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Near vision restoration with refractive lens exchange and pseudoaccommodating and multifocal refractive and diffractive intraocular lenses: comparative clinical study.
J Cataract Refract Surg. 2004 Dec; 30(12):2494-503.JC

Abstract

PURPOSE

To evaluate near visual performance after implantation of a pseudoaccommodating intraocular lens (IOL) (Crystalens AT-45, eyeonics) or a multifocal IOL (refractive model, AMO Array; diffractive model, AcriTec TwinSet) after lens surgery.

SETTINGS

Instituto Oftalmologico de Alicante, Miguel Hernandez University, Alicante, Spain.

METHODS

Forty patients were included in this prospective clinical comparative study. The patients were divided into 3 groups according to the type of IOL implanted. Group 1 included 24 eyes (12 patients) implanted with the Crystalens IOL; Group 2, 32 eyes (16 patients) with the Array IOL, and Group 3, 24 eyes (12 patients) with the TwinSet IOL. Bilateral phacoemulsification and IOL implantation were performed in all patients, and the follow-up was 1 year. The postoperative main visual outcome evaluations were uncorrected and best corrected distance and near visual acuities, mean add for near, and best distance-corrected near acuity.

RESULTS

In Group 1, the mean uncorrected near acuity was 20/40 preoperatively and 20/25 after 1 year. The mean preoperative best distance-corrected near acuity was 20/32 and 20/25 after 1 year. In Group 2, the mean uncorrected near acuity was 20/40 and 20/25, respectively. The mean preoperative best distance-corrected near acuity was 20/32 and 20/25 after 1 year. In Group 3, the mean uncorrected near acuity was 20/63 preoperatively; after 1 year, it was approximately 20/25. The mean best distance-corrected near acuity was 20/50 and 20/25, respectively. A neodymium:YAG laser capsulotomy was performed for posterior capsule opacification when required, with no change in the refractive outcome.

CONCLUSIONS

Implantation of multifocal and pseudoaccommodating IOLs provides adequate near vision restoration. The TwinSet IOL provided faster recovery of near vision than the other 2 IOLs. The Crystalens IOL provided less postoperative visual phenomena with favorable near vision. The Array IOL achieved the most comfortable distance and near vision.

Authors+Show Affiliations

Instituto Oftalmológico de Alicante, Department of Refractive Surgery, Miguel Hernández University, Alicante, Spain. jlalio@oftalio.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15617915

Citation

Alió, Jorge L., et al. "Near Vision Restoration With Refractive Lens Exchange and Pseudoaccommodating and Multifocal Refractive and Diffractive Intraocular Lenses: Comparative Clinical Study." Journal of Cataract and Refractive Surgery, vol. 30, no. 12, 2004, pp. 2494-503.
Alió JL, Tavolato M, De la Hoz F, et al. Near vision restoration with refractive lens exchange and pseudoaccommodating and multifocal refractive and diffractive intraocular lenses: comparative clinical study. J Cataract Refract Surg. 2004;30(12):2494-503.
Alió, J. L., Tavolato, M., De la Hoz, F., Claramonte, P., Rodríguez-Prats, J. L., & Galal, A. (2004). Near vision restoration with refractive lens exchange and pseudoaccommodating and multifocal refractive and diffractive intraocular lenses: comparative clinical study. Journal of Cataract and Refractive Surgery, 30(12), 2494-503.
Alió JL, et al. Near Vision Restoration With Refractive Lens Exchange and Pseudoaccommodating and Multifocal Refractive and Diffractive Intraocular Lenses: Comparative Clinical Study. J Cataract Refract Surg. 2004;30(12):2494-503. PubMed PMID: 15617915.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Near vision restoration with refractive lens exchange and pseudoaccommodating and multifocal refractive and diffractive intraocular lenses: comparative clinical study. AU - Alió,Jorge L, AU - Tavolato,Marco, AU - De la Hoz,Fernando, AU - Claramonte,Pascual, AU - Rodríguez-Prats,José-Luis, AU - Galal,Ahmed, PY - 2004/04/06/accepted PY - 2004/12/25/pubmed PY - 2005/3/8/medline PY - 2004/12/25/entrez SP - 2494 EP - 503 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 30 IS - 12 N2 - PURPOSE: To evaluate near visual performance after implantation of a pseudoaccommodating intraocular lens (IOL) (Crystalens AT-45, eyeonics) or a multifocal IOL (refractive model, AMO Array; diffractive model, AcriTec TwinSet) after lens surgery. SETTINGS: Instituto Oftalmologico de Alicante, Miguel Hernandez University, Alicante, Spain. METHODS: Forty patients were included in this prospective clinical comparative study. The patients were divided into 3 groups according to the type of IOL implanted. Group 1 included 24 eyes (12 patients) implanted with the Crystalens IOL; Group 2, 32 eyes (16 patients) with the Array IOL, and Group 3, 24 eyes (12 patients) with the TwinSet IOL. Bilateral phacoemulsification and IOL implantation were performed in all patients, and the follow-up was 1 year. The postoperative main visual outcome evaluations were uncorrected and best corrected distance and near visual acuities, mean add for near, and best distance-corrected near acuity. RESULTS: In Group 1, the mean uncorrected near acuity was 20/40 preoperatively and 20/25 after 1 year. The mean preoperative best distance-corrected near acuity was 20/32 and 20/25 after 1 year. In Group 2, the mean uncorrected near acuity was 20/40 and 20/25, respectively. The mean preoperative best distance-corrected near acuity was 20/32 and 20/25 after 1 year. In Group 3, the mean uncorrected near acuity was 20/63 preoperatively; after 1 year, it was approximately 20/25. The mean best distance-corrected near acuity was 20/50 and 20/25, respectively. A neodymium:YAG laser capsulotomy was performed for posterior capsule opacification when required, with no change in the refractive outcome. CONCLUSIONS: Implantation of multifocal and pseudoaccommodating IOLs provides adequate near vision restoration. The TwinSet IOL provided faster recovery of near vision than the other 2 IOLs. The Crystalens IOL provided less postoperative visual phenomena with favorable near vision. The Array IOL achieved the most comfortable distance and near vision. SN - 0886-3350 UR - https://www.unboundmedicine.com/medline/citation/15617915/Near_vision_restoration_with_refractive_lens_exchange_and_pseudoaccommodating_and_multifocal_refractive_and_diffractive_intraocular_lenses:_comparative_clinical_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(04)00670-4 DB - PRIME DP - Unbound Medicine ER -