Multifocal intraocular lenses in the setting of glaucoma

Kumar, Balakrishna Vineeth; Phillips, Russell; Prasad, Somdutt

doi:10.1097/icu.0b013e328011d108

Cited by 30 publications

(22 citation statements)

References 30 publications

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“…To make matters more difficult, there is a paucity of data on the subject [171]. In what is currently the only study to assess multifocal IOLs in patients with eye disease, Kameth et al [172] study 133 eyes in 111 patients, 29 of them had either glaucoma or ocular hypertension.…”

Section: Newer Technologiesmentioning

confidence: 99%

Intraocular lens choices for patients with glaucoma

Teichman

Ahmed

2010

Current Opinion in Ophthalmology

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Section: Newer Technologiesmentioning

confidence: 99%

Intraocular lens choices for patients with glaucoma

Teichman

Ahmed

2010

Current Opinion in Ophthalmology

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“…Multifocal implantation may significantly decrease contrast sensitivity due to the IOL's light dispersion mechanics, especially in low mesopic conditions (low but not quite dark lighting situations) [11]. Thus, patients who have compromised contrast sensitivity, such as advanced glaucoma [12] or maculopathies, may be contraindicated for MfIOL use.…”

Section: Discussionmentioning

confidence: 99%

Unilateral Multifocal Intraocular Lens Implantation in a Patient with Adie’s Pupil

LoBue¹,

Mano

Schaefer³

et al. 2018

Case Rep Ophthalmol

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Purpose: To report a case of a patient with unilateral Adie’s pupil who underwent bilateral cataract extraction with multifocal and monofocal posterior chamber intraocular lens (IOL) implantation. Methods: A 74-year-old woman presented to our institution complaining of worsening near vision. Gross examination revealed a 6-mm fixed pupil on the right eye (OD) and a 5-mm pupil reacting to 3 mm with light on the left eye (OS). Slit lamp examination revealed a tonic pupil with an exaggerated pupillary constriction to dilute pilocarpine OD. Dilated exam revealed 2–3+ nuclear and cortical lens changes bilaterally. The patient’s active lifestyle, personality, and biometry measurements made her a good candidate for multifocal IOL (MfIOL) implantation OS. Femtosecond laser-assisted cataract extraction with a ReSTOR +3 ADD (SN60D1) implantation was performed OS. Monofocal lens implantation (SN60WF) was performed OD 6 months later. Results: One year postoperatively, our patient had an uncorrected visual acuity (VAsc) of 20/15 for distance and J10 for near OD. Her VAsc was 20/25 +1 for distance and J1 for near OS. Visual acuity when using both eyes was 20/15 for distance and J1 for near. Conclusion: Optimizing success for MfIOL implantation is a multifactorial process. Large pupils preoperatively are of particular concern, as this may lead to increased dysphotopsia with pupil-dependent MfIOLs. Thus, patients with unilateral mydriasis, such as Aide’s pupil, may have a beneficial outcome combining multifocal-monofocal implantation after bilateral cataract extraction, especially if they are not a candidate for monovision but desire spectacle independence.

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“…Both have been used in glaucoma patients with good results. 48 Aspheric IOL The newer aspheric lens may have a theoretical advantage in a glaucomtous eye. Glaucoma may preferentially affect contrast sensitivity as compared with visual acuity (an important visual function for daily activity), and patients with glaucoma often complain of ''poor'' vision despite their normal or near-normal Snellen visual acuity.…”

Section: Choice Of Iol For Glaucoma Patientsmentioning

confidence: 99%

Management of Cataracts in Patients With Glaucoma

Law¹,

Riddle²

2011

International Ophthalmology Clinics

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The management of the glaucoma patient who has visually significant cataracts is a practical but complex topic. As glaucoma is a chronic, potentially progressive disease that can lead to irreversible blindness, ophthalmologists should develop a treatment approach with emphasis based on the severity of glaucoma rather than on cataract alone. Trabeculectomy remains an effective surgical choice, especially in glaucoma patients with advanced disease who require a low and steady IOP. In planning for cataract surgery, surgeons should be mindful of the alterations of astigmatism in terms of power and axis, axial length fluctuation as a result of trabeculectomy, and the relative position of the IOL after surgery. As glaucoma is a potentially progressive disease, surgeons who treat patients with coexistent glaucoma and cataracts must consider that future glaucoma surgery may be necessary when planning for the cataract surgery. A complete discussion of alternatives would go beyond the limited scope of this study. Regardless of the procedures used, the surgeon should consider the secondary effects of both glaucoma surgery and cataract surgery and their impact on each other when developing an individualized treatment plan.

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Multifocal intraocular lenses in the setting of glaucoma

Cited by 30 publications

References 30 publications

Intraocular lens choices for patients with glaucoma

Intraocular lens choices for patients with glaucoma

Unilateral Multifocal Intraocular Lens Implantation in a Patient with Adie’s Pupil

Management of Cataracts in Patients With Glaucoma

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