MODERN ASPECTS OF MULTIFOCAL INTRAOCULAR CORRECTION: A REVIEW
- Authors: Morozova T.A.1, Pokrovskiy D.F.1, Medvedev I.B.1, Kerimov T.Z.2
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Affiliations:
- Pirogov Russian National Research Medical University
- A.I. Evdokimov Moscow State University of Medicine and Dentistry
- Issue: Vol 72, No 4 (2017)
- Pages: 268-275
- Section: OPHTHALMOLOGY: CURRENT ISSUES
- Published: 10.07.2017
- URL: https://vestnikramn.spr-journal.ru/jour/article/view/835
- DOI: https://doi.org/10.15690/vramn835
- ID: 835
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Full Text
Abstract
During the last decade multifocal intraocular lenses (IOL) became widely used in cataract surgery and proved to be effective in recovery of visual functions. Lots of clinical studies with different multifocal IOL models showed high effectiveness of multifocal correction to achieve good visual quality for far, intermediate, and near distances. Uncorrected visual acuity at a distance is equal to multifocal and monofocal correction, while uncorrected near vision is significantly better with multifocal IOLs. Additional segment position in asymmetric multifocal IOL models did not significantly influence on visual acuity. Multiple multifocal IOL designs (bifocal, trifocal) and ADD power level provide different functional results for near and intermediate distances which allows to select the specific IOL model depending on the patient`s needs. The review covers the following aspects of multifocal intraocular correction: update for classification of multifocal IOLs, visual acuity (functional results) at different distances after multifocal IOL implantation, comparison of clinical results with different multifocal IOL designs and add power levels, influence of add segment position in asymmetric multifocal IOLs on visual quality, comparison between multifocal and monofocal correction.
About the authors
T. A. Morozova
Pirogov Russian National Research Medical University
Email: glazmed@list.ru
ORCID iD: 0000-0002-3320-5366
Moscow Россия
D. F. Pokrovskiy
Pirogov Russian National Research Medical University
Email: glazmed@list.ru
ORCID iD: 0000-0002-5475-0398
Moscow Россия
I. B. Medvedev
Pirogov Russian National Research Medical University
Email: glazmed@list.ru
ORCID iD: 0000-0001-9155-8736
Moscow Россия
T. Z. Kerimov
A.I. Evdokimov Moscow State University of Medicine and Dentistry
Author for correspondence.
Email: timkerimov2014@yandex.ru
ORCID iD: 0000-0001-8967-6370
Ординатор кафедры глазных болезней.
127473, Москва, ул. Делегатская, д. 20/1.
SPIN-код: 1297-9373
РоссияReferences
- Rosen E, Alio JL, Dick HB, et al. Efficacy and safety of multifocal intraocular lenses following cataract and refractive lens exchange: Metaanalysis of peer-reviewed publications. J Cataract Refract Surg. 2016;42(2):310–328. doi: 10.1016/j.jcrs.2016.01.014.
- Kretz FTA, Gerl M, Gerl R, et al. Clinical evaluation of a new pupil independent diffractive multifocal intraocular lens with a+2.75 D near addition: a European multicentre study. Br J Ophthalmol. 2015;99(12):1655–1659. doi: 10.1136/bjophthalmol-2015-306811.
- Attia MS, Khoramnia R, Auffarth GU, et al. Near and intermediate visual and reading performance of patients with a multifocal apodized diffractive intraocular lens using an electronic reading desk. J Cataract Refract Surg. 2016;42(4):582–590. doi: 10.1016/j.jcrs.2015.11.047.
- Morozova TA. Third-generation gradient multifocals effective for pseudophakic implantation. Eurotimes. 2008;13(6):23.
- Малюгин Б.Э., Тахтаев Ю.В., Морозова Т.А., Поздеева Н.А. Результаты мультицентровых исследований имплантации мультифокальной градиентной ИОЛ третьего поколения (Градиол 3) // Офтальмохирургия. ― 2012. ― №2 ― С. 36–41. [Malyugin BE, Takhtaev YV, Morozova TA, Pozdeeva NA. Clinical outcomes of the third generation multifocal gradient IOL implantation in prospective multicenter study. Ophtalmosurgery. 2012;(2):36−41. (In Russ).]
- Малюгин Б.Э., Морозова Т.А., Фомина О.В. Исследование остроты зрения у пациентов после имплантации мультифокальной интраокулярной линзы // Современные технологии в офтальмологии. ― 2015. ― №4 ― С. 163–166. [Malyugin BE, Morozova TA, Issledovanie ostroty zreniya u patsientov posle implantatsii mul’tifokal’noi intraokulyarnoi linzy. Sovremennye tekhnologii v oftal’mologii. 2015;(4):163−166. (In Russ).]
- Фомина О.В., Малюгин Б.Э., Морозова Т.А. Стандартизация клинических исследований остроты зрения после имплантации мультифокальной интраокулярной линзы // Современные технологии в офтальмологии. ― 2015. ― №3 ― С. 169–173. [Fomina OV, Malyugin BE, Morozova TA. Standartizatsiya klinicheskikh issledovanii ostroty zreniya posle implantatsii mul’tifokal’noi intraokulyarnoi linzy. Sovremennye tekhnologii v oftal’mologii. 2015;(3):169−173. (In Russ).]
- Cochener B. Prospective clinical comparison of patient outcomes following implantation of trifocal or bifocal intraocular lenses. J Refract Surg. 2016;32(3):146–151. doi: 10.3928/1081597x-20160114-01.
- Vryghem JC, Heireman S. Visual performance after the implantation of a new trifocal intraocular lens. Clin Ophthalmol. 2013;7:1957–1965. doi: 10.2147/OPTH.S44415.
- Gundersen KG, Potvin R. Comparison of visual outcomes after implantation of diffractive trifocal toric intraocular lens and a diffractive apodized bifocal toric intraocular lens. Clin Ophthalmol. 2016;10:455–461. doi: 10.2147/OPTH.S103375.
- Kim JS, Jung JW, Lee JM, et al. Clinical outcomes following implantation of diffractive multifocal intraocular lenses with varying add powers. Am J Ophthalmol. 2015;160(4):702–709e1. doi: 10.1016/j.ajo.2015.07.021.
- Savini G, Hoffer KJ, Lombardo M, et al. Influence of the effective lens position, as predicted by axial length and keratometry, on the near add power of multifocal intraocular lenses. J Cataract Refract Surg. 2016;42(1):44–49. doi: 10.1016/j.jcrs.2015.07.044.
- Rabsilber TM, Rudalevicius P, Jasinskas V, et al. Influence of +3.00 D and +4.00 D near addition on functional outcomes of a refractive multifocal intraocular lens model. J Cataract Refract Surg. 2013;39(3):350–357. doi: 10.1016/j.jcrs.2012.09.026.
- de Wit DW, Diaz J, Moore TC, et al. Effect of position of near addition in an asymmetric refractive multifocal intraocular lens on quality of vision. J Cataract Refract Surg. 2015;41(5):945–955. doi: 10.1016/j.jcrs.2014.07.045.
- Song IS, Yoon SY, Kim JY, et al. Influence of near-segment positioning in a rotationally asymmetric multifocal intraocular lens. J Refract Surg. 2016;32(4):238–243. doi: 10.3928/1081597X-20160217-06.
- Bonaque-Gonzalez S, Rios S, Amigo A, Lopez-Gil N. Influence on visual quality of intraoperative orientation of asymmetric intraocular lenses. J Refract Surg. 2015;31(10):651–657. doi: 10.3928/1081597X-20150922-01.
- Shah S, Peris-Martinez C, Reinhard T, Vinciguerra P. Visual outcomes after cataract surgery: multifocal versus monofocal intraocular lenses. J Refract Surg. 2015;31(10):658–666. doi: 10.3928/1081597x-20150611-01.
- Garzon N, Poyales F, de Zarate BO, et al. Evaluation of rotation and visual outcomes after implantation of monofocal and multifocal toric intraocular lenses. J Refract Surg. 2015;31(2):90–97. doi: 10.3928/1081597x-20150122-03.
- Hayashi K, Masumoto M, Takimoto M. Comparison of visual and refractive outcomes after bilateral implantation of toric intraocular lenses with or without a multifocal component. J Cataract Refract Surg. 2015;41(1):73–83. doi: 10.1016/j.jcrs.2014.04.032.
- Cochener B, Lafuma A, Khoshnood B, et al. Comparison of outcomes with multifocal intraocular lenses: a meta-analysis. Clin Ophthalmol. 2011;5:45–56. doi: 10.2147/OPTH.S14325.
- Peng C, Zhao J, Ma L, et al. Optical performance after bilateral implantation of apodized aspheric diffractive multifocal intraocular lenses with +3.00-D addition power. Acta Ophthalmol. 2012;90(8):e586–593. doi: 10.1111/j.1755-3768.2012.02497.x