Visual outcomes after implantation of a novel refractive toric multifocal intraocular lens

Shimoda, Talita; Shimoda, Gilberto; Hida, Wilson Takashi; Nakano, Celso Takashi; Motta, Andréa Rodrigues; Guimaraes, Aline Silva; Tzelikis, Patrick Frensel

doi:10.5935/0004-2749.20140018

Cited by 8 publications

(9 citation statements)

References 27 publications

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“…15 Furthermore, comparison studies have demonstrated that a trifocal toric IOL also improved intermediate vision without negatively affecting near or distance visual acuity relative to a bifocal toric IOL, with good rotation 813 822 823 824 825 826 827 828 829 830 831 832 833 834 835 836 837 838 839 840 841 842 843 844 845 846 847 848 849 850 851 852 853 854 855 856 857 858 859 860 861 862 863 864 865 866 867 868 869 870 stability and low postoperative refractive astigmatism. 19 The mean monocular DCIVA was 0.09 logMAR in the spherical IOL group and 0.08 logMAR in the toric IOL group at 80 cm, which was better than the value of 0.20 logMAR achieved with the M-flex T multifocal toric IOL (Rayner Intraocular Lenses Ltd.), and also slightly better than previously reported values for the POD FineVision (0.15 logMAR). 20 Binocular DCNVA at 40 cm was good and similar between both IOLs: 0.07 G 0.08 logMAR (20/23) in the spherical IOL group and 0.11 G 0.07 logMAR (20/26) in the toric IOL group.…”

Section: Discussioncontrasting

confidence: 47%

Comparison of 3-month visual outcomes of a spherical and a toric trifocal intraocular lens

Poyales

Garzón

2019

Journal of Cataract and Refractive Surgery

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Section: Discussioncontrasting

confidence: 47%

Comparison of 3-month visual outcomes of a spherical and a toric trifocal intraocular lens

Poyales

Garzón

2019

Journal of Cataract and Refractive Surgery

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“…Results of multifocal toric IOLs implantation present UDVA of 0.3 logMAR in 92%–97% and 0.97 logMAR in 71% of patients. 62 , 63 , 64 , 65 Residual astigmatism less than 1 D is noted in more than 89% of patients. 62 , 65 , 66 Complete freedom of spectacles can be achieved in 79%–90% of patients.…”

Section: Resultsmentioning

confidence: 98%

Premium intraocular lenses: The past, present and future

Zvorničanin

2018

Journal of Current Ophthalmology

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PurposeTo present potential benefits as well as limitations of premium intraocular lens (IOL) use, and provide insight in future of premium cataract surgery.MethodsBibliographic research was performed in PubMed/Medline database, and the most recently updated papers were evaluated. Keywords used were: premium intraocular lens, multifocal intraocular lens, toric intraocular lens, toric multifocal intraocular lens, accommodative intraocular lens, and the respective brand names.ResultsMultifocal IOLs provide uncorrected distance visual acuity (UDVA) of 0.03 logMAR in 82.3%–95.7% of patients and overall spectacle independence in 81%–85% of patients. Toric IOLs provide UDVA of 0.3 logMAR in 70%–95% of patients, residual astigmatism of 1 D or less is noted in 67%–88% of patients, and spectacle independence is reported in 60%–85% of patients. Toric multifocal IOLs provide UDVA of 0.3 logMAR in 92%–97% of patients, and spectacle independence is reported in 79%–90% of patients. Accommodative IOLs represent intensively developing field in ophthalmology, and the results are still variable depending on the IOL model.ConclusionsPremium IOL technology and advanced surgical techniques have significantly improved postoperative visual outcomes. Future developments will potentiate development of new premium IOL designs that will provide spectacle independence and excellent visual outcomes after cataract surgery.

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“…Corneal astigmatism equal to or greater than 1.50D is generally found in 15 to 29% of patients with cataract, coinciding with the population of this study which 17.33% of toric lenses (21 units) were used with this cylinder degree. Residual astigmatism of 1.50 to 3.00D may lead to a decrease in visual acuity and interfere with the desired independence of eyeglasses, justifying their concomitant correction [18]. Interestingly, patients who opted for the use of this lens model, presented a smaller propensity to perform the surgery only as a refractive method (association -0.207 p = 0.022), perhaps because they were already accustomed to the use of some long-term external correction or because of a predominance of low power astigmatism (<1,5 D), which causes less interference in the daily life of the patient.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2017

JOCR

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Introduction:Cataract surgery with intraocular multifocal lens (IOML) implant allows visual recovery for different distances, regardless of the use of external correction, despiteits undesirable effects. The visual function has impact on quality of life, as on the ability to perform daily activities and on the patient satisfaction. Objectives: Evaluate satisfaction and quality of vision in patients who underwent phacoemulsification surgery with implant of multifocal intraocular lens, even with the eyewear independence and with the presence of adverse effects.Methods: An observational, descriptive and retrospective study was carried out with patients undergoing phacoemulsification surgery with IOML implantation at a private clinic in Florianópolis (Brazil) from January 2009 to December 2015. Objective data were collected from electronic medical records and the questionnaire "TyPEqustionnaire" was completed for subjective analysis, through telephone calls. Afterwards, the data were submitted to descriptive statistical analysis and the corresponding variables were correlated through the Pearson chi-square test, with a significance level of p <0.05 being considered.Results: A total of 436 cataract surgeries were performed with IOML implantation in 223 patients. Ninety-nine patients were excluded either because they did not complete the inclusion criteria list or because of the impossibility of being reached by telephone contact. Thus, 124 patients effectively participated in the study. There was a higher prevalence of women (79%), and a non-toric aspheric lens implant (65%). The average age was 64 years and all patients were residents in the Santa Catarina state. The mean score for far distance vision was 8.35; for intermediate distance vision was 8.43 and for near distance vision was 7.87; at a rate from 0 to 10, being equivalent to unsatisfactory and very satisfied visual acuity, respectively. Glare was reported in 44,30% of patients, halos during the day were verified in 20,60% of the sample and halo-related complaint at night in 35,48% of the patients. Conclusion:In the final assessment of the questionnaire it was found that the patients were satisfied with the visual acuity after IOML implant. There was a moderate incidence of undesirable photopic effects and little dependence on glasses. IOML may be a good choice when immersed in real expectation for patients who want vision improvement without eyewear. In addition, the good relationship between surgeon and patient and the informed consent about the procedure are very important to the patient's satisfaction with the final visual result as well.

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Visual outcomes after implantation of a novel refractive toric multifocal intraocular lens

Cited by 8 publications

References 27 publications

Comparison of 3-month visual outcomes of a spherical and a toric trifocal intraocular lens

Comparison of 3-month visual outcomes of a spherical and a toric trifocal intraocular lens

Premium intraocular lenses: The past, present and future

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