who had undergone cataract surgery from February 2018 to December 2018 were included. No patients had any diseases that might affect the visual field. ZMB00 (+ 4.00 D add), ZXR00V (+ 1.75 D add), and ZCB00V (Johnson & Johnson Surgical Vision, Santa Ana, CA, USA) were used as multifocal, EDOF, and monofocal IOLs, respectively. Humphrey Visual Field 10–2 testing was performed 2–3 months after cataract surgery, acceptable reliability indices were measured, and mean deviation (MD), pattern standard deviation (PSD), foveal sensitivity and mean sensitivity (MS) were compared. Seventy-one eyes (ZXR00V: 24 eyes, ZMB00: 25 eyes, ZCB00V: 22 eyes) were used for the analyses. The MD and MS of the EDOF and monofocal groups were significantly higher than those of the multifocal group (P < 0.0051). However, the MD and MS of the EDOF and monofocal groups were not different (P > 0.23). The PSD and foveal sensitivity were not different among the groups. In non-glaucomatous patients, the MD and MS of the EDOF IOL were comparable to those of the monofocal IOL and better than those of the multifocal IOL.


Author(s):  
Makoto Inoue ◽  
Nina Teresa Aicher ◽  
Yuji Itoh ◽  
Hiroko Bissen-Miyajima ◽  
Akito Hirakata

2021 ◽  
Vol 37 (8) ◽  
pp. 532-537
Author(s):  
Javier Ruiz-Alcocer ◽  
Irene Martínez-Alberquilla ◽  
Laureano A. Rementería-Capelo ◽  
Pablo De Gracia ◽  
Amalia Lorente-Velázquez

2019 ◽  
Author(s):  
Bert C. Giers ◽  
Ramin Khoramnia ◽  
Dorottya Varadi ◽  
Hannah Wallek ◽  
Hyeck Soo Son ◽  
...  

Abstract Background: Evaluation of clinical and functional results of a new extended depth of focus intraocular lens (EDOF-IOL). Methods: Fourteen cataract patients (twenty-eight bilateral implantations) were assessed for uncorrected (UDVA) and corrected (CDVA) distance visual acuities; uncorrected (UNVA), distance-corrected (DCNVA) and best corrected (CNVA) near visual acuities; and uncorrected (UIVA) and distance-corrected (DCIVA) intermediate visual acuities - as well as binocular defocus curves. Photopic and mesopic contrast sensitivity was recorded. Reading acuity was evaluated using an electronic reading desk at fixed distances and at the patient’s preferred near and intermediate distances. Visual symptoms were assessed with a halo and glare simulator plus a patient questionnaire which also recorded quality of life. Results: Median postoperative monocular UDVA was 0.13logMAR (range -0.08 to 0.42logMAR), median CDVA was -0.01logMAR (range -0.20 to 0.22logMAR), median UIVA at 80 cm was -0.05logMAR (range -0.18 to 0.58logMAR) and median UNVA at 40 cm was 0.14logMAR (range -0.10 to 0.64logMAR). Binocular uncorrected reading acuity was 0.10logMAR at 40 cm and 0.11logMAR at 80 cm. Patients preferred a median intermediate reading distance of 62.8 cm over the predetermined 80 cm, which allowed them to read smaller letter size but did not improve reading acuity. Patients reported a high rate of spectacle independence and satisfaction in everyday life and little to no dysphotopsia. Conclusion: The Mini WELL Ready IOL provided good postoperative functional results at far and intermediate distances and improved the visual and reading acuity at reading distance. The lens caused little to no dysphotopsia.


2020 ◽  
Vol 46 (2) ◽  
pp. 193-203 ◽  
Author(s):  
Valentijn S.C. Webers ◽  
Noel J.C. Bauer ◽  
Isabelle E.Y. Saelens ◽  
Onne J.M. Creten ◽  
Tos T.J.M. Berendschot ◽  
...  

Eye ◽  
2018 ◽  
Vol 33 (3) ◽  
pp. 404-410 ◽  
Author(s):  
Giacomo Savini ◽  
Nicole Balducci ◽  
Claudio Carbonara ◽  
Scipione Rossi ◽  
Manuel Altieri ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Bert C. Giers ◽  
Ramin Khoramnia ◽  
Dorottya Varadi ◽  
Hannah Wallek ◽  
Hyeck-Soo Son ◽  
...  

2018 ◽  
Vol 28 (5) ◽  
pp. 481-490 ◽  
Author(s):  
Paolo Fogagnolo ◽  
Maurizio Digiuni ◽  
Giovanni Montesano ◽  
Chiara Rui ◽  
Marco Morales ◽  
...  

Background: Compass (CenterVue, Padova, Italy) is a fundus automated perimeter which has been introduced in the clinical practice for glaucoma management in 2014. The aim of the article is to review Compass literature, comparing its performances against Humphrey Field Analyzer (Zeiss Humphrey Systems, Dublin, CA, USA). Results: Analyses on both normal and glaucoma subjects agree on the fact that Humphrey Field Analyzer and Compass are interchangeable, as the difference of their global indices is largely inferior than test -retest variability for Humphrey Field Analyzer. Compass also enables interesting opportunities for the assessment of morphology, and the integration between morphology and function on the same device. Conclusion: Visual field testing by standard automated perimetry is limited by a series of intrinsic factors related to the psychophysical nature of the examination; recent papers suggest that gaze tracking is closely related to visual field reliability. Compass, thanks to a retinal tracker and to the active dislocation of stimuli to compensate for eye movements, is able to provide visual fields unaffected by fixation instability. Also, the instrument is a true colour, confocal retinoscope and obtains high-quality 60° × 60° photos of the central retina and stereo-photos details of the optic nerve. Overlapping the image of the retina to field sensitivity may be useful in ascertaining the impact of comorbidities. In addition, the recent introduction of stereoscopic photography may be very useful for better clinical examination.


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