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[Combined implantation of monofocal and multifocal intraocular lenses for presbyopia correction in cataract patients].
Klin Monbl Augenheilkd. 2008 Sep; 225(9):812-7.KM

Abstract

BACKGROUND

The purpose of this study was to assess uncorrected far and near vision after implantation of a multifocal intraocular lens (IOL) in the second eye in patients with a unilateral monofocal IOL.

PATIENTS AND METHODS

13 cataract patients with a monofocal intraocular lens in one eye (SA60AT, Alcon) and postoperative emmetropia received a multifocal lens in the second eye (ReSTOR, Alcon). Two and six months postoperatively the clinical examination, far and near vision, near aniseikonia (AWAYA-New Aniseikonia Test), stereo vision (Lang I test) and the mesopic contrast sensitivity (F. A. C.T) were tested. In addition, the grade of satisfaction without glasses in general, and with far and near vision were noted on a visual analogue scale (0 - 10). Furthermore, independence from glasses and the presence of optical phenomena were assessed.

RESULTS

The mean uncorrected far visual acuity 6 months postoperatively was 1.06 +/- 0.28 for the monofocal lens, 0.88 +/- 0.23 for the multifocal lens, and 1.16 +/- 0.24 binocularly. The uncorrected near visual acuity was Nieden 1 binocularly for all patients and ranged from Nieden 1 - 3 for the multifocal lens to Nieden 2 - 11 for the monofocal lens. 77% of the patients received the multifocal lens in their far dominant eye. The mean uncorrected near aniseikonia was < 1%. The mesopic contrast sensitivity showed no significant differences between the two IOL types and compared to binocular values. The satisfaction with the uncorrected visual acuity was in general 8.88 +/- 1.21, with the far visual acuity 9.42 +/- 1.24, and 7.33 +/- 1.72 with the near visual acuity. After 6 months 67% of the patients used glasses only for periods of prolonged reading. Halos and a low degree of glare were noted by 38.5% of patients 2 months postoperatively. At the 6 months visit 33.3% still had halos and only 8% glare.

CONCLUSIONS

This first experience with the combined implantation of a monofocal and a multifocal lens revealed a marked improvement of the uncorrected near visual acuity compared to bilateral monofocal IOL implantation along with a high patient satisfaction.

Links

Publisher Full Text

Authors+Show Affiliations

Mayer S
Klinik für Augenheilkunde, Vivantes Klinikum Neukölln, Berlin. silke.mayer@vivantes.de
Böhm T
No affiliation info available
Häberle H
No affiliation info available
Pham DT
No affiliation info available
Wirbelauer C
No affiliation info available

MeSH

AdultAgedCataractFemaleHumansLens Implantation, IntraocularLenses, IntraocularMaleMiddle AgedPresbyopiaTreatment Outcome

Pub Type(s)

Controlled Clinical Trial
English Abstract
Journal Article

Language

ger

PubMed ID

18759213

Citation

Mayer, S, et al. "[Combined Implantation of Monofocal and Multifocal Intraocular Lenses for Presbyopia Correction in Cataract Patients]." Klinische Monatsblatter Fur Augenheilkunde, vol. 225, no. 9, 2008, pp. 812-7.
Mayer S, Böhm T, Häberle H, et al. [Combined implantation of monofocal and multifocal intraocular lenses for presbyopia correction in cataract patients]. Klin Monbl Augenheilkd. 2008;225(9):812-7.
Mayer, S., Böhm, T., Häberle, H., Pham, D. T., & Wirbelauer, C. (2008). [Combined implantation of monofocal and multifocal intraocular lenses for presbyopia correction in cataract patients]. Klinische Monatsblatter Fur Augenheilkunde, 225(9), 812-7. https://doi.org/10.1055/s-2008-1027604
Mayer S, et al. [Combined Implantation of Monofocal and Multifocal Intraocular Lenses for Presbyopia Correction in Cataract Patients]. Klin Monbl Augenheilkd. 2008;225(9):812-7. PubMed PMID: 18759213.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Combined implantation of monofocal and multifocal intraocular lenses for presbyopia correction in cataract patients]. AU - Mayer,S, AU - Böhm,T, AU - Häberle,H, AU - Pham,D-T, AU - Wirbelauer,C, PY - 2008/9/2/pubmed PY - 2009/1/7/medline PY - 2008/9/2/entrez SP - 812 EP - 7 JF - Klinische Monatsblatter fur Augenheilkunde JO - Klin Monbl Augenheilkd VL - 225 IS - 9 N2 - BACKGROUND: The purpose of this study was to assess uncorrected far and near vision after implantation of a multifocal intraocular lens (IOL) in the second eye in patients with a unilateral monofocal IOL. PATIENTS AND METHODS: 13 cataract patients with a monofocal intraocular lens in one eye (SA60AT, Alcon) and postoperative emmetropia received a multifocal lens in the second eye (ReSTOR, Alcon). Two and six months postoperatively the clinical examination, far and near vision, near aniseikonia (AWAYA-New Aniseikonia Test), stereo vision (Lang I test) and the mesopic contrast sensitivity (F. A. C.T) were tested. In addition, the grade of satisfaction without glasses in general, and with far and near vision were noted on a visual analogue scale (0 - 10). Furthermore, independence from glasses and the presence of optical phenomena were assessed. RESULTS: The mean uncorrected far visual acuity 6 months postoperatively was 1.06 +/- 0.28 for the monofocal lens, 0.88 +/- 0.23 for the multifocal lens, and 1.16 +/- 0.24 binocularly. The uncorrected near visual acuity was Nieden 1 binocularly for all patients and ranged from Nieden 1 - 3 for the multifocal lens to Nieden 2 - 11 for the monofocal lens. 77% of the patients received the multifocal lens in their far dominant eye. The mean uncorrected near aniseikonia was < 1%. The mesopic contrast sensitivity showed no significant differences between the two IOL types and compared to binocular values. The satisfaction with the uncorrected visual acuity was in general 8.88 +/- 1.21, with the far visual acuity 9.42 +/- 1.24, and 7.33 +/- 1.72 with the near visual acuity. After 6 months 67% of the patients used glasses only for periods of prolonged reading. Halos and a low degree of glare were noted by 38.5% of patients 2 months postoperatively. At the 6 months visit 33.3% still had halos and only 8% glare. CONCLUSIONS: This first experience with the combined implantation of a monofocal and a multifocal lens revealed a marked improvement of the uncorrected near visual acuity compared to bilateral monofocal IOL implantation along with a high patient satisfaction. SN - 1439-3999 UR - https://www.unboundmedicine.com/medline/citation/18759213/[Combined_implantation_of_monofocal_and_multifocal_intraocular_lenses_for_presbyopia_correction_in_cataract_patients]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2008-1027604 DB - PRIME DP - Unbound Medicine ER -