Extended Depth-of-Focus Intraocular Lens Implantation in Patients with Age-Related Macular Degeneration: A Pilot Study
Akshaya Lakshmi Thananjeyan,1 Anna Siu,2 Angela Jennings,2 Chandra Bala2 1Emergency Department, St. Vincent’s Hospital, Sydney, NSW, Australia; 2Personal-Eyes, Sydney, NSW, AustraliaCorrespondence: Chandra Bala, Personal-Eyes, 2/33 York St, Sydney, NSW, 2000, Australia, Tel +61-88337111, Email chand...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2024-02-01
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| Series: | Clinical Ophthalmology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/extended-depth-of-focus-intraocular-lens-implantation-in-patients-with-peer-reviewed-fulltext-article-OPTH |
| _version_ | 1827351473967595520 |
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| author | Thananjeyan AL Siu A Jennings A Bala C |
| author_facet | Thananjeyan AL Siu A Jennings A Bala C |
| author_sort | Thananjeyan AL |
| collection | DOAJ |
| description | Akshaya Lakshmi Thananjeyan,1 Anna Siu,2 Angela Jennings,2 Chandra Bala2 1Emergency Department, St. Vincent’s Hospital, Sydney, NSW, Australia; 2Personal-Eyes, Sydney, NSW, AustraliaCorrespondence: Chandra Bala, Personal-Eyes, 2/33 York St, Sydney, NSW, 2000, Australia, Tel +61-88337111, Email chandrabala.eye@gmail.comPurpose: To assess visual outcomes of the implantation of a non-diffractive extended depth of focus (EDOF) intraocular lens (IOL) in patients with age-related macular degeneration (AMD).Setting: Ophthalmology practice, Sydney, Australia.Design: Retrospective chart review.Methods: Patients with AMD undergoing cataract surgery and receiving non-diffractive EDOF AcrySof IQ Vivity IOL implantation over a 2-year period were identified. Corrected distance visual acuity (CDVA), distance-corrected near visual acuity (DCNVA; 50 cm), contrast sensitivity, central foveal thickness, VF-14 questionnaire results, and quality of life where available were analyzed.Results: A total of 28 sequential patients (51 eyes) were included in this pilot study (46% male, mean age 77.4 years). Of 27 eyes that had late AMD, 17 (63%) had wet AMD. Mean patient preoperative CDVA was logMAR 0.32± 0.29. Postoperative monocular CDVA and DCNVA were logMAR 0.20± 0.25 and N9± 5 (range N5–N36), respectively. Eyes achieving postoperative CDVA of Snellen 6/5– 6/12 (n=42, 82%), 6/15– 6/24 (n=7, 14%), and greater than 6/24 (n=2, 4%) achieved a mean DCNVA of N8 (range N5–N10), N13 (range N10–N18), and N27 (range N18–N36), respectively. Eyes achieving CDVA of Snellen 6/5– 6/12 showed contrast sensitivity within the normal range. On postoperative VF-14 questionnaire, patients with CDVA of Snellen 6/5– 6/12 reported minimal visual impairment, while patients with CDVA greater than 6/15 reported mild impairment. A majority of patients (96%, n=27) were satisfied with the improvement in quality of life postoperatively. No intraoperative complications were reported.Conclusion: The EDOF AcrySof IQ Vivity IOL provides improved near vision proportional to distance vision in patients with early AMD.Keywords: age-related macular degeneration, cataract, intraocular lens, extended depth of focus, non-diffractive |
| first_indexed | 2024-03-08T02:03:47Z |
| format | Article |
| id | doaj.art-8010482d28d04008b67a0f5e90bc85c4 |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-03-08T02:03:47Z |
| publishDate | 2024-02-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-8010482d28d04008b67a0f5e90bc85c42024-02-13T19:43:11ZengDove Medical PressClinical Ophthalmology1177-54832024-02-01Volume 1845145890453Extended Depth-of-Focus Intraocular Lens Implantation in Patients with Age-Related Macular Degeneration: A Pilot StudyThananjeyan ALSiu AJennings ABala CAkshaya Lakshmi Thananjeyan,1 Anna Siu,2 Angela Jennings,2 Chandra Bala2 1Emergency Department, St. Vincent’s Hospital, Sydney, NSW, Australia; 2Personal-Eyes, Sydney, NSW, AustraliaCorrespondence: Chandra Bala, Personal-Eyes, 2/33 York St, Sydney, NSW, 2000, Australia, Tel +61-88337111, Email chandrabala.eye@gmail.comPurpose: To assess visual outcomes of the implantation of a non-diffractive extended depth of focus (EDOF) intraocular lens (IOL) in patients with age-related macular degeneration (AMD).Setting: Ophthalmology practice, Sydney, Australia.Design: Retrospective chart review.Methods: Patients with AMD undergoing cataract surgery and receiving non-diffractive EDOF AcrySof IQ Vivity IOL implantation over a 2-year period were identified. Corrected distance visual acuity (CDVA), distance-corrected near visual acuity (DCNVA; 50 cm), contrast sensitivity, central foveal thickness, VF-14 questionnaire results, and quality of life where available were analyzed.Results: A total of 28 sequential patients (51 eyes) were included in this pilot study (46% male, mean age 77.4 years). Of 27 eyes that had late AMD, 17 (63%) had wet AMD. Mean patient preoperative CDVA was logMAR 0.32± 0.29. Postoperative monocular CDVA and DCNVA were logMAR 0.20± 0.25 and N9± 5 (range N5–N36), respectively. Eyes achieving postoperative CDVA of Snellen 6/5– 6/12 (n=42, 82%), 6/15– 6/24 (n=7, 14%), and greater than 6/24 (n=2, 4%) achieved a mean DCNVA of N8 (range N5–N10), N13 (range N10–N18), and N27 (range N18–N36), respectively. Eyes achieving CDVA of Snellen 6/5– 6/12 showed contrast sensitivity within the normal range. On postoperative VF-14 questionnaire, patients with CDVA of Snellen 6/5– 6/12 reported minimal visual impairment, while patients with CDVA greater than 6/15 reported mild impairment. A majority of patients (96%, n=27) were satisfied with the improvement in quality of life postoperatively. No intraoperative complications were reported.Conclusion: The EDOF AcrySof IQ Vivity IOL provides improved near vision proportional to distance vision in patients with early AMD.Keywords: age-related macular degeneration, cataract, intraocular lens, extended depth of focus, non-diffractivehttps://www.dovepress.com/extended-depth-of-focus-intraocular-lens-implantation-in-patients-with-peer-reviewed-fulltext-article-OPTHage-related macular degenerationcataractintraocular lensextended depth of focusnon-diffractive |
| spellingShingle | Thananjeyan AL Siu A Jennings A Bala C Extended Depth-of-Focus Intraocular Lens Implantation in Patients with Age-Related Macular Degeneration: A Pilot Study Clinical Ophthalmology age-related macular degeneration cataract intraocular lens extended depth of focus non-diffractive |
| title | Extended Depth-of-Focus Intraocular Lens Implantation in Patients with Age-Related Macular Degeneration: A Pilot Study |
| title_full | Extended Depth-of-Focus Intraocular Lens Implantation in Patients with Age-Related Macular Degeneration: A Pilot Study |
| title_fullStr | Extended Depth-of-Focus Intraocular Lens Implantation in Patients with Age-Related Macular Degeneration: A Pilot Study |
| title_full_unstemmed | Extended Depth-of-Focus Intraocular Lens Implantation in Patients with Age-Related Macular Degeneration: A Pilot Study |
| title_short | Extended Depth-of-Focus Intraocular Lens Implantation in Patients with Age-Related Macular Degeneration: A Pilot Study |
| title_sort | extended depth of focus intraocular lens implantation in patients with age related macular degeneration a pilot study |
| topic | age-related macular degeneration cataract intraocular lens extended depth of focus non-diffractive |
| url | https://www.dovepress.com/extended-depth-of-focus-intraocular-lens-implantation-in-patients-with-peer-reviewed-fulltext-article-OPTH |
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