Influence of multifocal intraocular lenses on standard automated perimetry test results

Aychoua, Nancy; Montolio, F Junoy; Jansonius, N. M.

doi:10.1111/j.1755-3768.2012.3486.x

Cited by 7 publications

(7 citation statements)

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“…Thus, an asymmetric capsulorrhexis, [61]. In light of this, a thoughtful approach would be recommended in patients with neuro-ophthalmological conditions (e.g., strabismus, Horner's syndrome) or glaucomatous visual field defects [62,63].…”

Section: Contraindications For Miolsmentioning

confidence: 99%

Multifocal intraocular lenses and retinal diseases

Grzybowski

Kanclerz²,

Tuuminen

2020

Graefes Arch Clin Exp Ophthalmol

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Purpose Multifocal intraocular lenses (MIOLs) are often discouraged in patients with or at risk of retinal disorders (including diabetic retinopathy, age-related macular degeneration, and epiretinal membranes), as MIOLs are believed to reduce contrast sensitivity (CS). Concerns with MIOLs have also been raised in individuals with visual field defects, fixation instability or eccentric preferred retinal locations. The aim of this study is to review the influence of MIOL on quality of vision in patients with retinal diseases. Methods We reviewed the PubMed and Web of Science databases to identify relevant studies using the following keywords: multifocal intraocular lens, cataract surgery, cataract extraction, lens exchange, diabetic retinopathy, age-related macular degeneration, and contrast sensitivity. Results Studies evaluating CS in MIOLs present conflicting results: MIOLs either did not influence CS or resulted in worse performance under low-illuminance conditions and higher spatial frequencies when compared to monofocal IOLs. Nevertheless, MIOLs preserved CS levels within the age-matched normal range. Two studies reported that patients with concurrent retinal diseases receiving a MIOL, both unilaterally and bilaterally, reported a significant improvement in visual-related outcomes. Individuals with a monofocal IOL in one eye and a MIOL in the fellow eye reported greater subjective satisfaction with the MIOL. Conclusion We were unable to find evidence suggesting that patients with retinal diseases should be advised against MIOLs. Nevertheless, more research is needed to address the aforementioned concerns and to optimize the use of MIOLs in eyes with retinal disease.

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Section: Contraindications For Miolsmentioning

confidence: 99%

Multifocal intraocular lenses and retinal diseases

Grzybowski

Kanclerz²,

Tuuminen

2020

Graefes Arch Clin Exp Ophthalmol

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“…Of particular relevance, analysis of the test locations within 10 degrees eccentricity also showed about a 2 dB reduction in mean sensitivity in patients with multifocal IOL compared to phakic patients. 5 Given that the workup did not reveal significant differences between the 2 eyes except in the type of IOL, the present case may be the first to demonstrate that a diffractive multifocal IOL may cause diffuse depression specifically during 10-2 Humphrey Field Analyzer testing using a red stimulus (equivalent to a dim white stimulus 6 ), which suggests that reduced contrast sensitivity may interfere with visual field testing. While this case report addresses the symmetry of this patient's keratoconjunctivitis sicca, it remains a confounding variable.…”

Section: Discussionmentioning

confidence: 80%

Visual field deficits with a multifocal intraocular lens

Shue

Farid

2013

JCRS Online Case Reports

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An 84-year-old woman with Sj € ogren syndrome was evaluated for hydroxychloroquine toxicity. Surgical history was significant for cataract surgery with implantation of a multifocal intraocular lens (IOL) in the right eye and a monofocal IOL in the left eye. Examination revealed no retinal pigment epithelial or optic disc changes. However, on testing with the Humphrey Field Analyzer II 10-2 red III program, the visual field in the right eye showed generalized depression with central sparing and the visual field in the left eye exhibited nonspecific rim defects. Since further tests suggested factors other than the IOL type were apparently equal in both eyes, the multifocal IOL in the right eye may have contributed to the abnormal visual field testing. Further studies are needed to clarify whether multifocal IOLs are appropriate in patients with autoimmune disorders possibly affecting vision, such as Sj € ogren syndrome, and those requiring hydroxychloroquine use.Financial Disclosure: Neither author has a financial or proprietary interest in any material or method mentioned. JCRS Online Case Reports 2013; 1:e60-e62 Q 2013 ASCRS and ESCRSFew studies have investigated the effects of multifocal intraocular lenses (IOLs) on the results of visual field testing. We report a case demonstrating generalized depression on 10-2 automated perimetry testing in an apparently healthy pseudophakic eye with a multifocal IOL. CASE REPORTAn 84-year-old woman with a history of Sj€ ogren syndrome was evaluated for hydroxychloroquine toxicity. She had used 200 mg of hydroxychloroquine twice daily for 20 years. Her only complaint was ocular dryness, which was consistent with a long-standing history of keratoconjunctivitis sicca, for which she had punctal cautery 25 years earlier.Other medications included topical cyclosporine twice daily and cevimeline for dry mouth. The surgical history was significant for cataract extraction in both eyes with implantation of a multifocal IOL (Tecnis ZMA00, Abbott Medical Optics, Inc.) in the right eye and a monofocal IOL (Tecnis ZCB00, Abbott Medical Optics, Inc.) in the left eye 1 year and 4 months prior to the current examination, respectively. Both procedures were uncomplicated.The uncorrected distance visual acuity was 20/30 in the right eye and 20/25 in the left eye. The manifest refraction was plano C0.25 Â 120 and À0.75 C0.25 Â 35, respectively. The corrected distance visual acuity (CDVA) was 20/25 in the right eye and 20/20 in the left eye. The preoperative manifest refraction was À2.75 C1.50 Â 180 and À3.25 C0.25 Â 83, respectively.At the time of the current examination, the intraocular pressure was 10 mm Hg in both eyes. The pupils were round and reactive without evidence of relative afferent pupillary defects. Tear break-up time was slightly decreased, but fluorescein staining revealed clear corneas bilaterally. The IOLs were well-centered with no evidence of misalignment or tilt. No significant posterior capsule opacification was evident in either eye. Fundoscopic examination showed no signs...

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“…Myopic surprises have been described following phacoemulsification in patients with prior filtering surgery and lower preoperative IOP, [537][538][539] even when using fourth-generation formulas and noncontact (laser) interferometry. 538 Multifocal intraocular lenses may have adverse effects on contrast sensitivity 540 and visual field performance 541 in patients with glaucoma.…”

Section: P107mentioning

confidence: 99%