Rotationally Asymmetric Refractive Low Addition Multifocal IOL Implantation in Patients With Previous Hyperopic Corneal Laser Refractive Surgery

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F25%3A10507210" target="_blank" >RIV/00179906:_____/25:10507210 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11150/25:10507210

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=_GujoCznRv" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=_GujoCznRv</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3928/1081597X-20251024-02" target="_blank" >10.3928/1081597X-20251024-02</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Rotationally Asymmetric Refractive Low Addition Multifocal IOL Implantation in Patients With Previous Hyperopic Corneal Laser Refractive Surgery

Popis výsledku v původním jazyce

Purpose: To evaluate visual, refractive, and quality-of-vision outcomes after cataract surgery with a low-addition rotationally asymmetric refractive multifocal intraocular lens (Lentis Comfort Mplus LS-313 MF15; Teleon) in eyes with prior hyperopic corneal laser refractive surgery. Methods: This was a retrospective observational study of 26 eyes (26 patients) implanted with the LENTIS Comfort Mplus LS-313 MF15 after uneventful surgery. Distance, intermediate, and near visual acuity, manifest refraction, ocular/corneal wavefront aberrations, contrast sensitivity, and defocus curves were assessed preoperatively and at 1, 3, and 6 months and at the final visit. Subjective quality was measured with the Quality of Vision (QoV) questionnaire. Results: At 6 months and the final visit, uncorrected (UDVA), corrected (CDVA), uncorrected near (UNVA), and corrected near (CNVA) visual acuity improved to 0.10 +/- 0.14, 0.05 +/- 0.06, 0.27 +/- 0.22, and 0.08 +/- 0.10 logarithm of the minimum angle of resolution (logMAR), respectively (all P &lt; .05). UIVA and CDIVA were 0.12 +/- 0.07 and 0.10 +/- 0.09 logMAR, respectively. Refractive cylinder decreased to -0.40 +/- 0.38 diopters (D) (P &lt; .05); mean spherical equivalent at 6 months was 0.00 +/- 0.70 D. Ocular root mean square for total, astigmatism, coma, asymmetry, HOAs, spherical-like, and coma-like aberrations were 0.59 +/- 0.36, 0.42 +/- 0.28, 0.20 +/- 0.12, 0.05 +/- 0.03, 0.39 +/- 0.28, 0.16 +/- 0.12, and 0.30 +/- 0.20 mu m, respectively. Defocus showed 0.05 +/- 0.01 logMAR at 0.00 D, 0.13 +/- 0.01 at -1.50 D, and 0.27 +/- 0.20 at -2.50 D; contrast sensitivity remained within normal limits. QoV scores were 32.97 +/- 24.31 (frequency), 30.47 +/- 22.19 (severity), and 28.59 +/- 21.32 (bothersomeness). Corneal higher order aberrations (HOAs) and angle kappa correlated with postoperative uncorrected acuity, especially at intermediate and near. Conclusions: The aberration-neutral, rotationally asymmetric LENTIS Comfort Mplus LS-313 MF15 provided safe, predictable rehabilitation in eyes after hyperopic corneal surgery, with high-quality distance/intermediate vision and low photic phenomena. Preoperative HOAs and angle kappa significantly influenced postoperative uncorrected vision.

Název v anglickém jazyce

Rotationally Asymmetric Refractive Low Addition Multifocal IOL Implantation in Patients With Previous Hyperopic Corneal Laser Refractive Surgery

Popis výsledku anglicky

Purpose: To evaluate visual, refractive, and quality-of-vision outcomes after cataract surgery with a low-addition rotationally asymmetric refractive multifocal intraocular lens (Lentis Comfort Mplus LS-313 MF15; Teleon) in eyes with prior hyperopic corneal laser refractive surgery. Methods: This was a retrospective observational study of 26 eyes (26 patients) implanted with the LENTIS Comfort Mplus LS-313 MF15 after uneventful surgery. Distance, intermediate, and near visual acuity, manifest refraction, ocular/corneal wavefront aberrations, contrast sensitivity, and defocus curves were assessed preoperatively and at 1, 3, and 6 months and at the final visit. Subjective quality was measured with the Quality of Vision (QoV) questionnaire. Results: At 6 months and the final visit, uncorrected (UDVA), corrected (CDVA), uncorrected near (UNVA), and corrected near (CNVA) visual acuity improved to 0.10 +/- 0.14, 0.05 +/- 0.06, 0.27 +/- 0.22, and 0.08 +/- 0.10 logarithm of the minimum angle of resolution (logMAR), respectively (all P &lt; .05). UIVA and CDIVA were 0.12 +/- 0.07 and 0.10 +/- 0.09 logMAR, respectively. Refractive cylinder decreased to -0.40 +/- 0.38 diopters (D) (P &lt; .05); mean spherical equivalent at 6 months was 0.00 +/- 0.70 D. Ocular root mean square for total, astigmatism, coma, asymmetry, HOAs, spherical-like, and coma-like aberrations were 0.59 +/- 0.36, 0.42 +/- 0.28, 0.20 +/- 0.12, 0.05 +/- 0.03, 0.39 +/- 0.28, 0.16 +/- 0.12, and 0.30 +/- 0.20 mu m, respectively. Defocus showed 0.05 +/- 0.01 logMAR at 0.00 D, 0.13 +/- 0.01 at -1.50 D, and 0.27 +/- 0.20 at -2.50 D; contrast sensitivity remained within normal limits. QoV scores were 32.97 +/- 24.31 (frequency), 30.47 +/- 22.19 (severity), and 28.59 +/- 21.32 (bothersomeness). Corneal higher order aberrations (HOAs) and angle kappa correlated with postoperative uncorrected acuity, especially at intermediate and near. Conclusions: The aberration-neutral, rotationally asymmetric LENTIS Comfort Mplus LS-313 MF15 provided safe, predictable rehabilitation in eyes after hyperopic corneal surgery, with high-quality distance/intermediate vision and low photic phenomena. Preoperative HOAs and angle kappa significantly influenced postoperative uncorrected vision.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30207 - Ophthalmology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Journal of Refractive Surgery

ISSN

1081-597X

e-ISSN

1938-2391

Svazek periodika

41

Číslo periodika v rámci svazku

12

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

9

Strana od-do

"e1296"-"e1304"

Kód UT WoS článku

001638760700005

EID výsledku v databázi Scopus

2-s2.0-105024385667