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Polarized glasses may help in symptomatic cases of intraocular lens glistenings.
Clin Optom (Auckl) 2019; 11:57-62CO

Abstract

Intraocular lens (IOL) glistening is a relatively common phenomenon. Although most of the patients remain asymptomatic, a small percentage of patients can develop unwanted optical side effects. We report 6 symptomatic patients with IOL glistening. All patients underwent an implantation of a hydrophobic acrylic mononofocal, multifocal or toric IOL in external clinics for visually significant cataract at least 6 months prior. Patients had very reasonable corrected visual acuity (0.8-1.0 decimal), but significantly had reduced contrast sensitivity and modulation transfer function, complained of visual phenomena and expressed dissatisfaction with their visual status. Patients indicated the symptoms were not present immediately after surgery, but gradually developed postoperatively. Slit-lamp examination revealed moderate-to-severe glistening in all cases. No other pathology that would be responsible for the visual symptoms was present. Patients reported improvement in side effects with the use of edge filter (blue-light blocking) eyeglasses and polarized sunglasses with an increase in contrast sensitivity by aproximately 1 line on Pelli-Robson chart. The use of specific eyewear seems to be a promising alternative to avoid explant of an IOL in symptomatic patients with glistenings and very good visual acuity. In conclusion, we believe that long-term optical clarity is crucial for the choice of an IOL.

Authors+Show Affiliations

Borkenstein & Borkenstein, Privatklinik der Kreuzschwestern, Graz, Austria.Borkenstein & Borkenstein, Privatklinik der Kreuzschwestern, Graz, Austria.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31191065

Citation

Borkenstein, Andreas F., and Eva-Maria Borkenstein. "Polarized Glasses May Help in Symptomatic Cases of Intraocular Lens Glistenings." Clinical Optometry, vol. 11, 2019, pp. 57-62.
Borkenstein AF, Borkenstein EM. Polarized glasses may help in symptomatic cases of intraocular lens glistenings. Clin Optom (Auckl). 2019;11:57-62.
Borkenstein, A. F., & Borkenstein, E. M. (2019). Polarized glasses may help in symptomatic cases of intraocular lens glistenings. Clinical Optometry, 11, pp. 57-62. doi:10.2147/OPTO.S202796.
Borkenstein AF, Borkenstein EM. Polarized Glasses May Help in Symptomatic Cases of Intraocular Lens Glistenings. Clin Optom (Auckl). 2019;11:57-62. PubMed PMID: 31191065.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Polarized glasses may help in symptomatic cases of intraocular lens glistenings. AU - Borkenstein,Andreas F, AU - Borkenstein,Eva-Maria, Y1 - 2019/05/06/ PY - 2019/01/24/received PY - 2019/04/16/accepted PY - 2019/6/14/entrez PY - 2019/6/14/pubmed PY - 2019/6/14/medline KW - glistenings KW - intraocular lenses KW - quality of vision SP - 57 EP - 62 JF - Clinical optometry JO - Clin Optom (Auckl) VL - 11 N2 - Intraocular lens (IOL) glistening is a relatively common phenomenon. Although most of the patients remain asymptomatic, a small percentage of patients can develop unwanted optical side effects. We report 6 symptomatic patients with IOL glistening. All patients underwent an implantation of a hydrophobic acrylic mononofocal, multifocal or toric IOL in external clinics for visually significant cataract at least 6 months prior. Patients had very reasonable corrected visual acuity (0.8-1.0 decimal), but significantly had reduced contrast sensitivity and modulation transfer function, complained of visual phenomena and expressed dissatisfaction with their visual status. Patients indicated the symptoms were not present immediately after surgery, but gradually developed postoperatively. Slit-lamp examination revealed moderate-to-severe glistening in all cases. No other pathology that would be responsible for the visual symptoms was present. Patients reported improvement in side effects with the use of edge filter (blue-light blocking) eyeglasses and polarized sunglasses with an increase in contrast sensitivity by aproximately 1 line on Pelli-Robson chart. The use of specific eyewear seems to be a promising alternative to avoid explant of an IOL in symptomatic patients with glistenings and very good visual acuity. In conclusion, we believe that long-term optical clarity is crucial for the choice of an IOL. SN - 1179-2752 UR - https://www.unboundmedicine.com/medline/citation/31191065/Polarized_glasses_may_help_in_symptomatic_cases_of_intraocular_lens_glistenings L2 - https://dx.doi.org/10.2147/OPTO.S202796 DB - PRIME DP - Unbound Medicine ER -