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MACULAR ADD-ON INTRAOCULAR LENS SUCCESSFULLY RESTORES READING VISION IN EYES WITH END-STAGE DIABETIC MACULAR DISEASE.

Abstract

PURPOSE

To report the outcomes of macular add-on intraocular lens implantation in improving reading vision in patients with bilateral advanced diabetic maculopathy.

METHODS

In this retrospective study, a supplementary bifocal sulcus intraocular lens (Scharioth Macular Lens) was implanted in the better-seeing eye of five patients. Baseline-corrected distance vision, corrected near visual acuity, a preoperative simulation test, and multimodal imaging were collected. The primary outcome was the uncorrected near visual acuity at a working distance of 15 cm, at a 12-month follow-up.

RESULTS

Study patients included 3 cases of refractory subfoveal exudation and 2 cases of diabetic macular ischemia. A preoperative test to assess the potential gain in near vision showed an improvement of ≥2 paragraphs on the RADNER reading chart in all patients. At 12 months, median reading vision (corrected near visual acuity at 15 cm) significantly improved from 20/125 (range 20/50-20/200) preoperatively to uncorrected near visual acuity (at 15 cm) of 20/50 (range 20/40-20/80) (P = 0.042; Wilcoxon signed-ranks test). Distance vision remained unchanged in four patients. All patients were able to achieve the size of newsprint (20/50 Snellen equivalent), within the first 3 months.

CONCLUSION

The macular add-on intraocular lens improves reading vision in visually impaired patients due to end-stage diabetic macular disease.

Authors+Show Affiliations

Department of Ophthalmology, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.Retina Service, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.Department of Ophthalmology, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31246887

Citation

Chantarasorn, Yodpong, et al. "MACULAR ADD-ON INTRAOCULAR LENS SUCCESSFULLY RESTORES READING VISION in EYES WITH END-STAGE DIABETIC MACULAR DISEASE." Retinal Cases & Brief Reports, 2019.
Chantarasorn Y, Kim EL, Thabsuwan K. MACULAR ADD-ON INTRAOCULAR LENS SUCCESSFULLY RESTORES READING VISION IN EYES WITH END-STAGE DIABETIC MACULAR DISEASE. Retin Cases Brief Rep. 2019.
Chantarasorn, Y., Kim, E. L., & Thabsuwan, K. (2019). MACULAR ADD-ON INTRAOCULAR LENS SUCCESSFULLY RESTORES READING VISION IN EYES WITH END-STAGE DIABETIC MACULAR DISEASE. Retinal Cases & Brief Reports, doi:10.1097/ICB.0000000000000885.
Chantarasorn Y, Kim EL, Thabsuwan K. MACULAR ADD-ON INTRAOCULAR LENS SUCCESSFULLY RESTORES READING VISION in EYES WITH END-STAGE DIABETIC MACULAR DISEASE. Retin Cases Brief Rep. 2019 Jun 25; PubMed PMID: 31246887.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - MACULAR ADD-ON INTRAOCULAR LENS SUCCESSFULLY RESTORES READING VISION IN EYES WITH END-STAGE DIABETIC MACULAR DISEASE. AU - Chantarasorn,Yodpong, AU - Kim,Esther L, AU - Thabsuwan,Kittipong, Y1 - 2019/06/25/ PY - 2019/6/28/entrez PY - 2019/6/28/pubmed PY - 2019/6/28/medline JF - Retinal cases & brief reports JO - Retin Cases Brief Rep N2 - PURPOSE: To report the outcomes of macular add-on intraocular lens implantation in improving reading vision in patients with bilateral advanced diabetic maculopathy. METHODS: In this retrospective study, a supplementary bifocal sulcus intraocular lens (Scharioth Macular Lens) was implanted in the better-seeing eye of five patients. Baseline-corrected distance vision, corrected near visual acuity, a preoperative simulation test, and multimodal imaging were collected. The primary outcome was the uncorrected near visual acuity at a working distance of 15 cm, at a 12-month follow-up. RESULTS: Study patients included 3 cases of refractory subfoveal exudation and 2 cases of diabetic macular ischemia. A preoperative test to assess the potential gain in near vision showed an improvement of ≥2 paragraphs on the RADNER reading chart in all patients. At 12 months, median reading vision (corrected near visual acuity at 15 cm) significantly improved from 20/125 (range 20/50-20/200) preoperatively to uncorrected near visual acuity (at 15 cm) of 20/50 (range 20/40-20/80) (P = 0.042; Wilcoxon signed-ranks test). Distance vision remained unchanged in four patients. All patients were able to achieve the size of newsprint (20/50 Snellen equivalent), within the first 3 months. CONCLUSION: The macular add-on intraocular lens improves reading vision in visually impaired patients due to end-stage diabetic macular disease. SN - 1937-1578 UR - https://www.unboundmedicine.com/medline/citation/31246887/MACULAR_ADD-ON_INTRAOCULAR_LENS_SUCCESSFULLY_RESTORES_READING_VISION_IN_EYES_WITH_END-STAGE_DIABETIC_MACULAR_DISEASE L2 - http://dx.doi.org/10.1097/ICB.0000000000000885 DB - PRIME DP - Unbound Medicine ER -