Far and Near Contrast Sensitivity and Quality of Vision with Six Presbyopia Correcting Intraocular Lenses
The objective of this prospective, randomized, double-masked study was to compare the contrast sensitivity and quality of vision of patients bilaterally implanted with the following six different presbyopia correcting intraocular lenses (IOLs): SV25T0 (<i>n</i> = 19), ATLISA 809M (<i&...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/14/4150 |
| _version_ | 1797433474562392064 |
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| author | Miguel Á. Gil Consuelo Varón Genis Cardona José A. Buil |
| author_facet | Miguel Á. Gil Consuelo Varón Genis Cardona José A. Buil |
| author_sort | Miguel Á. Gil |
| collection | DOAJ |
| description | The objective of this prospective, randomized, double-masked study was to compare the contrast sensitivity and quality of vision of patients bilaterally implanted with the following six different presbyopia correcting intraocular lenses (IOLs): SV25T0 (<i>n</i> = 19), ATLISA 809M (<i>n</i> = 18), ATLISA TRI 839MP (<i>n</i> = 19), ZKB00 (<i>n</i> = 20), ZLB00 (<i>n</i> = 20) and Symfony ZXR00 (<i>n</i> = 20). For comparison purposes, 36 patients were implanted with a monofocal lens (ZA9003). Contrast sensitivity was assessed binocularly at distance under photopic, mesopic and mesopic plus glare conditions, and at near under photopic conditions. Quality of vision was explored in terms of photic phenomena and spectacle independence. Overall, the monofocal lens offered better contrast sensitivity, under all illumination conditions, and less occurrence and intensity of photic phenomena. Amongst the multifocal IOL (MIOL) designs, the extended depth of focus Symfony ZXR00 provided better contrast sensitivity than the other MIOLs, particularly at intermediate and high spatial frequencies. Up to 40% and 50% of patients implanted with MIOLs reported glare and halos, respectively. The SV25T0 resulted in less occurrence and intensity of halos. The evaluation of photic phenomena and contrast sensitivity under different illumination conditions may reflect real-life, visually challenging situations, and thus provide insightful information to assist ophthalmic surgeons when selecting the best intraocular lens for their patients. |
| first_indexed | 2024-03-09T10:17:31Z |
| format | Article |
| id | doaj.art-96964fb4f7c44ffb8d4e8ceb2dac82bb |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T10:17:31Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-96964fb4f7c44ffb8d4e8ceb2dac82bb2023-12-01T22:18:27ZengMDPI AGJournal of Clinical Medicine2077-03832022-07-011114415010.3390/jcm11144150Far and Near Contrast Sensitivity and Quality of Vision with Six Presbyopia Correcting Intraocular LensesMiguel Á. Gil0Consuelo Varón1Genis Cardona2José A. Buil3Ophthalmology Department, Santa Creu and Sant Pau Hospital, Sant Quintí, 89, E08041 Barcelona, SpainDepartment of Optics and Optometry, Universitat Politècnica de Catalunya, Violinista Vellsolà, 37, E08222 Terrassa, SpainDepartment of Optics and Optometry, Universitat Politècnica de Catalunya, Violinista Vellsolà, 37, E08222 Terrassa, SpainOphthalmology Department, Santa Creu and Sant Pau Hospital, Sant Quintí, 89, E08041 Barcelona, SpainThe objective of this prospective, randomized, double-masked study was to compare the contrast sensitivity and quality of vision of patients bilaterally implanted with the following six different presbyopia correcting intraocular lenses (IOLs): SV25T0 (<i>n</i> = 19), ATLISA 809M (<i>n</i> = 18), ATLISA TRI 839MP (<i>n</i> = 19), ZKB00 (<i>n</i> = 20), ZLB00 (<i>n</i> = 20) and Symfony ZXR00 (<i>n</i> = 20). For comparison purposes, 36 patients were implanted with a monofocal lens (ZA9003). Contrast sensitivity was assessed binocularly at distance under photopic, mesopic and mesopic plus glare conditions, and at near under photopic conditions. Quality of vision was explored in terms of photic phenomena and spectacle independence. Overall, the monofocal lens offered better contrast sensitivity, under all illumination conditions, and less occurrence and intensity of photic phenomena. Amongst the multifocal IOL (MIOL) designs, the extended depth of focus Symfony ZXR00 provided better contrast sensitivity than the other MIOLs, particularly at intermediate and high spatial frequencies. Up to 40% and 50% of patients implanted with MIOLs reported glare and halos, respectively. The SV25T0 resulted in less occurrence and intensity of halos. The evaluation of photic phenomena and contrast sensitivity under different illumination conditions may reflect real-life, visually challenging situations, and thus provide insightful information to assist ophthalmic surgeons when selecting the best intraocular lens for their patients.https://www.mdpi.com/2077-0383/11/14/4150cataract surgerycontrast sensitivityextended depth of focusmultifocal intraocular lensquality of vision |
| spellingShingle | Miguel Á. Gil Consuelo Varón Genis Cardona José A. Buil Far and Near Contrast Sensitivity and Quality of Vision with Six Presbyopia Correcting Intraocular Lenses Journal of Clinical Medicine cataract surgery contrast sensitivity extended depth of focus multifocal intraocular lens quality of vision |
| title | Far and Near Contrast Sensitivity and Quality of Vision with Six Presbyopia Correcting Intraocular Lenses |
| title_full | Far and Near Contrast Sensitivity and Quality of Vision with Six Presbyopia Correcting Intraocular Lenses |
| title_fullStr | Far and Near Contrast Sensitivity and Quality of Vision with Six Presbyopia Correcting Intraocular Lenses |
| title_full_unstemmed | Far and Near Contrast Sensitivity and Quality of Vision with Six Presbyopia Correcting Intraocular Lenses |
| title_short | Far and Near Contrast Sensitivity and Quality of Vision with Six Presbyopia Correcting Intraocular Lenses |
| title_sort | far and near contrast sensitivity and quality of vision with six presbyopia correcting intraocular lenses |
| topic | cataract surgery contrast sensitivity extended depth of focus multifocal intraocular lens quality of vision |
| url | https://www.mdpi.com/2077-0383/11/14/4150 |
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