Abstract

Case Report

Influence of corneal spherical aberration, anterior chamber depth, and ocular axial length on the visual outcome with an extended depth of focus wavefront-designed intraocular lens

Bedei Andrea*, Carbonara Claudio, Farcomeni Alessio, Castellini Laura and Pietrelli Alessia

Published: 08 August, 2022 | Volume 6 - Issue 2 | Pages: 017-021

Purpose: The purpose of the study was to evaluate which ocular parameters have an impact on visual results obtained after an extended depth of focus (EDF) wavefront-designed intraocular lens (IOL). 
Setting: The study was conducted in three Italian centers (private practice in Lucca and two ambulatory surgical centers in Pisa and in Rome) from 01/09/2014 to 30/09/2015.
Design: The study population included 178 eyes of 91 patients who had cataract surgery and implantation of an EDF wavefront - designed IOL (Mini Well Ready - SIFI Med Tech S.r.l.).
Methods: Preoperative and postoperative refractive corneal spherical aberration (SA), ocular axial length, or anterior chamber depth were measured.
Results: The majority of patients were spectacle-independent for near, intermediate, and distance vision and no one reported disturbing halos or glare. No overall significant differences were observed when stratifying anterior chamber depth (ACD) and ocular axial length (AL) by uncorrected distance visual acuity (UCDVA); p = 0.465 and 1.000 respectively, corrected distance visual acuity (CDVA); p = uncorrected near visual acuity (UCNVA); p = 1.000 and 0.728 respectively; p = 1.000 under both parameters and halos; 1.000 under both parameters. Still, there was a statistically significant difference when stratifying SA with 5 mm only by UDVA (p = 0.040).
Conclusion: These results are consistent with similar outcomes in the scientific literature as measured with tests of visual acuity, either with or without optical correction. We also demonstrated that these IOLs can be used in myopic and hyperopic eyes, although it may be useful to evaluate the preoperative corneal SA to achieve better results.

Read Full Article HTML DOI: 10.29328/journal.acr.1001061 Cite this Article Read Full Article PDF

References

  1. Javitt JC, Steinert RF. Cataract extraction with multifocal intraocular lens implantation: a multinational clinical trial evaluating clinical, functional, and quality-of-life outcomes. Ophthalmology. 2000 Nov;107(11):2040-8. doi: 10.1016/s0161-6420(00)00368-7. PMID: 11054329.
  2. Walkow L, Klemen UM. Patient satisfaction after implantation of diffractive designed multifocal intraocular lenses in dependence on objective parameters. Graefes Arch Clin Exp Ophthalmol. 2001 Sep;239(9):683-7. doi: 10.1007/s004170100348. PMID: 11688668.
  3. Alió JL, Plaza-Puche AB, Piñero DP, Amparo F, Rodríguez-Prats JL, Ayala MJ. Quality of life evaluation after implantation of 2 multifocal intraocular lens models and a monofocal model. J Cataract Refract Surg. 2011 Apr;37(4):638-48. doi: 10.1016/j.jcrs.2010.10.056. PMID: 21420587.
  4. Fu Y, Kou J, Chen D, Wang D, Zhao Y, Hu M, Lin X, Dai Q, Li J, Zhao YE. Influence of angle kappa and angle alpha on visual quality after implantation of multifocal intraocular lenses. J Cataract Refract Surg. 2019 Sep;45(9):1258-1264. doi: 10.1016/j.jcrs.2019.04.003. Epub 2019 Jul 17. PMID: 31326223.
  5. Bellucci R, Curatolo MC. A New Extended Depth of Focus Intraocular Lens Based on Spherical Aberration. J Refract Surg. 2017 Jun 1;33(6):389-394. doi: 10.3928/1081597X-20170329-01. PMID: 28586499.
  6. Chen XY, Wang YC, Zhao TY, Wang ZZ, Wang W. Tilt and decentration with various intraocular lenses: A narrative review. World J Clin Cases 2022; 10(12): 3639-3646 [PMID: 35647149 DOI: 10.12998/wjcc.v10.i12.3639]
  7. Voskresenskaya A, Pozdeyeva N, Pashtaev N, Batkov Y, Treushnicov V, Cherednik V. Initial results of trifocal diffractive IOL implantation. Graefes Arch Clin Exp Ophthalmol. 2010;248(9):1299-1306. doi:10.1007/s00417-010-1424-8
  8. Cochener B, Vryghem J, Rozot P, Lesieur G, Heireman S, Blanckaert JA, Van Acker E, Ghekiere S. Visual and refractive outcomes after implantation of a fully diffractive trifocal lens. Clin Ophthalmol. 2012;6:1421-7. doi: 10.2147/OPTH.S32343. Epub 2012 Sep 3. PMID: 22969289; PMCID: PMC3437955.
  9. Cochener B, Vryghem J, Rozot P, Lesieur G, Chevalier JP, Henry JM, David T, Lesueur L, Gatinel D, Ganem C, Blanckaert J, Van Acker E, Heireman S, Ghekiere S. Clinical outcomes with a trifocal intraocular lens: a multicenter study. J Refract Surg. 2014 Nov;30(11):762-8. doi: 10.3928/1081597X-20141021-08. PMID: 25375849.
  10. Cochener B, Vryghem J, Rozot P, Lesieur G, Chevalier JP, Henry JM, David T, Lesueur L, Gatinel D, Ganem C, Blanckaert J, Van Acker E, Heireman S, Ghekiere S. Clinical outcomes with a trifocal intraocular lens: a multicenter study. J Refract Surg. 2014 Nov;30(11):762-8. doi: 10.3928/1081597X-20141021-08. PMID: 25375849.
  11. Mojzis P, Kukuckova L, Majerova K, Liehneova K, Piñero DP. Comparative analysis of the visual performance after cataract surgery with implantation of a bifocal or trifocal diffractive IOL. J Refract Surg. 2014 Oct;30(10):666-72. doi: 10.3928/1081597X-20140903-06. PMID: 25291749.
  12. Woodward MA, Randleman JB, Stulting RD. Dissatisfaction after multifocal intraocular lens implantation. J Cataract Refract Surg. 2009 Jun;35(6):992-7. doi: 10.1016/j.jcrs.2009.01.031. PMID: 19465282; PMCID: PMC5125020.
  13. de Vries NE, Webers CA, Touwslager WR, Bauer NJ, de Brabander J, Berendschot TT, Nuijts RM. Dissatisfaction after implantation of multifocal intraocular lenses. J Cataract Refract Surg. 2011 May;37(5):859-65. doi: 10.1016/j.jcrs.2010.11.032. Epub 2011 Mar 11. PMID: 21397457.
  14. Alio JL, Plaza-Puche AB, Férnandez-Buenaga R, Pikkel J, Maldonado M. Multifocal intraocular lenses: An overview. Surv Ophthalmol. 2017 Sep-Oct;62(5):611-634. doi: 10.1016/j.survophthal.2017.03.005. Epub 2017 Mar 31. PMID: 28366683.
  15. Ben Yaish S, Zlotnik A, Raveh I, Yehezkel O, Belkin M, Zalevsky Z. Intraocular omni-focal lens with increased tolerance to decentration and astigmatism. J Refract Surg. 2010 Jan;26(1):71-6. doi: 10.3928/1081597X-20101215-12. PMID: 20199017.
  16. Weeber HA, Meijer ST, Piers PA. Extending the range of vision using diffractive intraocular lens technology. J Cataract Refract Surg. 2015 Dec;41(12):2746-54. doi: 10.1016/j.jcrs.2015.07.034. PMID: 26796456.
  17. Bellucci R, Curatolo MC. A New Extended Depth of Focus Intraocular Lens Based on Spherical Aberration. J Refract Surg. 2017 Jun 1;33(6):389-394. doi: 10.3928/1081597X-20170329-01. PMID: 28586499.
  18. Breyer DRH, Kaymak H, Ax T, Kretz FTA, Auffarth GU, Hagen PR. Multifocal Intraocular Lenses and Extended Depth of Focus Intraocular Lenses. Asia Pac J Ophthalmol (Phila). 2017 Jul-Aug;6(4):339-349. doi: 10.22608/APO.2017186. PMID: 28780781.
  19. MacRae S, Holladay JT, Glasser A, Calogero D, Hilmantel G, Masket S, Stark W, Tarver ME, Nguyen T, Eydelman M. Special Report: American Academy of Ophthalmology Task Force Consensus Statement for Extended Depth of Focus Intraocular Lenses. Ophthalmology. 2017 Jan;124(1):139-141. doi: 10.1016/j.ophtha.2016.09.039. Epub 2016 Oct 13. PMID: 27743644.
  20. Domínguez-Vicent A, Esteve-Taboada JJ, Del Águila-Carrasco AJ, Monsálvez-Romin D, Montés-Micó R. In vitro optical quality comparison of 2 trifocal intraocular lenses and 1 progressive multifocal intraocular lens. J Cataract Refract Surg. 2016 Jan;42(1):138-47. doi: 10.1016/j.jcrs.2015.06.040. PMID: 26948789.

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