Patient Satisfaction, Visual Outcomes, and Regression Analysis in Post-LASIK Patients Implanted With Multifocal, EDOF, or Monofocal IOLs

Bucci, Frank A.

doi:10.1097/icl.0000000000000979

Cited by 5 publications

(4 citation statements)

References 34 publications

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“…The visual quality in terms of contrast sensitivity was reported to decrease in cataract patients after multifocal IOL implantation, possibly due to the distribution of light to different focal points ( 46 ). However, Bucci et al reported that EDOF IOLs did not significantly decrease contrast sensitivity in cataract patients after LASIK compared with monofocal IOLs ( 47 ).…”

Section: Emerging Challenges and A Paradigm Shift In The Management O...mentioning

confidence: 99%

“…The visual quality in terms of contrast sensitivity was reported to decrease in cataract patients after multifocal IOL implantation, possibly due to the distribution of light to different focal points (46). However, Bucci et (47). Despite concerns about visual quality, for highly myopic eyes with special anatomical features, ophthalmologists should select the appropriate IOL carefully, offering long-term stability.…”

Section: Appropriate Iol Selectionmentioning

confidence: 99%

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Challenges of refractive cataract surgery in the era of myopia epidemic: a mini-review

Du,

Meng,

et al. 2023

Front. Med.

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Myopia is the leading cause of visual impairment in the world. With ever-increasing prevalence in these years, it creates an alarming global epidemic. In addition to the difficulty in seeing distant objects, myopia also increases the risk of cataract and advances its onset, greatly affecting the productivity of myopes of working age. Cataract management in myopic eyes, especially highly myopic eyes is originally more complicated than that in normal eyes, whereas the growing population of cataract with myopia, increasing popularity of corneal and lens based refractive surgery, and rising demand for spectacle independence after cataract surgery all further pose unprecedented challenges to ophthalmologists. Previous history of corneal refractive surgery and existence of implantable collamer lens will both affect the accuracy of biometry including measurement of corneal curvature and axial length before cataract surgery, which may result in larger intraocular lens (IOL) power prediction errors and a compromise in the surgical outcome especially in a refractive cataract surgery. A prudent choice of formula for cataract patients with different characteristics is essential in improving this condition. Besides, the characteristics of myopic eyes might affect the long-term stability of IOL, which is important for the maintenance of visual outcomes especially after the implantation of premium IOLs, thus a proper selection of IOL accordingly is crucial. In this mini-review, we provide an overview of the impact of myopia epidemic on treatment for cataract and to discuss new challenges that surgeons may encounter in the foreseeable future when planning refractive cataract surgery for myopic patients.

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Section: Emerging Challenges and A Paradigm Shift In The Management O...mentioning

confidence: 99%

“…The visual quality in terms of contrast sensitivity was reported to decrease in cataract patients after multifocal IOL implantation, possibly due to the distribution of light to different focal points (46). However, Bucci et (47). Despite concerns about visual quality, for highly myopic eyes with special anatomical features, ophthalmologists should select the appropriate IOL carefully, offering long-term stability.…”

Section: Appropriate Iol Selectionmentioning

confidence: 99%

Challenges of refractive cataract surgery in the era of myopia epidemic: a mini-review

Du,

Meng,

et al. 2023

Front. Med.

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“…Several reports have compared the differences in visual quality and photic phenomena after implantation of different types of presbyopia-correcting IOLs in patients who have undergone myopic LASIK or PRK 11 , 12 . However, the most suitable type of IOL for these patients has yet to be ascertained.…”

Section: Introductionmentioning

confidence: 99%

Visual outcomes and patient satisfaction after implantations of three types of presbyopia-correcting intraocular lenses that have undergone corneal refractive surgery

Ni,

Zhuo,

Cai

et al. 2024

Sci Rep

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This prospective, non-randomized, comparative study aimed to compare the visual outcomes and patient satisfaction after implantations of three presbyopia-correcting intraocular lenses (IOLs) after myopic refractive surgery. It was conducted from January 2020 to December 2021 in Shanghai Heping Eye Hospital. Patients were divided into three groups based on the type of IOL implanted. The visual acuity, refractive stability, high-order aberrations, objective visual quality, spectacle independence, and visual function index 14 questionnaire scores of the three groups were compared. This study included 78 eyes of 39 patients: 26 eyes with 839MP, 26 eyes with MF30, and 26 eyes with ZXR00. Uncorrected distance visual acuity improved significantly for all three groups. For a pupil diameter of 4.0 mm, the spherical aberrations of the three groups were 0.33 ± 0.16 μ, 0.50 ± 0.08 μ, and 0.39 ± 0.10 μ, respectively. The spectacle independence for distance vision was over 90% in each group; for near vision, it was only 25% for the ZXR00 group. All three types of presbyopia-correcting IOLs improved visual quality in post-LASIK or PRK patients. However, the high incidence of photic phenomena after presbyopia-correcting IOL implantation in patients who have undergone myopic LASIK should not be neglected.

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“…В этой связи необходимо отметить, что к настоящему моменту в литературе накоплен определенный опыт сравнительной оценки МОФИОЛ, МУФИОЛ и ЭДОФ, указывающий на высокую взаимосвязь прогнозируемых и полученных в рамках послеоперационного обследования клинических и функциональных результатов. При этом указывается, что общая оценка клинической эффективности ЭДОФ требует дальнейшего изучения, особенно с позиции практического применения у конкретного контингента пациентов (например, у лиц зрительно-напряженного труда -профессиональных пользователей персональных компьютеров) [10,[29][30][31][32][33].…”

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Medical and technical aspects of using intraocular lenses with extended depth of field

Konovalov,

Morenko

2023

Rossijskij oftalʹmologičeskij žurnal

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Purpose: to analyse the medical and technical aspects of intraocular lenses (IOLs) with extended depth of field (EDOF). Literature analysis was performed in the PubMed international database, the search keywords being “IOL with extended depth of field” (EDOF), “Optical Bench Evaluation of IOL”, “Preclinical evaluation of IOL”, “Aberrations”, “Monofocal IOL” (MOFIOL), “Multifocal IOLs” (MUFIOL). A total of 226 sources were analyzed, further using systematic review filters and the authors' knowledge of the topic. The duration of the retrospective analysis was 7 years (2016–2022), some of the considered work dates back to 2023. Unlike MUFIOL, EDOF lenses create a single elongated focal point to increase the depth of field, rather than several foci. Thus, EDOFs are aimed at reducing light phenomena, glare and halos, the occurrence of which is characteristic of MUFIOL. A potential disadvantage of EDOF is the reduction in retinal image quality with an excessive increase in the number of aberrations. The factors of the medical and technical assessment of the IOL indicate a high correlation with the predicted visual acuity (VA). EDOFs, whose design features are based on a higher order aspherical design, provide comparable optical quality for the far and extended intermediate ranges, while producing halo effects comparable to those of MOFIOL. Designed to improve depth of field with a full correction of corneal spherical aberration, EDOF provides intermediate-level pupil-independent improvement in VA and maintains visual acuity unlike conventional MOFIOLs. The quality of visual perception and the predicted VA of various types of EDOFs depend on the optical technology and the correction of corneal spherical aberrations. EDOFs can be expected to provide adequate vision at an intermediate distance (with a possibility of insufficient near vision). At the same time, the expansion of the depth of field varies between models, which should be taken into account when preoperatively choosing EDOF for a specific type of daily visual activity of the patient, especially for people with visually strenuous work. The results of the medical and technical assessment are widely used in the clinical testing of specific types of EDOF IOLs.

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Patient Satisfaction, Visual Outcomes, and Regression Analysis in Post-LASIK Patients Implanted With Multifocal, EDOF, or Monofocal IOLs

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 5 publications

References 34 publications

Challenges of refractive cataract surgery in the era of myopia epidemic: a mini-review

Challenges of refractive cataract surgery in the era of myopia epidemic: a mini-review

Visual outcomes and patient satisfaction after implantations of three types of presbyopia-correcting intraocular lenses that have undergone corneal refractive surgery

Medical and technical aspects of using intraocular lenses with extended depth of field

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