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Comparison of visual outcomes in adult patients with different types of developmental cataracts after toric multifocal intraocular lenses implantation
PURPOSE: To analyze and compare the visual performance and patient satisfaction following the implantation of toric multifocal intraocular lenses (TMIOLs) in adult patients with different types of developmental cataracts (DC) accompanied by corneal astigmatism (CA). METHODS: This is a prospective...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10667390/ https://www.ncbi.nlm.nih.gov/pubmed/37382611 http://dx.doi.org/10.1007/s00417-023-06148-4 |
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author | Shen, Jiying Ma, Dongmei Cai, Lei Zhang, Limei Guo, Haike Yang, Jin |
author_facet | Shen, Jiying Ma, Dongmei Cai, Lei Zhang, Limei Guo, Haike Yang, Jin |
author_sort | Shen, Jiying |
collection | PubMed |
description | PURPOSE: To analyze and compare the visual performance and patient satisfaction following the implantation of toric multifocal intraocular lenses (TMIOLs) in adult patients with different types of developmental cataracts (DC) accompanied by corneal astigmatism (CA). METHODS: This is a prospective observational cohort study. Patients diagnosed with DC aged 18–30 years were divided into three groups according to the anatomic location of the lens opacity: cortical, nuclear, and posterior subcapsular (PSC) groups, and implanted with TMIOLs. Visual acuity (VA), postoperative refractive astigmatism (RA), intraocular lens (IOL) rotation, high-order aberrations (HOAs), modulation transfer function (MTF) curve, and Strehl ratio were compared. The functional vision and incidence of photic phenomena were surveyed using questionnaires. RESULTS: Fifty-five eyes of 37 patients were enrolled and completed a 1-year follow-up. The mean CA was 2.06 ± 0.79 D preoperatively, and the mean RA was 0.29 ± 0.30 D 3-month postoperatively. The IOL rotation was 2.48° ± 1.89°, with no deviation > 10°. At 12 months, mean uncorrected distance VA improved from 0.93 ± 0.41 preoperatively to 0.08 ± 0.08 logarithm of the minimum angle of resolution (logMAR), mean uncorrected near VA increased from 0.45 ± 0.30 preoperatively to 0.12 ± 0.11 logMAR, and mean uncorrected intermediate VA was 0.14 ± 0.08 logMAR. The cortical and nuclear groups displayed better improvements in uncorrected near and intermediate VA than that in the PSC group. Similar results were observed in the 3-month defocus curves, HOAs, MTF curve, halo incidence, and near vision satisfaction. CONCLUSION: In adult patients with DC accompanied by CA, TMIOLs implantation achieved good postoperative visual outcomes and significantly reduced glasses dependency. Patients with cortical or nuclear lens opacity showed better whole-course VA and quality of vision, while patients with PSC opacity showed unsatisfactory near vision and suffered more photic phenomena. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00417-023-06148-4. |
format | Online Article Text |
id | pubmed-10667390 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-106673902023-06-29 Comparison of visual outcomes in adult patients with different types of developmental cataracts after toric multifocal intraocular lenses implantation Shen, Jiying Ma, Dongmei Cai, Lei Zhang, Limei Guo, Haike Yang, Jin Graefes Arch Clin Exp Ophthalmol Cataract PURPOSE: To analyze and compare the visual performance and patient satisfaction following the implantation of toric multifocal intraocular lenses (TMIOLs) in adult patients with different types of developmental cataracts (DC) accompanied by corneal astigmatism (CA). METHODS: This is a prospective observational cohort study. Patients diagnosed with DC aged 18–30 years were divided into three groups according to the anatomic location of the lens opacity: cortical, nuclear, and posterior subcapsular (PSC) groups, and implanted with TMIOLs. Visual acuity (VA), postoperative refractive astigmatism (RA), intraocular lens (IOL) rotation, high-order aberrations (HOAs), modulation transfer function (MTF) curve, and Strehl ratio were compared. The functional vision and incidence of photic phenomena were surveyed using questionnaires. RESULTS: Fifty-five eyes of 37 patients were enrolled and completed a 1-year follow-up. The mean CA was 2.06 ± 0.79 D preoperatively, and the mean RA was 0.29 ± 0.30 D 3-month postoperatively. The IOL rotation was 2.48° ± 1.89°, with no deviation > 10°. At 12 months, mean uncorrected distance VA improved from 0.93 ± 0.41 preoperatively to 0.08 ± 0.08 logarithm of the minimum angle of resolution (logMAR), mean uncorrected near VA increased from 0.45 ± 0.30 preoperatively to 0.12 ± 0.11 logMAR, and mean uncorrected intermediate VA was 0.14 ± 0.08 logMAR. The cortical and nuclear groups displayed better improvements in uncorrected near and intermediate VA than that in the PSC group. Similar results were observed in the 3-month defocus curves, HOAs, MTF curve, halo incidence, and near vision satisfaction. CONCLUSION: In adult patients with DC accompanied by CA, TMIOLs implantation achieved good postoperative visual outcomes and significantly reduced glasses dependency. Patients with cortical or nuclear lens opacity showed better whole-course VA and quality of vision, while patients with PSC opacity showed unsatisfactory near vision and suffered more photic phenomena. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00417-023-06148-4. Springer Berlin Heidelberg 2023-06-29 2023 /pmc/articles/PMC10667390/ /pubmed/37382611 http://dx.doi.org/10.1007/s00417-023-06148-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Cataract Shen, Jiying Ma, Dongmei Cai, Lei Zhang, Limei Guo, Haike Yang, Jin Comparison of visual outcomes in adult patients with different types of developmental cataracts after toric multifocal intraocular lenses implantation |
title | Comparison of visual outcomes in adult patients with different types of developmental cataracts after toric multifocal intraocular lenses implantation |
title_full | Comparison of visual outcomes in adult patients with different types of developmental cataracts after toric multifocal intraocular lenses implantation |
title_fullStr | Comparison of visual outcomes in adult patients with different types of developmental cataracts after toric multifocal intraocular lenses implantation |
title_full_unstemmed | Comparison of visual outcomes in adult patients with different types of developmental cataracts after toric multifocal intraocular lenses implantation |
title_short | Comparison of visual outcomes in adult patients with different types of developmental cataracts after toric multifocal intraocular lenses implantation |
title_sort | comparison of visual outcomes in adult patients with different types of developmental cataracts after toric multifocal intraocular lenses implantation |
topic | Cataract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10667390/ https://www.ncbi.nlm.nih.gov/pubmed/37382611 http://dx.doi.org/10.1007/s00417-023-06148-4 |
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