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Assessment of whether visual outcomes with diffractive multifocal intraocular lenses vary with patient age.

Authors :
Yoshino M
Bissen-Miyajima H
Minami K
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.)

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