Managing dissatisfaction after multifocal intraocular lens implantation through lens exchange using monofocal or alternative multifocal IOLs

IF 3 3区医学 Q1 OPHTHALMOLOGY

Acta Ophthalmologica Pub Date : 2024-05-23 DOI:10.1111/aos.16720

Olena Al-Shymali, Mario Cantó-Cerdán, Jorge L. Alió del Barrio, Colm McAlinden, Pilar Yebana, Jorge L. Alio

{"title":"Managing dissatisfaction after multifocal intraocular lens implantation through lens exchange using monofocal or alternative multifocal IOLs","authors":"Olena Al-Shymali, Mario Cantó-Cerdán, Jorge L. Alió del Barrio, Colm McAlinden, Pilar Yebana, Jorge L. Alio","doi":"10.1111/aos.16720","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>To manage patient dissatisfaction following multifocal intraocular lens (MF-IOL) implantation by IOL exchange with either a monofocal or an alternative MF-IOL, and to compare outcomes in these two groups.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>MF-IOL exchange was performed in 32 patients (64 eyes) with neuroadaptation failure. The MF-to-MF group involved patients who had a MF-IOL exchanged with another MF-IOL of a different optical profile and the MF-to-MO group involved patients who had a MF-IOL exchanged to a monofocal IOL. Visual outcomes and complications were analysed. The Quality of Vision (QoV) questionnaire, Visual Function Index (VF-14) and its Rasch-revised version (VF-8R) were also used to assess outcomes.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>There were no significant differences (<i>p</i> > 0.05) in the QoV scores between the two groups, both preoperatively and postoperatively. Preoperatively, there were no significant differences in VF-14 scores between both groups (<i>p</i> > 0.05). Postoperatively, there were statistically significant differences in VF-14 (total score, intermediate vision and near vision) in favour of the MF-to-MF group (<i>p</i> < 0.05). The postoperative VF-8R score in the MF-to-MF group was significantly better than the MF-to-MO group (<i>p</i> ≤ 0.001). Uncorrected and corrected near as well as corrected distance visual acuities were significantly better (<i>p</i> < 0.05) in the MF-to-MF group compared to the MF-to-MO group at 3 months.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Patient dissatisfaction and neuroadaptation failure following MF-IOL implantation can be managed by an IOL exchange with an alternative optical design of MF-IOL or a monofocal IOL. Although, in the current study, the MF-to-MF group showed some better postoperative results, both options are feasible solutions.</p>\n </section>\n </div>","PeriodicalId":6915,"journal":{"name":"Acta Ophthalmologica","volume":"102 7","pages":"e1040-e1049"},"PeriodicalIF":3.0000,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aos.16720","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Ophthalmologica","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/aos.16720","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose

To manage patient dissatisfaction following multifocal intraocular lens (MF-IOL) implantation by IOL exchange with either a monofocal or an alternative MF-IOL, and to compare outcomes in these two groups.

Methods

MF-IOL exchange was performed in 32 patients (64 eyes) with neuroadaptation failure. The MF-to-MF group involved patients who had a MF-IOL exchanged with another MF-IOL of a different optical profile and the MF-to-MO group involved patients who had a MF-IOL exchanged to a monofocal IOL. Visual outcomes and complications were analysed. The Quality of Vision (QoV) questionnaire, Visual Function Index (VF-14) and its Rasch-revised version (VF-8R) were also used to assess outcomes.

Results

There were no significant differences (p > 0.05) in the QoV scores between the two groups, both preoperatively and postoperatively. Preoperatively, there were no significant differences in VF-14 scores between both groups (p > 0.05). Postoperatively, there were statistically significant differences in VF-14 (total score, intermediate vision and near vision) in favour of the MF-to-MF group (p < 0.05). The postoperative VF-8R score in the MF-to-MF group was significantly better than the MF-to-MO group (p ≤ 0.001). Uncorrected and corrected near as well as corrected distance visual acuities were significantly better (p < 0.05) in the MF-to-MF group compared to the MF-to-MO group at 3 months.

Conclusion

Patient dissatisfaction and neuroadaptation failure following MF-IOL implantation can be managed by an IOL exchange with an alternative optical design of MF-IOL or a monofocal IOL. Although, in the current study, the MF-to-MF group showed some better postoperative results, both options are feasible solutions.

查看原文本刊更多论文

通过使用单焦点或替代性多焦点人工晶体进行晶状体置换，处理多焦点眼内晶体植入术后的不满意度。

目的：通过与单焦点或替代性多焦点人工晶体进行人工晶体置换，处理多焦点眼内晶体（MF-IOL）植入术后患者的不满情绪，并比较这两组患者的治疗效果：32名神经适应失败的患者（64只眼）接受了中焦人工晶体置换术。方法：对 32 名神经适应失败的患者（64 只眼）进行了中频人工晶体置换，中频置换为中频组的患者将中频人工晶体置换为另一种不同光学曲线的中频人工晶体，中频置换为单焦人工晶体组的患者将中频人工晶体置换为单焦人工晶体。对视觉效果和并发症进行了分析。视力质量（QoV）问卷、视觉功能指数（VF-14）及其 Rasch 修订版（VF-8R）也用于评估结果：两组患者术前和术后的 QoV 评分无明显差异（P > 0.05）。术前，两组的 VF-14 评分无明显差异（P > 0.05）。中频人工晶体植入术后患者的不满意和神经适应失败可以通过与其他光学设计的中频人工晶体或单焦人工晶体进行人工晶体置换来解决。虽然在本研究中，中频转中频组的术后效果更好，但两种方案都是可行的解决方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Acta Ophthalmologica 医学-眼科学

CiteScore

7.60

自引率

5.90%

发文量

433

审稿时长

6 months

期刊介绍： Acta Ophthalmologica is published on behalf of the Acta Ophthalmologica Scandinavica Foundation and is the official scientific publication of the following societies: The Danish Ophthalmological Society, The Finnish Ophthalmological Society, The Icelandic Ophthalmological Society, The Norwegian Ophthalmological Society and The Swedish Ophthalmological Society, and also the European Association for Vision and Eye Research (EVER). Acta Ophthalmologica publishes clinical and experimental original articles, reviews, editorials, educational photo essays (Diagnosis and Therapy in Ophthalmology), case reports and case series, letters to the editor and doctoral theses.