Reading and Quality of Life Differences between Tecnis ZCB00 Monofocal and Tecnis ZMB00 Multifocal Intraocular Lenses

2017 ◽  
Vol 27 (4) ◽  
pp. 443-453 ◽  
Author(s):  
Francisco de Asís Bartol-Puyal ◽  
Paula Talavero ◽  
Galadriel Giménez ◽  
Irene Altemir ◽  
José M. Larrosa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cataract Surgery ◽  
Intraocular Lenses ◽  
Life Questionnaire ◽  
Near Vision ◽  
Multifocal Iol ◽  
Multifocal Intraocular Lenses ◽  
Optical Correction ◽  
Monofocal Iol

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. The Radner Vissum test was performed 3 months after the surgery with optical correction for near vision in patients with monofocal IOL, but without it in patients with multifocal IOL. Results Regarding the NEI-RQL-42 test, the multifocal group obtained better results in items 2, 7, 8, 11, 13, 31, and 40, and in the following categories: near vision, dependence on correction, and suboptimal correction (p<0.05). The monofocal group only showed better results in item 17. As for the Radner Vissum test, the multifocal group obtained significantly better results in phrases 1, 3, 4, and 5, and in the number of incorrect syllables (p<0.05). Conclusions Patients with Tecnis ZMB00 multifocal IOL report a higher quality of life regarding the lack of need for optical correction for near vision in their daily activities, but halos in vision at night. Additionally, patients with multifocal IOL achieve similar or better reading quality at near vision and under photopic lighting conditions than patients with monofocal IOL with near vision optical correction.

scholarly journals Two Different Corneal Incision Designs for Correcting Corneal Astigmatism During Cataract Surgery With Multifocal Intraocular Lens Implantation

2021 ◽  
Author(s):  
Dan Liu ◽  
Cong Fan ◽  
Chunyan Li ◽  
Jian Jiang
Keyword(s):  
Cataract Surgery ◽  
Corneal Astigmatism ◽  
Intraocular Lenses ◽  
Corneal Incision ◽  
Multifocal Iol ◽  
Clear Corneal Incision ◽  
Corneal Aberrations ◽  
Multifocal Intraocular Lenses ◽  
Post Surgery ◽  
The Mean

Abstract Background: Multifocal intraocular lenses (IOLs) is very intolerant to residual corneal astigmatism and patients with more than 1.0 D of residual corneal astigmatism are not suitable candidates for implantation of multifocal IOLs. The purpose of this study was to evaluate the efficacy of a single clear corneal incision (CCI) or an opposite clear corneal incision (OCCI) made on a steep meridian for correction of low to moderate corneal astigmatism during implantation of multifocal IOLs.Methods: This is a retrospective cohort study. A total of 50 patients with pre-operative total corneal astigmatism, ranging between 0.5 and 2.0 diopters (D), who underwent cataract surgery and received multifocal IOLs were included. Correction of corneal astigmatism was done via single CCIs on steep meridians in patients with 0.5–1.2 D total corneal astigmatisms, and OCCIs in patients with 1.3–2.0 D total corneal astigmatisms. Visual acuity, corneal astigmatism, ocular aberrations, corneal aberrations, and subjective vision quality were evaluated after surgery.Results: At 12-weeks post-surgery, the mean uncorrected distance vision (UCDV) was 0.06±0.09 logarithm of the minimum angle of resolution (logMAR) and 0.03±0.09 logMAR, and the mean uncorrected near vision (UCNV) was 0.08±0.11 logMAR and 0.09±0.09 logMAR in the CCI and OCCI groups, respectively. The change in corneal astigmatism was 0.52 ± 0.22D and 1.06 ± 0.23D in the CCI and OCCI groups, respectively (P<0.001). Total corneal higher-order aberrations (HOAs) and trefoil increased in both groups (P<0.05); however, there was no difference in the change in total corneal HOAs between the two groups (P>0.05). Conclusions: CCI and OCCI made on a steep axis could be an option for correction of mild-to-moderate astigmatism during cataract surgery with multifocal IOL implantation.

scholarly journals Re-engineering the Hong Kong Quality of Life Questionnaire to Assess Cataract Surgery Outcomes

2018 ◽  
Vol 34 (6) ◽  
pp. 413-418 ◽  
Author(s):  
Jyoti Khadka ◽  
Rongrong Gao ◽  
Haisi Chen ◽  
Sifang Zhang ◽  
Qinmei Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hong Kong ◽  
Cataract Surgery ◽  
Life Questionnaire ◽  
Quality Of Life Questionnaire ◽  
Surgery Outcomes

scholarly journals Vision related problems after cataract surgery

2017 ◽  
Vol 70 (9-10) ◽  
pp. 307-311
Author(s):  
Vladimir Canadanovic ◽  
Slobodanka Latinovic ◽  
Nikola Babic ◽  
Aleksandar Miljkovic ◽  
Desanka Grkovic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Visual Acuity ◽  
Cataract Surgery ◽  
Visual Function ◽  
Senile Cataract ◽  
Life Questionnaire ◽  
Life Index ◽  
Related Quality ◽  
Quality Of Life Index

Introduction. Senile cataract is an age-related eye disease and one of the most common causes of visual impairment. It is one of the most important causes of reversible blindness in the elderly persons, with a steady increase in prevalence with advanced age. The resulting loss of visual acuity has important implications for physical functions and the overall quality of life of affected individuals. However, cataract related visual loss is completely reversible with modern cataract surgery techniques. The purpose of the study was to evaluate the visual outcomes (visual acuity and visual function) before and after cataract surgery, and to assess patient satisfaction with final surgical outcomes. Material and Methods. This prospective study included 176 consecutive patients with senile cataract who underwent phacoemulsification with a foldable intraocular lens implantation. Evaluation of vision related problems of daily living was done in all patients using a vision related quality of life questionnaire, before and 10 days after the surgery. All patients self-rated their vision-related problems into 4 categories: no problems, small problems, big problems, and very big problems. The results were presented as a vision-related quality of life index. Results. There were 176 patients included in this study, with an average age of 65.4 ? 12 years. The operated patients had significantly better visual acuity than before cataract surgery (p < 0,001), with a median postoperative visual acuity of 0.8. Before cataract surgery, the average vision-related quality of life index was 53.7 (range 21.3 - 87.7). The self-rated vision related problems were present in 59.8% patients before senile cataract surgery, and only in 12.8% of patients undergoing phaco cataract surgery (p<0.001). Ten days after cataract surgery vision-related quality of life index improved to 92.9 (range 57.1 - 98.7). Conclusion. Visual function, self-estimated vision related problems and patients satisfaction are significantly higher after the phaco cataract surgery. We believe that vision related quality of life index is a valid and sensitive tool for visual function and vision-related quality of life evaluation.

Working-Age Cataract Patients: Visual Results, Reading Performance, and Quality of Life with Three Diffractive Multifocal Intraocular Lenses

Ophthalmology ◽  
2014 ◽  
Vol 121 (1) ◽  
pp. 34-44 ◽  
Author(s):  
Giovanni Cillino ◽  
Alessandra Casuccio ◽  
Mattia Pasti ◽  
Valeria Bono ◽  
Rita Mencucci ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Reading Performance ◽  
Intraocular Lenses ◽  
Multifocal Intraocular Lenses ◽  
Working Age ◽  
Visual Results ◽  
Cataract Patients

scholarly journals Refractive and Visual Outcomes of Different Intraocular Lenses with Femtosecond Laser Cataract Surgery: The Expectation of Independence from Spectacles

2015 ◽  
Vol 9 (1) ◽  
pp. 145-148
Author(s):  
Joao Crispim ◽  
Ricardo Nose ◽  
Milton Yogi ◽  
Walton Nose
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Case Series ◽  
Intraocular Lenses ◽  
Visual Performance ◽  
Multifocal Iol ◽  
Different Types ◽  
Monofocal Iol ◽  
Group 2 ◽  
Group 1

Purpose: To evaluate the visual performance of different types of intraocular lens (IOL) in eyes submitted to femtosecond laser (FSL) cataract surgery and to analyze whether this technology could result in spectacles independence. Design: Retrospective comparative case series. Methods: Consecutive eyes that were scheduled for FSL cataract surgery were included in this study. After one month postoperative, patients were divided into two groups: cases that required prescription for eyeglasses and cases that did not require prescription. In addition, the patients were analyzed according to the type of IOL that was implanted (monofocal, monofocal toric, multifocal and multifocal toric). Results: Thirty-five cataract surgeries were analyzed. Twenty-three eyes had a monofocal IOL implanted, and 12 had a multifocal IOL implanted. After 1 month, 12 cases required prescription (Group 1), and 23 did not require prescription (Group 2). The proportion of eyes that did not require corrective lenses was significantly greater (P = 0.02) in eyes that received multifocal IOL (91.67%) compared with those that received monofocal IOL (47.83%). Additionally, 100% of eyes that received multifocal toric IOL did not require eyeglasses at one month postoperatively. Conclusion: The FSL surgical precision associated with modern IOL technology may be an important factor related to vision satisfaction after cataract surgery.

scholarly journals Expectations and Reality in Surgical Rehabilitation of Cataract Patients

2021 ◽  
pp. 66-77
Author(s):  
N. S. Lutsenko ◽  
O. A. Isakova ◽  
O. A. Rudycheva ◽  
T. S. Kyrylova
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Night Vision ◽  
Patient Questionnaire ◽  
Life Questionnaire ◽  
Subjective Data ◽  
Multifocal Iol ◽  
Quality Of Vision ◽  
Distance Vision

The aim. To study the effect of surgical treatment of cataracts on the quality of life of patients and assess satisfaction with the results after implantation of a monofocal or multifocal intraocular lens (IOL), depending on the initial refraction. Materials and methods. We examined 140 patients (280 eyes) who underwent phacoemulsification with IOL (bilateral) according to the standard technique using multimodal anesthesia. The observation groups were divided depending on the initial type of refraction and the type of intraocular correction (mono- or multifocal IOL). The analysis of the results of surgical treatment of cataracts with IOL was assessed taking into account the initial refraction according to objective data, i.e. determination of distance and near visual acuity, and subjective data, i.e. the NEI-VFQ-25 quality of life questionnaire, patient questionnaire survey and assessment of the quality of vision in general, as well as distance, near, and night vision. Results and discussion. Before surgery, the mean values of indicators by all scales of the questionnaire of the quality of life related to the quality of vision ranged from 40 to 60 points and averaged 47 ± 0.5 points. After cataract surgery, the numerical indicator by each of the scales shifted to the range of 85 to 100 points. The difference in values by the scales “activity associated with distance vision” and “driving a car” was obtained. In patients with multifocal IOL, these indicators were lower compared with monofocal implantation. Dissatisfaction with distance vision was observed during the implantation of a multifocal IOL only in patients with hyperopia (12.5%), dissatisfaction with near vision was noted only in patients with myopia (16.7%), and no cases of dissatisfaction were observed in the group of patients with emmetropia. Analysis of night vision in patients with emmetropia also revealed the minimum percentage (2.5%) of cases of dissatisfaction in patients with hyperopia (5.0%) and the maximum in those with myopia (16.7%). Conclusions. IOL implantation is a single cataract treatment option that provides a high level of the patient’s satisfaction with the quality of life and visual functions. However, careful individual approach is required to select the type of implantable IOL, taking into account the patient’s needs and baseline refraction.

scholarly journals Comparative analysis of objective and subjective outcomes of two different intraocular lenses: trifocal and extended range of vision

2020 ◽  
Vol 5 (1) ◽  
pp. e000497
Author(s):  
Emilio Pedrotti ◽  
Francesco Carones ◽  
Pietro Talli ◽  
Erika Bonacci ◽  
Federico Selvi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Visual Acuity ◽  
Contrast Sensitivity ◽  
Subjective Quality ◽  
Intraocular Lenses ◽  
Homogeneous Population ◽  
Near Vision ◽  
Near Visual Acuity ◽  
Subjective Outcomes

ObjectiveTo evaluate objective and subjective outcomes after bilateral implantation of two different multifocal intraocular lenses, which correct pseudophakic presbyopia in an adequate and homogeneous population court.Methods and analysisFifty patients were evaluated at 3 months after bilateral implantation, at the Eye Clinic of University of Verona and at the Carones Ophthalmology Center Milano, as follows: Tecnis Symfony (25 patients), Alcon PanOptix (25 patients). Main outcomes were uncorrected and best-corrected distance visual acuity (UDVA and BCVA) at 4 m, 60 cm (best distance corrected intermediate visual acuity (BDCIVA) and uncorrected intermediate visual acuity), 40 cm (best distance corrected near visual acuity (BDCNVA) and uncorrected near visual acuity (UNVA)), objective refractive outcome, defocus curve, contrast sensitivity (Modulation Transfer Function (MTF) cut-off), optical quality (Strehl ratio), aberrometry (root mean square RMS 4 mm), subjective quality of life (National Eye Institute Refractive Error Quality of Life score (NEI-RQL-42 score) test).ResultsSymfony and PanOptix showed BCVA and UDVA comparable results. Symfony presented significant better outcomes at BDCIVA (p=0.001), while PanOptix showed better performances at BDCNVA and UNVA (p=0.01). Symfony achieved better results in RMS 4 mm (p=0.024) and in MTF cut-off (p=0.041). In the questionnaire NEI-RQL-42, PanOptix presented better scores in ‘near vision’ and ‘spectacles independence’, whereas Symfony in ‘symptoms’ and ‘clarity of vision’.ConclusionBoth intraocular lenses are valid options to avoid pseudophakic presbyopia, even though they present different features which make them unique. Symfony allows patients to achieve a better objective and subjective quality of vision and contrast sensitivity; PanOptix provides better outcomes in near vision and spectacles independence requirements.

Sign in / Sign up

Export Citation Format

Share Document