2012
DOI: 10.1111/j.1444-0938.2011.00666.x
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Visual performance with simultaneous vision multifocal contact lenses

Abstract: Purpose:The aim was to assess visual performance after PureVision high addition multifocal contact lens (PM) fitting through contrast sensitivity measured under different illumination levels for both distance and near. Methods: In a cross-over study, 20 presbyopic patients were randomly assigned to PM or spectacles. Near contrast sensitivity was measured with the Vistech VCTS 6500 system. Distance contrast sensitivity and distance visual acuity ( Average binocular spectacle corrected and PM VA were -0.05 Ϯ 0.0… Show more

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Cited by 50 publications
(52 citation statements)
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“…However, variability in stereopsis measurements for multifocal lenses has been previously reported (15,20,21) . In this study, HCVA at near distances that were recorded with all lenses were lower than pre viously reported values (15,(20)(21)(22)(23)(24)(25) , which is primarily attributable to the difference in methodology. Unlike other studies, we sought to measure the smallest paragraph that patients could "comfortably" read, which involved an additional subjective element in the objective resolution task.…”
Section: Discussioncontrasting
confidence: 47%
“…However, variability in stereopsis measurements for multifocal lenses has been previously reported (15,20,21) . In this study, HCVA at near distances that were recorded with all lenses were lower than pre viously reported values (15,(20)(21)(22)(23)(24)(25) , which is primarily attributable to the difference in methodology. Unlike other studies, we sought to measure the smallest paragraph that patients could "comfortably" read, which involved an additional subjective element in the objective resolution task.…”
Section: Discussioncontrasting
confidence: 47%
“…12,16,17 A plausible reason for this degradation of the SIMCL regarding the monofocal contact lenses is that the pupil size increases under dim light levels, and bearing in mind that the refractive power changes into the plus or minus away from the center of the lens in SIMCL, the distance and near portions determine the effective power of the lens for distance, [18][19][20][21][22][23] and therefore visual performance. At mesopic level without glare, among the SIMCLs, it was AOAM and PM that provided the best visual acuity (about 20/25) with no significant differences between the 2 modalities.…”
Section: Discussionmentioning
confidence: 99%
“…26,27 This, added to the fact that the pupil dilates under dim light levels and that SIMCL designs increase light scatter, 16 may explain this impairment. These visual acuity values make it more difficult to perform distant-vision tasks under mesopic conditions.…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, previous multifocal contact lens research has focused on comparing monovision contact lens correction with a single presbyopic contact lens design, 2,3 examined limited numbers of participants, 4,5 assessed the lenses after a suboptimal adaptation period, 6,7 or has used limited visual performance metrics to compare differences between lens designs (Table 1). 19,22 In addition, the impact the lenses have on ocular physiology (such as hyperemia and corneal staining) has not been assessed hitherto.…”
mentioning
confidence: 99%