Treatment of negative dysphotopsia with unique sulcus lens

Zeldovich, Alina

doi:10.1111/j.1442-9071.2012.02833.x

Cited by 8 publications

(4 citation statements)

References 5 publications

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“…This will move the shadow further peripherally but not necessarily beyond the functional retina [5]. Supplementary implantation of the Rayner Sulcoflex ® IOL to treat ND has been reported with success in multiple instances, resulting in improvement or resolution of ND in up to 78% of treated eyes [6][7][8][9][10][11]. The confined case series described in this study also demonstrated a similar result in 77.8% of treated eyes.…”

Section: Case Reports In Ophthalmologysupporting

confidence: 68%

“…To our knowledge, this is only described in the literature with the Sulcoflex ® supplementary IOL (Rayner Intraocular Lenses, Ltd, Worthing, United Kingdom). This IOL is made of a large 6.5-mm central optic with a posterior concave surface and two large undulating haptics [6][7][8][9][10][11]. We describe our clinical experience in treating ND with the 1stQ AddOn ® (Medicontur International SA, Geneva, Switzerland), a supplementary IOL with a different design.…”

Section: Introductionmentioning

confidence: 99%

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Supplementary Implantation of 1stQ AddOn® Sulcus-Fixated Intraocular Lens to Treat Negative Dysphotopsia: A Retrospective Case Series

Van Slycken,

Sallet,

Derveaux

2023

Case Rep Ophthalmol

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Negative dysphotopsia (ND) refers to the subjective perception of an arc-shaped darkness or shadow in the temporal field of vision. This condition occurs after uneventful cataract surgery with an in-the-bag intraocular lens (IOL). To address this issue, supplementary implantation of conventional three-piece IOLs in the sulcus or dedicated supplementary Rayner Sulcoflex® IOL have been used successfully. The aim of this retrospective case series was to assess the effectiveness of resolving ND using a supplementary 1stQ AddOn® (Medicontur) IOL. The 1stQ AddOn® has a different design and optic size compared to the Rayner Sulcoflex®. Patients experiencing severe and persistent ND underwent supplementary implantation of the 1stQ AddOn® IOL. The primary outcome measure was the resolution of dysphotopsia. Nine eyes received the 1stQ AddOn® IOL, with complete symptom resolution observed in 6 eyes, partial improvement in 1 eye, and no change in 2 eyes. This indicates that supplementary implantation of the 1stQ AddOn® IOL can effectively and safely treat ND, performing equally well as the Rayner Sulcoflex®. The positive impact of sulcus-fixated supplementary IOLs seems to be related to the interaction between the central optic and the pupil margin.

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Section: Case Reports In Ophthalmologysupporting

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Supplementary Implantation of 1stQ AddOn® Sulcus-Fixated Intraocular Lens to Treat Negative Dysphotopsia: A Retrospective Case Series

Van Slycken,

Sallet,

Derveaux

2023

Case Rep Ophthalmol

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“…Implantation of a secondary intraocular lens (IOL) has been proposed as an option to alleviate negative dysphotopsias [ 5 , 6 ]. Partial or complete resolution of symptoms has been reported after supplementary implantation of a Sulcoflex 653 L IOL (Rayner Intraocular Lenses Ltd, East Sussex, UK) in one eye [ 6 ], AQ5010V IOLs (STAAR Surgical Company, Monrovia, CA) in six eyes [ 5 ] and a Clariflex IOL (Abbott Medical Optics Inc., Santa Ana, CA) in one eye [ 5 ]. In this study, we report a case series of patients with severe negative dysphotopsias who were treated with supplementary implantation of a Sulcoflex IOL.…”

Section: Introductionmentioning

confidence: 99%

Treatment of negative dysphotopsia with supplementary implantation of a sulcus-fixated intraocular lens

Makhotkina

Berendschot

Beckers

et al. 2015

Graefes Arch Clin Exp Ophthalmol

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PurposeOur aim was to evaluate the resolution of negative dysphotopsia after supplementary implantation of a sulcus-fixated intraocular lens (IOL).MethodsThis was a retrospective case series. Patients with severe negative dysphotopsia were treated with supplementary implantation of the Rayner Sulcoflex Aspheric (653 L) IOL. Primary outcome measurements were subjectively reported complaints of dysphotopsia, best corrected distance visual acuity (CDVA), iris-IOL distance, anterior chamber depth (ACD) and volume (ACV), angle opening distance and trabecular-iris space area at 500 and 750 μm.ResultsA Rayner Sulcoflex IOL was implanted in seven patients (nine eyes) with negative dysphotopsias. Symptoms resolved completely in six eyes, partially in one eye and remained unchanged in two eyes. We did not find any significant changes in CDVA. Angle opening distance, ACD, ACV and iris-IOL distance reduced significantly after Sulcoflex IOL implantation.ConclusionsSupplementary implantation of a Sulcoflex IOL can successfully treat negative dysphotopsia. The decrease in anterior segment dimensions in combination with the displacement of light rays by the rounded edges of a Sulcoflex IOL may contribute to the resolution of symptoms.

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“…In accordance with these predictions, authors have reported the persistence of symptoms when an IOL exchange was performed with implantation into the reopened capsular bag, but elimination when an IOL exchange was performed with placement in the ciliary sulcus [25]. Another case report documents elimination of negative dysphotopsias with the insertion of a toric piggyback IOL into the sulcus [27]. Another case report documents elimination of negative dysphotopsias with the insertion of a toric piggyback IOL into the sulcus [27].…”

Section: Management Strategies For Negative Dysphotopsiasmentioning

confidence: 78%

Subjective complaints after cataract surgery

Hood

Sugar

2015

Current Opinion in Ophthalmology

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Positive and negative dysphotopsias occur after implantation of monofocal IOLs, and can rarely be disabling to patients. Visual complaints after multifocal IOL implantation are more common than after monofocal IOL implantation, but still rarely require significant intervention. A better understanding of the risk factors and optical causes of dysphotopsias will allow for IOL design and patient selection that maximize satisfaction after cataract surgery.

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Treatment of negative dysphotopsia with unique sulcus lens

Cited by 8 publications

References 5 publications

Supplementary Implantation of 1stQ AddOn® Sulcus-Fixated Intraocular Lens to Treat Negative Dysphotopsia: A Retrospective Case Series

Supplementary Implantation of 1stQ AddOn® Sulcus-Fixated Intraocular Lens to Treat Negative Dysphotopsia: A Retrospective Case Series

Treatment of negative dysphotopsia with supplementary implantation of a sulcus-fixated intraocular lens

Subjective complaints after cataract surgery

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