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Assessment of whether visual outcomes with diffractive multifocal intraocular lenses vary with patient age.
- Source :
-
Journal of cataract and refractive surgery [J Cataract Refract Surg] 2013 Oct; Vol. 39 (10), pp. 1502-6. Date of Electronic Publication: 2013 Jul 31. - Publication Year :
- 2013
-
Abstract
- Purpose: To assess whether corrected visual acuity after implantation of diffractive multifocal intraocular lenses (IOLs) varies with patient age.<br />Setting: Tokyo Dental College, Suidobashi Hospital, Tokyo, Japan.<br />Design: Cross-sectional study.<br />Methods: Eyes receiving a diffractive multifocal IOL after cataract extraction were divided into 5 age decades: 30s (30 to 39 years), 40s, 50s, 60s, and 70s. Corrected distance (CDVA), distance-corrected near (DCNVA), and corrected near (CNVA) visual acuities 1 month postoperatively were compared between the age decades. Contrast sensitivity was evaluated at 3 months. Eyes with a monofocal IOL served as controls.<br />Results: The mean CDVA was significantly better in the 30s and 50s than in the 60s and 70s (P<.033). There was significant decline in DCNVA in the 60s and 70s compared with the 30s (P<.03). The CNVA was better in the 30s than in the 50s, 60s, and 70s (P<.003), better in the 40s than in the 60s and 70s (P<.008), and better in the 50s than in the 70s (P=.001). No change in CDVA was found with the monofocal IOL. Contrast sensitivity was significantly higher in the 30s than in the 60s and 70s at 6 cycles per degree (cpd) (P<.025) and in the 50s to 70s at 18 cpd (P<.027).<br />Conclusion: Corrected visual acuities and contrast sensitivity were worse in older patients than in younger patients. Visual acuities with the monofocal IOL were not associated with patient age.<br />Financial Disclosure: Dr. Bissen-Miyajima has received lecture fees from Abbott Medical Optics, Inc. Neither of the other authors has a financial or proprietary interest in any material or method mentioned.<br /> (Copyright © 2013 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Aged
Aged, 80 and over
Contrast Sensitivity physiology
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Prosthesis Design
Retrospective Studies
Treatment Outcome
Aging physiology
Lens Implantation, Intraocular
Lenses, Intraocular
Phacoemulsification
Pseudophakia physiopathology
Visual Acuity physiology
Subjects
Details
- Language :
- English
- ISSN :
- 1873-4502
- Volume :
- 39
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Journal of cataract and refractive surgery
- Publication Type :
- Academic Journal
- Accession number :
- 23910713
- Full Text :
- https://doi.org/10.1016/j.jcrs.2013.04.031