COMPARATIVECHARACTERISTICS OF BILATERAL IMPLANTATION OF MULTIFOCAL LENSES AFTER CATARACT SURGERY
Keywords:
multifocal lenses, cataract, cataract phacoemulsifications, PanOptix, bilateral implantation.Abstract
Introduction. In this study, was carried out a comparative analysis using of multifocal lenses used in the surgical treatment of cataracts. Cataract— a partial or complete violation of the clarity of the lens, it is one of the main causes of visual impairment and reversible blindness in the world, affecting one in six people over the age of 40 and the vast majority of the population by the age of 80. The situation with cataracts in Kazakhstan differs slightly from the prevalence of the disease in other countries. Thus, in the general statistics of eye diseases in the country, 48.4% of patients lose their eyesight due to this pathology and the average annual number of cataract surgery varieds between 19 thousand.
The purpose of the study. To conduct a comparative characteristics of various models multifocal IOLs implanted bilaterally in patients after cataract surgery in international articles and to provide data on the experience of using multifocal lenses.
Material and methods. A literature search was conducted in the scientific publications in evidence-based medicine databases (MEDLINE, PubMed, Cochrane Library) published with the terms: “Panoptix”, “Symfony”, “Rayone Trifocal”, “AT LISA”, “FINE VISION”, “multifocal lenses”. The search resulted in 34 publications, 8 of which are included in this review. The аrticles were limited to English language and to the period from January 1, 2018 to January 20, 2023. After that, the criteria for selecting information were derived and compiled into a table for presentation and analysis.
Discussion. The presented results show that performing phacoemulsification with the implantation of a multifocal refractive IOL allows achieving high visual results.
Conclusions. As a result of surgical treatment, high vision was obtained not only in the distance range, but also in the close-range area, particularly, the PanOptix IOL models, and the IOL of the Symfony model can be good at an intermediate distance. The patients were satisfied with the quality of their vision and were able to easily adapt as in professional activities and in everyday routine.
References
1. Inkarbekov MZh, Glushkova NE, Kulmaganbetov M, Bayyrkhanova AO, Bazarbekova GS. Optimization of the organization of ophthalmological care for patients with cataracts: review. Vestnik KazNMU = Vestnik KazNMU. 2022;4(63):141-154. (In Russ.). DOI 10.53065/y1206-9815-9432-c
2. Krysanov IS., Krysanova V.S., Ermakova V.Yu. The use of monofocal intraocular lenses during cataract surgery in adult patients: a systematic review. Oftalmologiia = Ophthalmology. 2018;15(4):484-491. (In Russ.). https://doi.org/10.18008/1816-5095-2018-4-484-491
3. Available from: https://www.researchgate.net/figure/Comparison-of-visual-acuity-values-on-Snellen-ETDRS-charts-decimal-scale-and-score_tbl1_339037540
4. Available from: https://www.dissercat.com/content/novyi-metod-otsenki-zritelnykh-funktsii-patsientov-posle-implantatsii-multifokalnykh-intraok
5. Malyugin BE, Sobolev NP, Fomina OV. Visual assessment performance after implantation of a new trifocal intraocular lens. Oftalmokhirurgiia = Ophthalmic surgery. 2022;4:6-14. (In Russ.). doi: https://doi.org/10.25276/0235-4160-2017-4-6-14
6. Martínez de Carneros-Llorente A, Martínez de Carneros A, Martínez de Carneros-Llorente P, Jiménez-Alfaro I. Comparison of visual quality and subjective outcomes among 3 trifocal intraocular lenses and 1 bifocal intraocular lens. J Cataract Refract Surg. 2019 May;45(5):587-594. doi: 10.1016/j.jcrs.2018.12.005. Epub 2019 Mar 8. PMID: 30853317
7. Webers VSC, Bauer NJC, Saelens IEY, Creten OJM, Berendschot TTJM, van den Biggelaar FJHM, Nuijts RMMA. Comparison of the intermediate distance of a trifocal IOL with an extended depth-of-focus IOL: results of a prospective randomized trial. J Cataract Refract Surg. 2020 Feb;46(2):193-203. doi: 10.1097/j.jcrs.0000000000000012. PMID: 32126031
8. Gundersen KG, Potvin R. Trifocal intraocular lenses: a comparison of the visual performance and quality of vision provided by two different lens designs. Clin Ophthalmol. 2017 Jun 8;11:1081-1087. doi: 10.2147/OPTH.S136164. PMID: 28652693; PMCID: PMC5472417
9. Mencucci R, Favuzza E, Caporossi O, Savastano A, Rizzo S. Comparative analysis of visual outcomes, reading skills, contrast sensitivity, and patient satisfaction with two models of trifocal diffractive intraocular lenses and an extended range of vision intraocular lens. Graefes Arch Clin Exp Ophthalmol. 2018 Oct;256(10):1913-1922. doi: 10.1007/s00417-018-4052-3. Epub 2018 Jul 6. PMID: 29980919
10. Cochener B, Boutillier G, Lamard M, Auberger-Zagnoli C. A Comparative Evaluation of a New Generation of Diffractive Trifocal and Extended Depth of Focus Intraocular Lenses. J Refract Surg. 2018 Aug 1;34(8):507-514. doi: 10.3928/1081597X-20180530-02. PMID: 30089179
11. Ribeiro FJ, Ferreira TB. Comparison of visual and refractive outcomes of 2 trifocal intraocular lenses. J Cataract Refract Surg. 2020 May;46(5):694-699. doi: 10.1097/j.jcrs.0000000000000118. PMID: 32358262
12. Ribeiro F, Ferreira TB. Comparison of clinical outcomes of 3 trifocal IOLs. J Cataract Refract Surg. 2020 Sep;46(9):1247-1252. doi: 10.1097/j.jcrs.0000000000000212. PMID: 32898095
13. 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
