Presbyopic refractive lens exchange with trifocal intraocular lens implantation after corneal laser vision correction: Refractive results and biometry analysis

Brenner, Luis F.; Gjerdrum, Bjørn; Aakre, Bente Monica; Lundmark, Per Olof; Nistad, Kristin

doi:10.1016/j.jcrs.2019.05.031

Cited by 20 publications

(22 citation statements)

References 40 publications

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“…In this meta-analysis, the postoperative percentages of eyes with expected spherical equivalent within ±0.5 D and ±1.0 D of plano in the study by Brenner et al ( 14 ) was higher and comparable to results in untreated cornea ( 5 ). They concluded that the possible reasons for the higher accuracy in their study than others were the exclusion of corneas with abnormal optics and the ablation profiles with better transitions zones, which made the K -values for IOL power calculations more reliable.…”

Section: Discussionsupporting

confidence: 46%

“…The proportion of treated eyes with a postoperative refraction of ±0.5D and ±1.0D within the target refraction was 0.66 (95% CI, 0.57-0.75) and 0.90 (95% CI, 0.85-0.96), respectively. We did a sensitivity analysis, and it turned out that, after removing the study by Brenner et al ( 14 ) the I 2 dropped to 8 and 40%, with a proportion of 0.64 (95% CI: 0.58, 0.70) and 0.90 (95% CI: 0.86, 0.94) ( Supplementary Figure S4 ). Then, we did a subgroup analysis, splitting the studies into two subgroups according to the follow-up time (<6 months vs. ≥6 months) ( Supplementary Figure S4 ).…”

Section: Resultsmentioning

confidence: 99%

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Presbyopia-Correcting Intraocular Lenses Implantation in Eyes After Corneal Refractive Laser Surgery: A Meta-Analysis and Systematic Review

et al. 2022

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PurposeTo assess the efficacy, safety, and predictability of presbyopia-correcting intraocular lenses (IOLs) in cataract patients with previous corneal refractive surgery.MethodsA systematic literature search was performed to identify studies evaluating the clinical outcomes of presbyopia-correcting IOLs implantation in cataract surgery after laser refractive surgery. Outcomes were efficacy, safety and predictability parameters.ResultsThe authors identified 13 studies, involving a total of 128 patients and 445 eyes. Presbyopia-correcting IOLs were effective at improving distance, intermediate and near visual acuity aftercataract surgery. The proportion of post-laser surgery eyes with uncorrected distance visual acuity (UDVA) ≥ 20/25 was 0.82 [95% confidence interval (CI), 0.74-0.90] and the pooled rates of spectacle independence at near, intermediate, and far distances were 0.98 (95% CI, 0.94-1.00), 0.99 (95% CI, 0.95-1.00) and 0.78 (95% CI, 0.65-0.94) respectively. The percentage of participants who suffered from halos and glare was 0.40 (95% CI, 0.25-0.64) and 0.31 (95% CI, 0.16-0.60), respectively. The predictability had a percentage of 0.66 (95% CI, 0.57-0.75) and 0.90 (95% CI, 0.85-0.96) of eyes within ±0.5 diopters (D) and ±1.0 D from the targeted spherical equivalent.ConclusionsPresbyopia-correcting IOLs provide satisfactory results in terms of efficacy, safety and predictability in patients with previous corneal refractive surgery, but have a higher risk of photopic side effects such as halos and glare.

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Section: Discussionsupporting

confidence: 46%

Section: Resultsmentioning

confidence: 99%

Presbyopia-Correcting Intraocular Lenses Implantation in Eyes After Corneal Refractive Laser Surgery: A Meta-Analysis and Systematic Review

et al. 2022

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“…While average prediction error for several Post-LVC formulas are within ± 0.5, it could range from +1D to −2D. 40,41 Arguably, in the cases with highest prediction errors, several factors probably contribute, like diameter error, actual IOL position, and erroneous keratometric measurement due to unstable tear film may be another. Therefore, it is interesting to know if previous LVC patients have higher risk of unstable tear film than patients without prior refractive surgery.…”

Section: Discussionmentioning

confidence: 99%

<p>Prevalence of Signs and Symptoms of Dry Eye Disease 5 to 15 After Refractive Surgery</p>

Gjerdrum¹,

Gundersen²,

Lundmark³

et al. 2020

OPTH

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Purpose: To compare the prevalence of dry eye disease (DED) as determined by signs and symptoms in patients with a history of laser vision correction (LVC) or implantable collamer lens (ICL) implantation 5-15 years ago with a matched control group with no history of refractive surgery. Patient and Methods: This was a cross-sectional case-control study. The subject population included patients who had LVC or ICL 5 to 15 years ago. The control group was age matched. A test eye was randomly chosen. Subjects were required to have good ocular health. DED was evaluated using categorical cut-off criteria for tear film osmolarity (measured in both eyes), the subjective Ocular Surface Disease Index (OSDI), the dynamic Objective Scatter Index (OSI), non-invasive keratography tear break-up time (NIKBUT), meibography, and the Schirmer 1 test. Results: The study included 257 subjects (94 LVC, 80 ICL, 83 control). The frequency of hyperosmolarity was significantly higher in the LVC group vs the control (73% vs 50%, p = 0.002), In contrast, the frequency of subjective symptoms tended to be lower in the LVC group than in the control group (19% vs 31%; p = 0.06). These differences were not seen between the ICL and control group. Conclusion: The results suggest that LVC may cause tear film instability as indicated by hyperosmolar tears up to 15 years after surgery, with few subjective symptoms of dry eye. This may have implications for IOL calculations for cataract or refractive lens exchange later in life.

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“…Vitreoschisis was defined when there was a split in the posterior vitreous cortex (Fig. 4 F) 13 . HF were defined as discrete lesions protruding from the inner retinal surface (Fig.…”

Section: Methodsmentioning

confidence: 99%

“…We found that the visual quality after MIOL is not favorable in eyes with mild ERM, even when the ERM did not involve the fovea 12 . Moreover, the age of patients at cataract surgery with MIOL implantation is younger 13 , which puts them at greater lifetime risk of ERM development or progression after surgery.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for onset or progression of epiretinal membrane after cataract surgery

Kwon

Kim

2021

Sci Rep

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While the precise diagnosis of early stage epiretinal membrane (ERM) at the time of cataract surgery and evaluation of risk factors for development or progression of ERM after cataract surgery is increasingly important, there is only limited information. In the present study, we evaluated the risk factors for onset or progression of ERM on spectral domain optical coherence tomography (SD-OCT) after cataract surgery. The univariate analysis showed that eyes with partial posterior vitreous detachment (PVD; p < 0.001), hyper-reflective foci (HF) on the inner retinal surface (p < 0.001), vitreoschisis (p = 0.014), and discrete margin of different retinal reflectivity (DMDRR; p = 0.007) on ultra-widefield fundus photography (UWF-FP) had significant risk for the onset or progression of ERM after cataract surgery. The multivariate analysis showed that partial PVD (HR, 3.743; 95% confidence interval [CI], 1.956–7.162; p < 0.001), HF (HR, 2.330; 95% CI, 1.281–4.239; p = 0.006), and DMDRR on UWF-FP (HR, 3.392; 95% CI, 1.522–7.558; p = 0.003) were the independent risk factors for the onset or progression of ERM after cataract surgery after adjustment for other confounding factors. Our study shows that the onset or progression of ERM after cataract surgery depends on an abnormal vitreoretinal interface (VRI) represented by partial PVD, HF on SD-OCT, and DMDRR on UWF-FP, not on age, axial length, or presence of ERM at the time of surgery. A meticulous funduscopic evaluation of the VRI would help to predict the ERM risk before cataract surgery.

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Presbyopic refractive lens exchange with trifocal intraocular lens implantation after corneal laser vision correction: Refractive results and biometry analysis

Abstract: To evaluate both refractive and biometry results of presbyopic refractive lens exchange (RLE) with trifocal intraocular lens (IOL) implantation in eyes previously submitted to corneal laser vision correction (LVC).

Cited by 20 publications

References 40 publications

Presbyopia-Correcting Intraocular Lenses Implantation in Eyes After Corneal Refractive Laser Surgery: A Meta-Analysis and Systematic Review

Presbyopia-Correcting Intraocular Lenses Implantation in Eyes After Corneal Refractive Laser Surgery: A Meta-Analysis and Systematic Review

<p>Prevalence of Signs and Symptoms of Dry Eye Disease 5 to 15 After Refractive Surgery</p>

Risk factors for onset or progression of epiretinal membrane after cataract surgery

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