Supplementary Implantation of 1stQ AddOn® Sulcus-Fixated Intraocular Lens to Treat Negative Dysphotopsia: A Retrospective Case Series

Negative dysphotopsia (ND) refers to the subjective perception of an arc-shaped darkness or shadow in the temporal field of vision. This condition occurs after uneventful cataract surgery with an in-the-bag intraocular lens (IOL). To address this issue, supplementary implantation of conventional thr...

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Main Authors: Maxim Van Slycken, Guy Sallet, Thierry Derveaux
Format: Article
Language:English
Published: Karger Publishers 2023-10-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:https://beta.karger.com/Article/FullText/533686
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author Maxim Van Slycken
Guy Sallet
Thierry Derveaux
author_facet Maxim Van Slycken
Guy Sallet
Thierry Derveaux
author_sort Maxim Van Slycken
collection DOAJ
description Negative dysphotopsia (ND) refers to the subjective perception of an arc-shaped darkness or shadow in the temporal field of vision. This condition occurs after uneventful cataract surgery with an in-the-bag intraocular lens (IOL). To address this issue, supplementary implantation of conventional three-piece IOLs in the sulcus or dedicated supplementary Rayner Sulcoflex® IOL have been used successfully. The aim of this retrospective case series was to assess the effectiveness of resolving ND using a supplementary 1stQ AddOn® (Medicontur) IOL. The 1stQ AddOn® has a different design and optic size compared to the Rayner Sulcoflex®. Patients experiencing severe and persistent ND underwent supplementary implantation of the 1stQ AddOn® IOL. The primary outcome measure was the resolution of dysphotopsia. Nine eyes received the 1stQ AddOn® IOL, with complete symptom resolution observed in 6 eyes, partial improvement in 1 eye, and no change in 2 eyes. This indicates that supplementary implantation of the 1stQ AddOn® IOL can effectively and safely treat ND, performing equally well as the Rayner Sulcoflex®. The positive impact of sulcus-fixated supplementary IOLs seems to be related to the interaction between the central optic and the pupil margin.
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spelling doaj.art-ba3d9afbc8ef4c549ced5a32c73638232023-11-09T13:57:54ZengKarger PublishersCase Reports in Ophthalmology1663-26992023-10-0114154054510.1159/000533686533686Supplementary Implantation of 1stQ AddOn® Sulcus-Fixated Intraocular Lens to Treat Negative Dysphotopsia: A Retrospective Case SeriesMaxim Van Slycken0Guy Sallet1Thierry Derveaux2Department of Ophthalmology, Ghent University Hospital, Ghent, BelgiumDepartment of Ophthalmology, Ooginstituut, Aalst, BelgiumDepartment of Ophthalmology, Ghent University Hospital, Ghent, BelgiumNegative dysphotopsia (ND) refers to the subjective perception of an arc-shaped darkness or shadow in the temporal field of vision. This condition occurs after uneventful cataract surgery with an in-the-bag intraocular lens (IOL). To address this issue, supplementary implantation of conventional three-piece IOLs in the sulcus or dedicated supplementary Rayner Sulcoflex® IOL have been used successfully. The aim of this retrospective case series was to assess the effectiveness of resolving ND using a supplementary 1stQ AddOn® (Medicontur) IOL. The 1stQ AddOn® has a different design and optic size compared to the Rayner Sulcoflex®. Patients experiencing severe and persistent ND underwent supplementary implantation of the 1stQ AddOn® IOL. The primary outcome measure was the resolution of dysphotopsia. Nine eyes received the 1stQ AddOn® IOL, with complete symptom resolution observed in 6 eyes, partial improvement in 1 eye, and no change in 2 eyes. This indicates that supplementary implantation of the 1stQ AddOn® IOL can effectively and safely treat ND, performing equally well as the Rayner Sulcoflex®. The positive impact of sulcus-fixated supplementary IOLs seems to be related to the interaction between the central optic and the pupil margin.https://beta.karger.com/Article/FullText/533686dysphotopsiasulcus-fixated intraocular lensesintraocular lensessurgery
spellingShingle Maxim Van Slycken
Guy Sallet
Thierry Derveaux
Supplementary Implantation of 1stQ AddOn® Sulcus-Fixated Intraocular Lens to Treat Negative Dysphotopsia: A Retrospective Case Series
Case Reports in Ophthalmology
dysphotopsia
sulcus-fixated intraocular lenses
intraocular lenses
surgery
title Supplementary Implantation of 1stQ AddOn® Sulcus-Fixated Intraocular Lens to Treat Negative Dysphotopsia: A Retrospective Case Series
title_full Supplementary Implantation of 1stQ AddOn® Sulcus-Fixated Intraocular Lens to Treat Negative Dysphotopsia: A Retrospective Case Series
title_fullStr Supplementary Implantation of 1stQ AddOn® Sulcus-Fixated Intraocular Lens to Treat Negative Dysphotopsia: A Retrospective Case Series
title_full_unstemmed Supplementary Implantation of 1stQ AddOn® Sulcus-Fixated Intraocular Lens to Treat Negative Dysphotopsia: A Retrospective Case Series
title_short Supplementary Implantation of 1stQ AddOn® Sulcus-Fixated Intraocular Lens to Treat Negative Dysphotopsia: A Retrospective Case Series
title_sort supplementary implantation of 1stq addon r sulcus fixated intraocular lens to treat negative dysphotopsia a retrospective case series
topic dysphotopsia
sulcus-fixated intraocular lenses
intraocular lenses
surgery
url https://beta.karger.com/Article/FullText/533686
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