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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.

Authors+Show Affiliations

Klinik für Augenheilkunde, Vivantes Klinikum Neukölln, Berlin. silke.mayer@vivantes.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

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 -