Analysis of Korean Retinal Specialists’ Opinions on Implanting Diffractive Multifocal Intraocular Lenses in Eyes with Underlying Retinal Diseases

Multifocal intraocular lenses (MF-IOLs) are increasingly implanted as the need for good near- and intermediate-distance vision increases. Although retinal disease is known to be a relative contraindication for MF-IOL implantation, there are no detailed guidelines for MF-IOL implantation with respect...

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Main Authors: Jung-Hwa Lee, Mingui Kong, Joon-Hong Sohn, Beom-Jin Cho, Kee-Yong Choi, Sang-Mok Lee
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/7/1836
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author Jung-Hwa Lee
Mingui Kong
Joon-Hong Sohn
Beom-Jin Cho
Kee-Yong Choi
Sang-Mok Lee
author_facet Jung-Hwa Lee
Mingui Kong
Joon-Hong Sohn
Beom-Jin Cho
Kee-Yong Choi
Sang-Mok Lee
author_sort Jung-Hwa Lee
collection DOAJ
description Multifocal intraocular lenses (MF-IOLs) are increasingly implanted as the need for good near- and intermediate-distance vision increases. Although retinal disease is known to be a relative contraindication for MF-IOL implantation, there are no detailed guidelines for MF-IOL implantation with respect to the type and severity of retinal diseases/statuses. In this study, because retinal diseases can affect the performance of MF-IOLs, we analyzed the opinions of 111 retinal specialists, who were members of the Korean Retina Society, on the implantation of diffractive MF-IOLs in eyes with 15 retinal diseases/statuses using a web-based survey. For each underlying condition, retinal specialists were asked to rate their approval regarding implantation of MF-IOLs on a scale from 1 (completely disapprove) to 7 (completely approve), under the assumption that there were no known contraindications except for a given retinal disease/status. As a result, retinal specialists disapproved MF-IOL implantation (median value of Likert score < 4) in the eyes with wet age-related macular degeneration, dry age-related macular degeneration with geographic atrophy, proliferative diabetic retinopathy, nonproliferative diabetic retinopathy with macular edema, previous macula-off retinal detachment, previous retinal vein occlusion, and epiretinal membrane, but the scores varied by disease/status. The factors that affected the specialists’ opinions were the type of practice and the frequency of MF-IOL implantation (<i>p</i> = 0.013 and <i>p</i> = 0.021, respectively; one-way ANOVA).
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spelling doaj.art-02371aa8cfa44c71b3933508fa61a00f2023-11-30T23:27:32ZengMDPI AGJournal of Clinical Medicine2077-03832022-03-01117183610.3390/jcm11071836Analysis of Korean Retinal Specialists’ Opinions on Implanting Diffractive Multifocal Intraocular Lenses in Eyes with Underlying Retinal DiseasesJung-Hwa Lee0Mingui Kong1Joon-Hong Sohn2Beom-Jin Cho3Kee-Yong Choi4Sang-Mok Lee5Department of Ophthalmology, HanGil Eye Hospital, 35 Bupyeong-daero, Bupyeong-gu, Incheon 21388, KoreaDepartment of Ophthalmology, HanGil Eye Hospital, 35 Bupyeong-daero, Bupyeong-gu, Incheon 21388, KoreaDepartment of Ophthalmology, HanGil Eye Hospital, 35 Bupyeong-daero, Bupyeong-gu, Incheon 21388, KoreaDepartment of Ophthalmology, HanGil Eye Hospital, 35 Bupyeong-daero, Bupyeong-gu, Incheon 21388, KoreaDepartment of Ophthalmology, HanGil Eye Hospital, 35 Bupyeong-daero, Bupyeong-gu, Incheon 21388, KoreaDepartment of Ophthalmology, HanGil Eye Hospital, 35 Bupyeong-daero, Bupyeong-gu, Incheon 21388, KoreaMultifocal intraocular lenses (MF-IOLs) are increasingly implanted as the need for good near- and intermediate-distance vision increases. Although retinal disease is known to be a relative contraindication for MF-IOL implantation, there are no detailed guidelines for MF-IOL implantation with respect to the type and severity of retinal diseases/statuses. In this study, because retinal diseases can affect the performance of MF-IOLs, we analyzed the opinions of 111 retinal specialists, who were members of the Korean Retina Society, on the implantation of diffractive MF-IOLs in eyes with 15 retinal diseases/statuses using a web-based survey. For each underlying condition, retinal specialists were asked to rate their approval regarding implantation of MF-IOLs on a scale from 1 (completely disapprove) to 7 (completely approve), under the assumption that there were no known contraindications except for a given retinal disease/status. As a result, retinal specialists disapproved MF-IOL implantation (median value of Likert score < 4) in the eyes with wet age-related macular degeneration, dry age-related macular degeneration with geographic atrophy, proliferative diabetic retinopathy, nonproliferative diabetic retinopathy with macular edema, previous macula-off retinal detachment, previous retinal vein occlusion, and epiretinal membrane, but the scores varied by disease/status. The factors that affected the specialists’ opinions were the type of practice and the frequency of MF-IOL implantation (<i>p</i> = 0.013 and <i>p</i> = 0.021, respectively; one-way ANOVA).https://www.mdpi.com/2077-0383/11/7/1836cataractmultifocal intraocular lensesretinal diseasesmacular degenerationdiabetic retinopathyguidelines
spellingShingle Jung-Hwa Lee
Mingui Kong
Joon-Hong Sohn
Beom-Jin Cho
Kee-Yong Choi
Sang-Mok Lee
Analysis of Korean Retinal Specialists’ Opinions on Implanting Diffractive Multifocal Intraocular Lenses in Eyes with Underlying Retinal Diseases
Journal of Clinical Medicine
cataract
multifocal intraocular lenses
retinal diseases
macular degeneration
diabetic retinopathy
guidelines
title Analysis of Korean Retinal Specialists’ Opinions on Implanting Diffractive Multifocal Intraocular Lenses in Eyes with Underlying Retinal Diseases
title_full Analysis of Korean Retinal Specialists’ Opinions on Implanting Diffractive Multifocal Intraocular Lenses in Eyes with Underlying Retinal Diseases
title_fullStr Analysis of Korean Retinal Specialists’ Opinions on Implanting Diffractive Multifocal Intraocular Lenses in Eyes with Underlying Retinal Diseases
title_full_unstemmed Analysis of Korean Retinal Specialists’ Opinions on Implanting Diffractive Multifocal Intraocular Lenses in Eyes with Underlying Retinal Diseases
title_short Analysis of Korean Retinal Specialists’ Opinions on Implanting Diffractive Multifocal Intraocular Lenses in Eyes with Underlying Retinal Diseases
title_sort analysis of korean retinal specialists opinions on implanting diffractive multifocal intraocular lenses in eyes with underlying retinal diseases
topic cataract
multifocal intraocular lenses
retinal diseases
macular degeneration
diabetic retinopathy
guidelines
url https://www.mdpi.com/2077-0383/11/7/1836
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