Comparison of visual function and patient satisfaction with AcrySof ReSTORSN6AD1 multifocal intraocular compared to monofocal intraocular lenses 5

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Aim. To compare visual function and satisfaction in patients after implantation of AcrySof ReSTOR SN6AD1 multifocal intraocular lens (IOL), AcrySof SA60AТ spherical monofocal IOL, or Akreos АО aspheric monofocal IOL during cataract surgery.

Materials. Overall, 34 patients received SN6AD1 multifocal (group 1, 48 eyes), 19 patients received Akreos АО monofocal aspheric (group 2, 30 eyes), and 13 patients received AcrySof SA60AТ monofocal spherical (group 3, 18 eyes) IOL. Patients with multifocal IOL were closely matched for age, sex, and ocular findings with patients who had monofocal IOL implantation. Six months postoperatively, uncorrected/corrected distance visual acuity (UDVA/CDVA), uncorrected intermediate (60 cm) and near (35 cm) visual acuity (UNVA), defocus curve, contrast sensitivity, and a quality-of-life questionnaire were evaluated. Furthermore, independence from glasses and presence of optical phenomena were assessed.

Results. Patients in group 2 had statistically significant increase in UDVA than that in group 1 (p = 0.037). There was no significant difference in the mean uncorrected intermediate and best corrected distance visual acuities between the groups. UNVA was better in group 1 than that in groups 2 and 3 (p < 0.0001). Photopic contrast sensitivity for high spatial frequencies was better in groups 2 and 3. Glare was reported in 5.9% of patients in group 1. Halos occurred in 32.4% of patients in group 1. No one reported undesirable visual symptoms in groups 2 and 3.

Conclusion. Multifocal IOLs provided higher spectacle independence and satisfactory functional vision over a broad range of distances but were associated with increased subjective visual symptoms and reduced photopic contrast sensitivity for high spatial frequencies and distance visual quality compared with monofocal IOLs.

 

Full Text

Restricted Access

About the authors

Aisa S Alchinova

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Author for correspondence.
Email: aalchinova@mail.ru

resident, Department of Ophthalmology

Russian Federation

Ksenia Yu Morina

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Email: ksushka.90@mail.ru

resident, Department of Ophthalmology

Russian Federation

Vyacheslav V Rakhmanov

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Email: rakhmanoveyes@yandex.ru

PhD, assistant, Department of Ophthalmology

Russian Federation

Vitaly V Potemkin

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Email: potem@inbox.ru

PhD, professor assistant, Department of Ophthalmology

Russian Federation

Kirill V Khripun

Ophthalmologic Center of City hospital No 2

Email: kirdoc@mail.ru

PhD, ophthalmologist

Russian Federation

Elena V Meshveliani

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Email: lena_vm@inbox.ru

resident, Department of Ophthalmology

Russian Federation

Elena V Ageeva

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Email: ageeva_elena@inbox.ru

resident, Department of Ophthalmology

Russian Federation

References

  1. Анисимова С.Ю., Анисимов С.И., Загребельная Л.В. Алгоритм выбора метода интраокулярной коррекции афакии с учётом сопутствующей пресбиопии и астигматизма // Современные технологии катарактальной и рефракционной хирургии: Материалы конференции. – М., 2010. – С. 24–30. [Anisimova SYu, Anisimov SI, Zagrebel’naya LV. Algoritm vybora metoda intraokulyarnoy korrektsii afakii s uchetom soputstvuyushchey presbiopii i astigmatizma. Sovremennye tekhnologii kataraktal’noy i refraktsionnoy khirurgii: (Conference proceedings). Moscow; 2010:24-30. (In Russ.)]
  2. Беликова Е.И., Антонюк С.В., Бугаенко И.А. Сравнительные результаты хирургической коррекции пресбиопии с использованием мультифокальных и аккомодирующих интраокулярных линз // Современные технологии катарактальной и рефракционной хирургии: Материалы конференции. – М., 2010. – С. 31–36. [Belikova EI, Antonyuk SV, Bugaenko IA. Sravnitel’nye rezul’taty khirurgicheskoy korrektsii presbiopii s ispol’zovaniem mul’tifokal’nykh i akkomodiruyushchikh intraokulyarnykh linz. Sovremennye tekhnologii kataraktal’noy i refraktsionnoy khirurgii. (Conference proceedings). Moscow; 2010:31-36. (In Russ.)]
  3. Малюгин Б.Э., Морозова Т.А. Исторические аспекты и современное состояние проблемы мультифокальной интраокулярной коррекции // Офтальмохирургия. – 2004. – № 3. – С. 23–29. [Malyugin BE, Morozova TA. A Review of Historical Aspects and Modern Trends in Multifocal Intraocular Correction. Ophthalmic surgery. 2004;(3):23-29. (In Russ.)]
  4. Тахтаев Ю.В., Балашевич Л.И. Хирургическая коррекция гиперметропии и пресбиопии рефракционно-дифракционными псевдоаккомодирующими интраокулярными линзами AcrySof ReSTOR // Офтальмохирургия. – 2005. – № 3. – С. 12–16. [Takhtaev YuV, Balashevich LI. Khirurgicheskaya korrektsiya gipermetropii i presbiopii refraktsionno-difraktsionnymi psevdoakkomodiruyushchimi intraokulyarnymi linzami AcrySof ReSTOR. Ophthalmic surgery. 2005;(3):12-16. (In Russ.)]
  5. Шамшинова А.М., Волков В.В. Функциональные методы исследования в офтальмологии. – М.: Медицина, 1999. – 416 с. [Shamshinova AM, Volkov VV. Funktsional’nye metody issledovaniya v oftal’mologii. Moscow: Meditsina; 1999. 416 p. (In Russ.)]
  6. Alfonso JF, Fernandez-Vega L, Baamonde MB, et al. Correlation of pupil size with visual acuity and contrast sensitivity after implantation of an apodized diffractive intraocular lens. J Cataract Refract Surg. 2007;33(3):430-438. doi: 10.1016/j.jcrs.2006.10.051.
  7. Alio JL, Abdelghany AA, Fernández-Buenaga R. Enhancements after cataract surgery. Curr Opin Ophthalmol. 2015;26(1):50-55. doi: 10.1097/ICU.0000000000000111.
  8. Cochener B, Lafuma A, Khoshnood B, et al. Comparison of outcomes with multifocal intraocular lenses: a meta-analysis. Clin Ophthalmol. 2011;7(5):45-56.
  9. Datiles MB, Gancayco T. Low myopia with low astigmatic correction gives cataract surgery patients good depth of focus. Ophthalmology. 1990;97(7):922-926. doi: 10.1016/S0161-6420(90)32480-6.
  10. Elder MJ, Murphy C, Sanderson GF. Apparent accommodation and depth of field in pseudophakia. J Cataract Refract Surg. 1996;22(5):615-619. doi: 10.1016/S0886-3350(96)80020-4.
  11. Elgohary MA, Beckingsale AB. Effect of illumination on visual function after monofocal and multifocal intraocular lens implantation. Eye. 2006;20(2):144-149. doi: 10.1038/sj.eye. 6701820.
  12. Fukuyama M, Oshika T, Amano S, Yoshitomi F. Relationship between apparent accomodation and corneal multifocality in pseudophakic eyes. Ophthalmology. 1999;106(6):1178-1181. doi: 10.1016/S0161-6420(99)90259-2.
  13. Maurino V, Allan BD, Rubin GS, et al. Quality of vision after bilateral multifocal intraocular lens implantation: a randomized trial-AT LISA 809M versus AcrySof ReSTOR SN6AD1. Ophthalmology. 2015;122(4):700-710. doi: 10.1016/j.ophtha.2014.10.002.
  14. Mu J, Chen H, Li Y. Comparison study of visual function and patient satisfaction in patients with monovision and patients with bilateral multifocal intraocular lenses. Zhonghua Yan Ke Za Zhi. 2014;50(2):95-99.
  15. Nakazawa M, Ohtsuki K. Apparent accommodation in pseudophakic eyes after implantation of posterior chamber intraocular lenses. Am J Ophthalmol. 1983;(96):4:435-438.
  16. Petermeier K, Szurman P. Subjective and objective outcome following implantation of the apodized diffractive AcrySof ReSTOR. Ophthalmologe. 2007;104(5):399-404. doi: 10.1007/s00347-007-1511-3.
  17. Rocha KM, Soriano ES, Chamon W, et al. Spherical aberration and depth of focus in eyes implanted with aspheric and spherical intraocular lenses: a prospective randomized study. Ophthalmology. 2007;114(11):2050-2054. doi: 10.1016/j.ophtha.2007.01.024.
  18. Soda M, Yaguchi S. Effect of decentration on the optical performance in multifocal intraocular lenses. Ophthalmologica. 2012;227(4):197-204. doi: 10.1159/000333820.
  19. Vingolo EM, Grenga P, Iacobelli L, Grenga R. Visual acuity and contrast sensitivity: AcrySof ReSTOR apodized diffractive versus AcrySof SA60AT monofocal intraocular lenses. J Cataract Refract Surg. 2007;33(7):1244-1247. doi: 10.1016/j.jcrs.2007.03.052.
  20. Wilkins MR, Allan BD, Rubin GS, et al. Randomized trial of multifocal intraocular lenses versus monovision after bilateral cataract surgery. Moorfields IOL Study Group. Ophthalmology. 2013;120(12):2449-2455. doi: 10.1016/j.ophtha.2013.07.048.
  21. Woodward MA, Randleman JB, Stulting RD. Dissatisfaction after multifocal intraocular lens implantation. J Cataract Refract Surg. 2009;35(6):992-997. doi: 10.1016/j.jcrs.2009.01.031.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2016 Alchinova A.S., Morina K.Y., Rakhmanov V.V., Potemkin V.V., Khripun K.V., Meshveliani E.V., Ageeva E.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77-65574 от 04 мая 2016 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies