VISUAL FUNCTION OF PATIENTS AFTER CATARACT SURGERY WITH IMPLANTATION OF A TRIFOCAL AND BIFOCAL INTRAOCULAR LENSES
Abstract
The aim of the study was to evaluate the visual outcomes in patients implanted with multifocal intraocular lens (IOL) after cata-ract surgery.Clinical study included 90 patients who underwent cataract surgery and were divided into three groups: group 1 was made up of 30 eyes implanted with the monofocal IOL (Miol-2); group 2 - 30 eyes implanted with the bifocal IOL (Miol-Akkord) and group 3 - 30eyes implanted with the three focal IOL (Miol-Rekord). Visual acuity, contrast sensitivity function and quality of life were assessed during a follow up period.In group of monofocal IOL significant improvement was observed in the distance visual acuity (0,82±0,02), but reduction in near visual acuity (0,32±0,05) and in intermediate visual acuity (0,25±0,01). In group of bifocal IOL significant improvement was observed in the distance visual acuity (0,76±0,08) and in near visual acuity (0,64±0,18), but reduction in intermediate visual acuity (0,45±0,03). Three focal IOL showed better results in the distance visual acuity (0,74±0,01), in near visual acuity (0,58±0,06), in intermediate visual acuity (0,6±0,04). However, after implantation of three focal IOL significant increase in contrast sensitivity and appearance of “Halo-effects” were detected All patients reported high level of satisfaction.
About the Authors
A. V. Vinnitskiy
ГБУЗ РК «Коми Республиканская больница»
Russian Federation
Russian Federation
D. A. Vinnitskiy
ГБУЗ РК «Коми Республиканская больница»
Russian Federation
Russian Federation
References
1. Азнабаев, Б.М. Ультразвуковая хирургия катаракты - факоэмульсификация. - М.: Август Борг, 2005. - 136 с
2. Иошин, И.Э. Факоэмульсификация. - М.: Апрель, 2012. - 104 с
3. Офтальмология: национальное руководство / под ред. С.Э. Аветисова, Е.А. Егорова, Л.К. Мошетовой, В.В. Нероева, Х.П. Тахчиди. - М.: ГЭОТАР-Медиа, 2008. - 944 с
4. Quality of life evaluation after implantation of 2 multifocal intraocular lens models and a monofocal model / J.L. Alio [et al.] // J Cataract Refract Surg. - 2011. - Vol. 37. - P. 638-648. doi:10.1016/j.jcrs.2010.10.056
5. Multifocal versus monofocal intraocular lenses after cataract extraction / D Calladine [et al.] // Cochrane Database Syst Rev. - 2012. - Vol. 9:CD003169
6. Lifetime costs and effectiveness of ReSTOR compared with a monofocal IOL and Array-SA40 in the Netherlands / N.E. de Vries [et al.] // Eye (Lond). - 2010. - Vol. 24. - P. 663-672. doi:10.1038/eye.2009
7. Gunvant, P. Predicting the necessity of LASIK enhancement after cataract surgery in patients with multifocal IOL implantation / P. Gunvant, A. Ablamowicz, S. Gollamudi // Clin Ophthalmol. - 2011. - Vol. 5. - P. 1281-1285
8. Evidence-based guidelines for cataract surgery: guidelines based on data in the European Registry of Quality Outcomes for Cataract and Refractive Surgery database / M Lundstrom [et al.] // J. Cataract Refract Surg. - 2012. - Vol. 38. - P. 1086-1093
9. Complications of foldable intraocular lenses requiring explantation or secondary intervention - 2007 survey update / N Mamalis [et al.] // J. Cataract Refract Surg. - 2008. - Vol. 34(9). - P. 1584-1591
10. Survey Working Group of the Japanese Society of Cataract and Refractive Surgery Multifocal intraocular lens explantation: a case series of 50 eyes / K. Shimizu [et al.] // Am J Ophthalmol. - 2014. - Vol. 158(2). - P. 215-220
Review
For citations:
Vinnitskiy A.V., Vinnitskiy D.A. VISUAL FUNCTION OF PATIENTS AFTER CATARACT SURGERY WITH IMPLANTATION OF A TRIFOCAL AND BIFOCAL INTRAOCULAR LENSES. Bashkortostan Medical Journal. 2017;12(2):26-29. (In Russ.)
Views:
76
Email this article 
