Visual acuity, contrast sensitivity, and quality of life after bilateral implantation of multifocal diffractive intraocular lens

Queiroz, Marjorie Fornazier Nascimento; Ferreira, Felipe de Queiroz Tavares; Shimoda, Gilberto; Padovani, Carlos Roberto; Rodrigues, Antônio Carlos Lottelli

doi:10.5935/0004-2749.20230054

Cited by 1 publication

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“…In this patient, the combination of both corneal and intraocular procedures allowed full glass independence, resulting in a significant improvement of her quality of life. Regardless of the known association between multifocal IOL implantation and reduction in contrast sensitivity, this does not necessarily imply that the quality of life will be negatively affected, as seen in this patient’s case [14].…”

Section: Discussionmentioning

confidence: 98%

Refractive Management of Surgical-Induced Presbyopia in a Young Patient with Vision-Related Quality of Life Complaints: A Case Report

Castro,

Sousa,

Abreu

et al. 2023

Case Rep Ophthalmol

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Visual difficulties can negatively impact life quality. Our purpose was to report the refractive surgical planning and outcomes of a young patient with mixed astigmatism and phacoemulsification-induced presbyopia due to congenital cataracts who was unsatisfied with her vision-related quality of life. A 32-year-old woman, submitted to phacoemulsification with implantation of a monofocal intraocular lens (IOL) and Nd:YAG laser posterior capsulotomy 3 years before, due to congenital cataracts, was referred to the Refractive Surgery Unit of Centro Hospitalar Universitário de Santo António. She had mixed astigmatism (+1.00–4.00 × 10° in the right eye [RE] and +0.50–1.75 × 180° in the left eye [LE]) and surgical-induced presbyopia, was intolerant to contact lenses, and felt that her vision significantly impaired her life quality. A trifocal Sulcoflex® (Rayner) IOL was implanted to correct the spherical and near refractive errors. In a second surgical time, a photorefractive keratectomy was performed to correct the residual astigmatism (−3.50 × 10° in the RE and −1.50 × 170° in the LE). In the last visit, distance and near uncorrected visual acuity were 20/20 (Snellen) and Jaeger 1, respectively, in both eyes, and the patient was very satisfied. When assessing the surgical options of young, working-age patients, clinicians should, when possible, consider alternative solutions to monofocal IOLs. In this patient, the combination of corneal and intraocular procedures allowed the correction of both the distance and near refractive errors, with a subsequent significant improvement in the patient’s quality of life.

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Section: Discussionmentioning

confidence: 98%