The evidence of implanting a different intraocular lens in each eye

Melvani, Rakhi; Farid, Marjan

doi:10.1097/icu.0000000000000921

Cited by 3 publications

(2 citation statements)

References 14 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 1–3 These have been used bilaterally as well as in combination in an attempt to provide the best vision for each patient, based on their post-surgical vision goals. 4 For patients interested in reducing their dependence on spectacles after surgery the tradeoff with multifocal and EDOF IOLs versus monofocal IOLs is between a longer range of focus and a higher likelihood of visual disturbances such as glare or halos. 2 , 5 , 6 …”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] These have been used bilaterally as well as in combination in an attempt to provide the best vision for each patient, based on their post-surgical vision goals. 4 For patients interested in reducing their dependence on spectacles after surgery the tradeoff with multifocal and EDOF IOLs versus monofocal IOLs is between a longer range of focus and a higher likelihood of visual disturbances such as glare or halos. 2,5,6 With the increasing use of computers and hand-held devices, vision at intermediate distances appears a more important indicator of post-surgical satisfaction than vision at near, though this is likely to remain patient-specific based on individual preferences and tolerance for visual disturbances.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparing Visual Performance and Subjective Outcomes with an Enhanced Monofocal Intraocular Lens When Targeted for Emmetropia or Monovision

Sandoval,

Potvin,

Solomon

2023

OPTH

View full text Add to dashboard Cite

Purpose To evaluate relative visual performance and subjective outcomes after implantation of the TECNIS Eyhance™ intraocular lens (IOL) targeted for bilateral emmetropia or monovision. Methods This was a prospective, single-center randomized, patient-masked trial. Patients were implanted with the enhanced IOL targeted for bilateral emmetropia or slight monovision (−0.75 D in the non-dominant eye). At 3 months the binocular visual acuity (VA) was measured at distance, intermediate and near, along with low contrast VA in photopic and mesopic conditions, and the distance corrected defocus curve. Questionnaires related to spectacle independence, satisfaction, visual symptoms, and functional vision were administered. Results Data from 71 subjects (34 Emmetropia, 37 Monovision) were analyzed. There was no difference in the mean uncorrected distance VA (p = 0.11), but uncorrected intermediate and near VAs were one line better in the Monovision group (p = 0.02 and 0.01, respectively). Mesopic and photopic low contrast VA were similar between groups. There was a trend for less difficulty and higher satisfaction with near and intermediate vision in the Monovision group, but no significant differences in any of the subjective questionnaires. Difficulty reading was the most reported concern in both groups, though 93% of all subjects reported “little” or “no” difficulty with daily activities. Overall, 82% of subjects were “completely” or “very” happy with their lens choice. Conclusion Using this enhanced IOL with slight monovision in the non-dominant eye increased intermediate and near VA with no apparent effect on low contrast distance VA, subjective visual quality, or satisfaction.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparing Visual Performance and Subjective Outcomes with an Enhanced Monofocal Intraocular Lens When Targeted for Emmetropia or Monovision

Sandoval,

Potvin,

Solomon

2023

OPTH

View full text Add to dashboard Cite

show abstract

Stereopsis Following Implantation of Presbyopia-Correcting Intraocular Lenses: A Narrative Review

He,

Zhu,

et al. 2024

Ophthalmol Ther

View full text Add to dashboard Cite

Recent advancements in cataract surgery have broadened its scope from mere vision restoration to include correction of refractive errors and presbyopia. This evolution has introduced multifocal and extended depth-of-focus (EDOF) intraocular lenses (IOLs), allowing enhanced vision across multiple distances. However, the influence of these advanced IOLs on stereopsis remains controversial. Factors influencing stereopsis after surgery include visual acuity,

show abstract

Standard Clinical Outcomes, Light Distortion, Stereopsis, and a Quality-of-Life Assessment of a New Binocular System of Complementary IOLs

Lajara-Blesa,

Rodríguez-Izquierdo,

Vallés-San-Leandro

et al. 2023

J Refract Surg

View full text Add to dashboard Cite

Purpose: To evaluate the visual outcome, light distortion index (LDI), and quality of life (QoL) of patients implanted with two complementary intraocular lenses (IOLs) to treat cataract and presbyopia. Methods: Twenty-seven consecutive patients with cataract were treated with the implantation of the Artis Symbiose Mid (Mid) IOL (Cristalens Industrie) in the distance-dominant eye and the Artis Symbiose Plus (Plus) IOL (Cristalens Industrie) in the contralateral eye following phacoemulsification. The primary objective was to ascertain the monocular and binocular defocus curves. Secondary endpoints included uncorrected distance visual acuity, corrected distance visual acuity, uncorrected intermediate visual acuity, and distance-corrected intermediate visual acuity at 90 and 70 cm, uncorrected near visual acuity and distance-corrected visual acuity at 40 cm, contrast sensitivity, LDI with a halometer, stereopsis, and patients' QoL with the validated Visual Function Index (VF-14) questionnaire. These measurements were collected in two visits, at 4.14 ± 3.13 and 10.30 ± 3.14 months postoperatively. Results: Statistically significant differences in the monocular defocus curves were found at the defocus steps of −1.00, −1.25, −1.50, −1.75, −2.50, −2.75, −3.00, −3.50 diopters and the −4.00 diopters ( P < .050). The mean binocular defocus curve was 0 logMAR or better from the +0.50 to the −2.50 D defocus steps. Contrast sensitivity was within normal values. The LDI was 12.57 (6.61)% for the Mid eyes, 14.99 ± 5.70% for the Plus eyes, and 10.36 ± 4.42% binocularly. The patients' stereopsis was 40.0 (12.5) arc-seconds. The QoL score was 95.99 (7.14) at 10 months. Conclusions: The implantation of the Artis Symbiose IOLs was a safe and effective treatment for presbyopia compensation in patients with cataract. Both IOLs are complementary and may produce a binocular depth-of-field of 3.00 diopters over 0 logMAR when used together. [ J Refract Surg . 2023;39(10):654–661.]

show abstract

The evidence of implanting a different intraocular lens in each eye

Cited by 3 publications

References 14 publications

Comparing Visual Performance and Subjective Outcomes with an Enhanced Monofocal Intraocular Lens When Targeted for Emmetropia or Monovision

Comparing Visual Performance and Subjective Outcomes with an Enhanced Monofocal Intraocular Lens When Targeted for Emmetropia or Monovision

Stereopsis Following Implantation of Presbyopia-Correcting Intraocular Lenses: A Narrative Review

Standard Clinical Outcomes, Light Distortion, Stereopsis, and a Quality-of-Life Assessment of a New Binocular System of Complementary IOLs

Contact Info

Product

Resources

About