Lente intraocular multifocal refrativa: a performance visual e qualidade de vida em implantes bilaterais versus unilaterais

Germano, Jorge Estefano; Hida, Wilson Takashi; Brasil, Alexandre Almeida; Germano, Renato Antunes Schiave; Yamane, Iris; Reis, Arlete Barbosa dos; Fujita, Reinaldo; Schaefer, A. R.; Kara-Júnior, Newton; Avakian, Amaryllis; Nakano, Celso Takashi

doi:10.1590/s0034-72802010000600005

Cited by 2 publications

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References 14 publications

(28 reference statements)

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“…Only 22 patients were submitted to this LIOM model. While AcrySof Restor SN6AD1 with +3.00 D (+2.40D glasses equivalence) were implanted in 102 patients [11].…”

Section: Discussionmentioning

confidence: 99%

“…An apodization arrangement, that is, modification in the curvature of the lens through the progressive reduction in the height of the diffractive grooves, initiated from the center (1.3 μm) to the periphery (0.2 μm), soften undesirable dysphotopic affectation in mesopic conditions and assists a better adaptation to them [7,[10][11][12].…”

Section: Discussionmentioning

confidence: 99%

“…Its anterior central surface has 3.6 mm with 12 diffractive optical zones, continued to periphery by a refractive surface. The models varied according to the addition and presence of astigmatism [7,[10][11][12].…”

Section: Methodsmentioning

confidence: 99%

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2017

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Introduction:Cataract surgery with intraocular multifocal lens (IOML) implant allows visual recovery for different distances, regardless of the use of external correction, despiteits undesirable effects. The visual function has impact on quality of life, as on the ability to perform daily activities and on the patient satisfaction. Objectives: Evaluate satisfaction and quality of vision in patients who underwent phacoemulsification surgery with implant of multifocal intraocular lens, even with the eyewear independence and with the presence of adverse effects.Methods: An observational, descriptive and retrospective study was carried out with patients undergoing phacoemulsification surgery with IOML implantation at a private clinic in Florianópolis (Brazil) from January 2009 to December 2015. Objective data were collected from electronic medical records and the questionnaire "TyPEqustionnaire" was completed for subjective analysis, through telephone calls. Afterwards, the data were submitted to descriptive statistical analysis and the corresponding variables were correlated through the Pearson chi-square test, with a significance level of p <0.05 being considered.Results: A total of 436 cataract surgeries were performed with IOML implantation in 223 patients. Ninety-nine patients were excluded either because they did not complete the inclusion criteria list or because of the impossibility of being reached by telephone contact. Thus, 124 patients effectively participated in the study. There was a higher prevalence of women (79%), and a non-toric aspheric lens implant (65%). The average age was 64 years and all patients were residents in the Santa Catarina state. The mean score for far distance vision was 8.35; for intermediate distance vision was 8.43 and for near distance vision was 7.87; at a rate from 0 to 10, being equivalent to unsatisfactory and very satisfied visual acuity, respectively. Glare was reported in 44,30% of patients, halos during the day were verified in 20,60% of the sample and halo-related complaint at night in 35,48% of the patients. Conclusion:In the final assessment of the questionnaire it was found that the patients were satisfied with the visual acuity after IOML implant. There was a moderate incidence of undesirable photopic effects and little dependence on glasses. IOML may be a good choice when immersed in real expectation for patients who want vision improvement without eyewear. In addition, the good relationship between surgeon and patient and the informed consent about the procedure are very important to the patient's satisfaction with the final visual result as well.

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“…Only 22 patients were submitted to this LIOM model. While AcrySof Restor SN6AD1 with +3.00 D (+2.40D glasses equivalence) were implanted in 102 patients [11].…”

Section: Discussionmentioning

confidence: 99%