Visual Outcomes and Accommodative Response of the Lumina Accommodative Intraocular Lens

Alió, Jorge L.; Simonov, A. N.; Plaza-Puche, Ana B.; Angelov, Alexander Krasimirov; Angelov, Yavor; Lawick, Willem van; Rombach, Michiel C

doi:10.1016/j.ajo.2016.01.006

Cited by 46 publications

(38 citation statements)

References 27 publications

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“…In particular, reading speed evaluation based upon reading acuity, the critical print size, and the mean and maximum reading speeds has provided interesting insights into the near-visual performance of presbyopic patients prior to and following therapy. Clinical studies have investigated the reading performance of patients with various models of multifocal and accommodating IOLs [2–5, 9–11, 16, 17, 22], corneal inlays [7], or following laser refractive surgery [19–21]. Also, the reading performance of cataract patients has been analyzed in detail [17, 67, 23], and reading tests have been shown to be useful for estimating potential acuity [14, 68].…”

Section: Discussionmentioning

confidence: 99%

“…The accommodative potential of accommodating IOLs, however, seems to be limited [8–10]. Recently, promising results have been obtained with a new accommodative IOL model [11]. A noninvasive pharmacological approach for the treatment of presbyopia is the use of a drug combination in order to improve accommodation with eye drops [12].…”

Section: Backgroundsmentioning

confidence: 99%

“…Since then, a number of studies have been performed with these standardized logarithmic reading charts and have shown that it is possible to obtain detailed information about the reading performance achieved with bi-, multi-focal, and accommodative IOLs [2–5, 9–11, 16, 17, 22], corneal inlays, [7], monofocal IOLs [18, 23], and following LASIK/LASEK [15] or refractive laser treatment for presbyopia [18–20]. Interesting insights into the reading performance of cataract patients have also been obtained with the Bailey-Lovie Word Reading Charts [14] and with the MNREAD Charts as e.g.…”

Section: Main Textmentioning

confidence: 99%

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Near vision examination in presbyopia patients: Do we need good homologated near vision charts?

Radner¹

2016

Eye and Vis

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Presbyopia correction is mainly concerned with the goal of regaining an uncorrected reading performance. Since historic reading charts do not provide a unique standard that is applicable for the analysis of clinical and scientific reading performance, new standardized reading charts have been developed, in order to provide reading performance analyses analogous to modern single-optotype distance acuity measurements: the Bailey-Lovie Word Reading Chart, the Colenbrander English Continuous Text Near Vision Cards, the MNREAD Charts, and the RADNER Reading Charts. The last three are also meant to measure reading speed, thus allowing detailed analysis of the reading capabilities of the patient’s functional vision. Furthermore, these reading charts can be declared homologated, based on the standards that were published for reading charts by the Visual Function Committee of the International Council of Ophthalmology (ICO) in 1988. Many research studies have shown that by analyzing the reading performance with homologated reading charts, valuable insight into the reading performance of patients suffering from various diseases can be obtained. These reading charts have also been successfully used in presbyopia research. It therefore seems evident that homologated, standardized reading charts facilitate not only research concerning functional vision in many fields of ophthalmology but also international communication about near visual performance. Homologated reading charts are available in almost all languages and have become a valuable tool in analyzing reading performance. We argue in this review that homologated reading charts are clearly a necessity for presbyopia research.

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Section: Discussionmentioning

confidence: 99%

Section: Backgroundsmentioning

confidence: 99%

Section: Main Textmentioning

confidence: 99%

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Near vision examination in presbyopia patients: Do we need good homologated near vision charts?

Radner¹

2016

Eye and Vis

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“…Recently, our research team conducted an investigation to evaluate the first clinical results of patients implanted with this type of IOL [36]. In the study, a total of 61 eyes implanted with the Lumina AIOL were assessed during a follow up period of one year.…”

Section: A New Generation Of Accommodative Iolsmentioning

confidence: 99%

“…Table 3 summarizes the visual and refractive results found in the study. In addition, when compared with a monofocal IOL, the Lumina AIOL also showed significantly better results in terms of uncorrected near and distance corrected near visual acuity ( p <0.01) [36]. After 1 year of follow up, more than 90% of those patients implanted with the Lumina AIOL showed a distance corrected near visual acuity of 0.8 in the decimal scale with 70% of the patients having a spherical equivalent of ± 1 D [36].…”

Section: A New Generation Of Accommodative Iolsmentioning

confidence: 99%

Accommodative intraocular lenses: where are we and where we are going

2017

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Presbyopia still remains the last frontier of refractive surgery. Its surgical management is under constant evolution due to the limitations that exist today with respect to its management, which is probably in relation with the multifactorial basis in which presbyopia is clinically developed in the human. Until currently, virtually all surgical techniques that have been proposed for its correction are based on the induction of pseudoaccommodation in the presbyopic eye, including multifocality. However, the real restoration of accommodation is more complex, and it has been tried by the use of different, so called, “accommodative” pseudophakic intraocular lenses (AIOL). Overall, the reported results with these lenses by independent authors have been modest in relation with the restoration of the accommodative power of the eye and these modest benefits are usually lost with time due to the long term changes in the capsular bag. This fact made these lenses to be almost abandoned in the last few years, but there are currently other AIOL models being used with innovative mechanisms of action and different anatomical support outside the capsular bag that offer encouraging preliminary results that could bring a new potential of application to these types of lenses.In this article, we will update the modern refractive surgeon about the fundamentals and provide updated information about the outcomes of AIOLs by reviewing the concept of accommodation, the different attempts that have been accomplished in the past, their demonstrated published results in human clinical trials, and the future alternatives that may arrive in the near future.

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Intraocular lens optic edge design for the prevention of posterior capsule opacification after cataract surgery

Maedel

Evans

Harrer-Seely

et al. 2021

Cochrane Database of Systematic Reviews

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Visual Outcomes and Accommodative Response of the Lumina Accommodative Intraocular Lens

Cited by 46 publications

References 27 publications

Near vision examination in presbyopia patients: Do we need good homologated near vision charts?

Near vision examination in presbyopia patients: Do we need good homologated near vision charts?

Accommodative intraocular lenses: where are we and where we are going

Intraocular lens optic edge design for the prevention of posterior capsule opacification after cataract surgery

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