Trifocal diffractive intraocular lens implantation in patients after previous corneal refractive laser surgery for myopia

Li, Qiumei; Wang, Feng; Wu, Zheming; Liu, Zhen; Zhan, Chuanlang; Chen, Bingheng; Sima, Jing; Stieger, Knut; Li, Shaowei

doi:10.1186/s12886-020-01556-0

Cited by 20 publications

(24 citation statements)

References 40 publications

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“… 13 , 14 However, there are also reports of minimal difference in absolute prediction error between preoperative planning and IA. 15–18 In addition, the percentages of eyes with absolute prediction error of 0.5 D or less was greater in this study for both IA and preoperative planning compared to other studies of post-LVC eyes with non-trifocal 6 , 19 and trifocal 7 , 8 IOLs. However, the prediction error results in this study are comparable to the study by Cobo-Soriano et al 9 that evaluated a large number of post-LVC eyes implanted with a trifocal IOL.…”

Section: Discussioncontrasting

confidence: 46%

Refractive Outcomes Following Trifocal Intraocular Lens Implantation in Post-Myopic LASIK and PRK Eyes

Blaylock¹,

Hall²

2022

OPTH

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Purpose To assess refractive outcomes of a trifocal intraocular lens (IOL) in post-myopic laser refractive surgery eyes. Methods This was a retrospective chart review of 35 eyes (21 patients), with history of laser refractive surgery, who were implanted with a trifocal IOL. Surgeon’s standard procedure included femtosecond laser (FLACS), digital registration, and intraoperative aberrometry (IA). The primary outcome measure was absolute prediction error. Secondary measures were refractive outcomes, postoperative residual astigmatism (PRA), monocular uncorrected visual acuity at distance (UDVA; 4m), intermediate (UIVA; 60cm), and near (UNVA; 40cm), and monocular best-corrected visual acuity at distance (BCVA; 4m). Results At 3 months postoperatively, 71% and 68% of eyes had absolute prediction error 0.5 D or less with IA and preoperative planning respectively, which was not statistically significant (p > 0.05). The PRA was 0.5 D or less in 91% of eyes with IA and 56% of eyes with preoperative planning. The PRA differences between IA and preoperative planning were statistically significant (p < 0.002). The percentage of eyes 20/20 or better for monocular UCVA, BCVA, UIVA, and UNVA was 29%, 77%, 78%, and 66%, respectively. Absolute prediction error 0.5 D or less was significantly higher in post-LASIK eyes versus post-PRK eyes (p < 0.003), at 85% and 56% of eyes, respectively. Conclusion Implantation with a trifocal IOL can provide acceptable refractive and visual outcomes with minimal residual astigmatism in post-myopic LASIK and PRK eyes.

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Section: Discussioncontrasting

confidence: 46%

Refractive Outcomes Following Trifocal Intraocular Lens Implantation in Post-Myopic LASIK and PRK Eyes

Blaylock¹,

Hall²

2022

OPTH

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Section: Introductionmentioning

confidence: 99%

“…6 While studies reporting clinical results after primary multifocal IOL implantation after refractive surgery are limited, the percentage of eyes within 0.50 D of emmetropia ranges from 48% to 70%. [7][8][9] One approach to the challenges presented by eyes with previous refractive surgery is to implant a primary monofocal IOL. If, after surgery, a patient expresses an interest in greater overall spectacle independence (ie, better near and intermediate vision), a secondary IOL may be implanted.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a Secondary Trifocal Sulcus IOL in Providing Near and Intermediate Vision in Patients with Prior Myopic Laser Vision Correction and Cataract Surgery

Gundersen¹,

Gjerdrum²,

Potvin³

2022

OPTH

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Purpose To evaluate the visual function of patients with a history of prior laser vision correction and cataract surgery with implantation of a monofocal primary IOL after subsequent implantation of a secondary sulcus trifocal intraocular lens (IOL). Setting One clinical practice in Haugesund, Norway. Design Prospective, single arm, non-interventional unmasked study. Methods Eligible subjects who had previous laser vision correction and cataract surgery involving implantation of a monofocal IOL in the capsular bag of one or both eyes were subsequently implanted with a secondary IOL in the sulcus. Postoperative uncorrected and best distance-corrected visual acuities (VAs) were measured at distance (4 m), intermediate (60 cm), and near (40 cm), along with low contrast visual acuity and the monocular distance corrected defocus curve. Results Twenty-five eyes were evaluated from 7 to 24 months after trifocal implantation. The mean monocular uncorrected VAs were 0.06, 0.21 and 0.10 logMAR at distance, intermediate and near, respectively. Uncorrected near VA was 0.2 logMAR or better in 80% of eyes (20/25). VA of 0.2 logMAR or better at all test distances was achieved in 15/25 eyes (60%) in the uncorrected state and 17/25 eyes (68%) when corrected for distance vision. Binocular uncorrected distance visual acuity was 0.1 logMAR or better in all subjects while binocular uncorrected near visual acuity was 0.1 logMAR or better in all but one subject. The defocus curve showed a range of functional vision from distance to 30 cm. No adverse events were identified. Conclusion The trifocal sulcus IOL provided excellent distance and near vision and a good range of functional vision, similar to results obtained when a primary trifocal IOL is implanted. It is a viable option to provide better intermediate and near vision to patients with a prior history of refractive surgery and a monofocal IOL implanted.

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“…Only three studies provided data on uncorrected intermediate visual acuity (UIVA) ( Supplementary Table S4 ). The mean UIVA in the studies by Li et al ( 13 ) and Chow et al ( 15 ) were 0.10 ± 0.10 logMAR and 0.22 ± 0.15 logMAR.…”

Section: Resultsmentioning

confidence: 80%

“…In addition to the introduction of HOAs after laser refractive surgery, the position and functional deviation of intraocular lenses might also contribute to photic phenomena such as halos and glare. The capsule in high myopic patients who underwent refractive laser surgery was larger compared to normal patients and the stability of IOLs is slightly worse, which are more likely to lead to photopic side effects ( 13 ).…”

Section: Discussionmentioning

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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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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Trifocal diffractive intraocular lens implantation in patients after previous corneal refractive laser surgery for myopia

Cited by 20 publications

References 40 publications

Refractive Outcomes Following Trifocal Intraocular Lens Implantation in Post-Myopic LASIK and PRK Eyes

Refractive Outcomes Following Trifocal Intraocular Lens Implantation in Post-Myopic LASIK and PRK Eyes

Efficacy of a Secondary Trifocal Sulcus IOL in Providing Near and Intermediate Vision in Patients with Prior Myopic Laser Vision Correction and Cataract Surgery

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

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