Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (2): 141-146.doi: 10.6040/j.issn.1673-3770.0.2020.164

Previous Articles    

Visual quality and complications after implantation of multifocal intraocular lens

WEI PeipeiOverview,LI CanGuidance   

  1. Department of Ophthalmology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
  • Published:2021-04-20

Abstract: Phacoemulsification combined with intraocular lens implantation is one of the main methods of cataract surgery. Currently, there are two types of intraocular lenses: single focus intraocular lens and multifocal intraocular lens. Although the single focus intraocular lens can provide good distance visual acuity, it does not effectively improve intermediate and near visual acuities, and presbyopic glasses are still needed. Based on this limitation, the multifocal intraocular lens was introduced. Our article aims to review the visual quality and complications after the implantation of multifocal intraocular lens.

Key words: Cataract, Multifocal intraocular lens, Single focus intraocular lens, Visual quality, Compications

CLC Number: 

  • R776.3
[1] 魏超, 张晗. 多焦点人工晶状体的临床应用进展[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 29-35. doi:10.6040/j.issn.1673-3770.1.2017.027. WEI Chao, ZHANG Han. Multifocal intraocular lens: progress in clinical application[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(4): 29-35. doi:10.6040/j.issn.1673-3770.1.2017.027.
[2] 毕宏生. 精准屈光性白内障手术规划[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 1-4. doi:10.6040/j.issn.1673-3770.1.2017.026. BI Hongsheng. Design of treatment protocol in refractive cataract surgery is important for postoperative visual outcomes[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(4): 1-4. doi:10.6040/j.issn.1673-3770.1.2017.026.
[3] García-Pérez JL, Gros-Otero J, Sánchez-Ramos C, et al. Short term visual outcomes of a new trifocal intraocular lens[J]. BMC Ophthalmol, 2017, 17: 72. doi:10.1186/s12886-017-0462-y.
[4] Shah S, Peris-Martinez C, Reinhard T, et al. Visual outcomes after cataract surgery: multifocal versus monofocal intraocular lenses[J]. J Refract Surg, 2015, 31(10): 658-666. doi:10.3928/1081597x-20150611-01.
[5] 唐唯, 李元彬. 屈光性白内障手术新进展[J]. 山东大学耳鼻喉眼学报, 2019, 33(2): 149-158. doi:10.6040/j.issn.1673-3770.0.2018.325. TANG Wei, LI Yuanbin. New progress in refractive cataract surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 149-158. doi:10.6040/j.issn.1673-3770.0.2018.325.
[6] Pedrotti E, Mastropasqua R, Bonetto J, et al. Quality of vision, patient satisfaction and long-term visual function after bilateral implantation of a low addition multifocal intraocular lens[J]. Int Ophthalmol, 2018, 38(4): 1709-1716. doi:10.1007/s10792-017-0652-x.
[7] Yamauchi T, Tabuchi H, Takase K, et al. Comparison of visual performance of multifocal intraocular lenses with same material monofocal intraocular lenses[J]. PLoS One, 2013, 8(6): e68236. doi:10.1371/journal.pone.0068236.
[8] 邢茜, 管怀进, 吴坚. 多焦点人工晶状体植入术后不同对比度下视力的分析[J]. 国际眼科杂志, 2011, 11(10): 1724-1725. doi:10.3969/j.issn.1672-5123.2011.10.012. XING Qian, GUAN Huaijin, WU Jian. Vision acuity study at different contrast after multifocal intraocular lens implantation[J]. International Journal of Ophthalmology, 2011, 11(10): 1724-1725. doi:10.3969/j.issn.1672-5123.2011.10.012.
[9] 屈思萌, 陈琛, 林珊, 等. 不同多焦点人工晶状体植入术后视觉效果的比较[J]. 国际眼科杂志, 2018, 18(3): 486-490. doi:10.3980/j.issn.1672-5123.2018.3.19. QU Simeng, CHEN Chen, LIN Shan, et al. Comparison on the visual quality after different multifocal lens implantation in cataract patients[J]. International Eye Science, 2018, 18(3): 486-490. doi:10.3980/j.issn.1672-5123.2018.3.19.
[10] Bartol-Puyal F de Asís, Talavero P, Giménez G, et al. Reading and quality of life differences between tecnis ZCB00 monofocal and tecnis ZMB00 multifocal intraocular lenses[J]. Eur J Ophthalmol, 2017, 27(4): 443-453. doi:10.5301/ejo.5000925.
[11] Hütz WW, Eckhardt BH, Röhrig B, et al. Reading ability with 3 multifocal intraocular lens models[J]. J Cataract Refract Surg, 2006, 32(12): 2015-2021. doi:10.1016/j.jcrs.2006.08.029.
[12] Akku ÖG, Petriçli IS. Comparison of visual outcomes and reading performance after bilateral implantation of multifocal intraocular lenses with bilateral monofocal intraocular lenses[J]. Int Ophthalmol, 2018, 38(3): 1011-1019. doi:10.1007/s10792-017-0552-0.
[13] Alió JL, Plaza-Puche AB, Piñero DP, et al. Optical analysis, reading performance, and quality-of-life evaluation after implantation of a diffractive multifocal intraocular lens[J]. J Cataract Refract Surg, 2011, 37(1): 27-37. doi:10.1016/j.jcrs.2010.07.035.
[14] Kim M, Kim JH, Lim TH, et al. Comparison of reading speed after bilateral bifocal and trifocal intraocular lens implantation[J]. Korean J Ophthalmol, 2018, 32(2): 77. doi:10.3341/kjo.2017.0057.
[15] John SM Chang. Bilateral implantation of a single-piece bifocal diffractive intraocular lens in presbyopic patients: a prospective case series[J]. Asia Pac J Ophthalmol(Phila), 2019, 8(1): 12-21. doi:10.22608/apo.2018152.
[16] 王潇, 陈碧超, 曹丹敏, 等. 旋转非对称折射型多焦点人工晶状体植入术后早期效果[J]. 中华眼视光学与视觉科学杂志, 2019, 21(4): 259-264. doi:10.3760/cma.j.issn.1674-845X.2019.04.004. WANG Xiao, CHEN Bichao, CAO Danmin, et al. Surgical effect after refractive rotationally asymmetric multifocal intraocular lens implantation[J]. Chinese Journal of Optometry Ophthalmology and Visual Science, 2019, 21(4): 259-264. doi:10.3760/cma.j.issn.1674-845X.2019.04.004.
[17] Shen ZR, Lin YC, Zhu YN, et al. Clinical comparison of patient outcomes following implantation of trifocal or bifocal intraocular lenses: a systematic review and meta-analysis[J]. Sci Rep, 2017, 7: 45337. doi:10.1038/srep45337.
[18] McNeely RN, Pazo E, Spence A, et al. Visual quality and performance comparison between 2 refractive rotationally asymmetric multifocal intraocular lenses[J]. J Cataract Refract Surg, 2017, 43(8): 1020-1026. doi:10.1016/j.jcrs.2017.05.039.
[19] 凌宇, 熊飞, 于璐, 等. 多焦点人工晶体植入术后双眼离焦曲线对视觉功能的评价[J]. 实用医学杂志, 2019, 35(10): 1635-1638. doi:10.3969/j.issn.1006-5725.2019.10.023. LING Yu, XIONG Fei, YU Lu, et al. Evaluation of visual function after multifocal intraocular lens implantation through defocus curves assess-ment[J]. The Journal of Practical Medicine, 2019, 35(10): 1635-1638. doi:10.3969/j.issn.1006-5725.2019.10.023.
[20] 吕炜亮, 刘欣华, 张静. 两焦点与三焦点人工晶状体植入术后视觉质量的比较[J]. 国际眼科杂志, 2020, 20(1): 41-44. doi:10.3980/j.issn.1672-5123.2020.1.09. LYU Weiliang, LIU Xinhua, ZHANG Jing. Comparison of visual quality between bifocal and trifocal intraocular lens implantation[J]. International Eye Science, 2020, 20(1): 41-44. doi:10.3980/j.issn.1672-5123.2020.1.09.
[21] Alió JL, Plaza-Puche AB, Javaloy J, et al. Comparison of the visual and intraocular optical performance of a refractive multifocal IOL with rotational asymmetry and an apodized diffractive multifocal IOL[J]. J Refract Surg, 2012, 28(2): 100-105. doi:10.3928/1081597x-20120110-01.
[22] Li L, Zheng GY, Zhao YT, et al. Long-term clinical observation of aspheric multifocal intraocular lens implantation[J]. Zhonghua Yan Ke Za Zhi, 2017, 53(8): 599-609. doi:10.3760/cma.j.issn.0412-4081.2017.08.008.
[23] Santhiago M, Netto M, Barreto J, et al. Wavefront analysis and modulation transfer function of three multifocal intraocular lenses[J]. Indian J Ophthalmol, 2010, 58(2): 109. doi:10.4103/0301-4738.60075.
[24] Papadatou E, del águila-Carrasco AJ, Esteve-Taboada JJ, et al. Assessing the in vitro optical quality of presbyopic solutions based on the axial modulation transfer function[J]. J Cataract Refract Surg, 2016, 42(5): 780-787. doi:10.1016/j.jcrs.2015.11.049.
[25] 崔嵬, 杨松霖, 晏晓明. 区域折射型多焦点人工晶状体与非球面单焦点人工晶状体植入术后患者客观视觉质量的短期对比研究[J]. 中华眼科医学杂志(电子版), 2018, 8(3): 103-109. doi:10.3877/cma.j.issn.2095-2007.2018.03.002. CUI Wei, YANG Songlin, YAN Xiaoming. Short-term objective visual quality comparison between after implantation of segmental refractive multifocal intraocular lens and aspheric-surface monofocal intraocular lens[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2018, 8(3): 103-109. doi:10.3877/cma.j.issn.2095-2007.2018.03.002.
[26] 刘慧, 樊映川, 巫雷. 双通道客观视觉质量分析系统评估多焦点人工晶状体植入术后视觉质量[J]. 国际眼科杂志, 2019, 19(4): 609-613. doi:10.3980/j.issn.1672-5123.2019.4.18. LIU Hui, FAN Yingchuan, WU Lei. Evaluation of visual quality in eyes implanted with different types of multifocal intraocular lenses by optical quality analysis system[J]. International Eye Science, 2019, 19(4): 609-613. doi:10.3980/j.issn.1672-5123.2019.4.18.
[27] Hayashi K. Correlation between pupillary size and intraocular lens decentration and visual acuity of a zonal-progressive multifocal lens and a monofocal lens[J]. Ophthalmology, 2001, 108(11): 2011-2017. doi:10.1016/s0161-6420(01)00756-4.
[28] Alio JL, Plaza-Puche AB, Férnandez-Buenaga R, et al. Multifocal intraocular lenses: an overview[J]. Surv Ophthalmol, 2017, 62(5): 611-634. doi:10.1016/j.survophthal.2017.03.005.
[29] Artigas José M, Menezo José L, Cristina Peris, et al. Image quality with multifocal intraocular lenses and the effect of pupil size: comparison of refractive and hybrid refractive-diffractive designs[J]. J Cataract Refract Surg, 2007, 33: 2111-2117. doi: 10.1016/j.jcrs.2007.07.035.
[30] Alió J, Salerno L, Tiveron M. Multifocal intraocular lenses: Types, outcomes, complications and how to solve them[J]. Taiwan J Ophthalmol, 2017, 7(4): 179. doi:10.4103/tjo.tjo_19_17.
[31] Alió JL, Plaza-Puche AB, Fernandez-Buenaga R et al. Multifocal intraocular lenses: an overview[J]. Survey of Ophthalmol, 2017, 62(5): 611-634. doi: 10.1016/j.survophthal.2017.03.005.
[32] Findl O, Buehl W, Bauer P, et al. Interventions for preventing posterior capsule opacification[J]. Cochrane Database Syst Rev, 2010, 17(2)CD003738. doi:10.1002/14651858.cd003738.pub3.
[33] Hood Christopher T, Sugar Alan. Subjective complaints after cataract surgery: common causes and management strategies[J]. Curr Opin Ophthalmol, 2015, 26: 45-49. doi: 10.1097/ICU.0000000000000112.
[34] de Castro A, Rosales P, Marcos S. Tilt and decentration of intraocular lenses in vivo from Purkinje and Scheimpflug imaging[J]. J Cataract Refract Surg, 2007, 33(3): 418-429. doi:10.1016/j.jcrs.2006.10.054.
[35] Holladay JT, Zhao HW, Reisin CR. Negative Dysphotopsia: The enigmatic penumbra[J]. J Cataract Refract Surg, 2012, 38(7): 1251-1265. doi:10.1016/j.jcrs.2012.01.032.
[36] Erie JC, Simpson MJ, Bandhauer MH. A modified intraocular lens design to reduce negative Dysphotopsia[J]. J Cataract Refract Surg, 2019, 45(7): 1013-1019. doi:10.1016/j.jcrs.2019.01.019.
[37] Erie JC, Simpson MJ, Bandhauer MH. Effect of a sulcus-fixated piggyback intraocular lens on negative Dysphotopsia: Ray-tracing analysis[J]. J Cataract Refract Surg, 2019, 45(4): 443-450. doi:10.1016/j.jcrs.2018.10.041.
[38] Makhotkina NY, Dugrain V, Purchase D, et al. Effect of supplementary implantation of a sulcus-fixated intraocular lens in patients with negative Dysphotopsia[J]. J Cataract Refract Surg, 2018, 44(2): 209-218. doi:10.1016/j.jcrs.2017.11.013.
[39] Chang DH, Rocha KM. Intraocular lens optics and aberrations[J]. Curr Opin Ophthalmol, 2016, 27(4): 298-303. doi:10.1097/icu.0000000000000279.
[40] Rosa AM, Miranda ÂC, Patrício M, et al. Functional magnetic resonance imaging to assess the neurobehavioral impact of Dysphotopsia with multifocal intraocular lenses[J]. Ophthalmology, 2017, 124(9): 1280-1289. doi:10.1016/j.ophtha.2017.03.033.
[41] Rosa AM, Miranda ÂC, Patrício MM, et al. Functional magnetic resonance imaging to assess neuroadaptation to multifocal intraocular lenses[J]. J Cataract Refract Surg, 2017, 43(10): 1287-1296. doi:10.1016/j.jcrs.2017.07.031.
[42] Palomino Bautista C, Carmona González D, Castillo Gómez A, et al. Evolution of visual performance in 250 eyes implanted with the tecnis ZM900 multifocal IOL[J]. Eur J Ophthalmol, 2009, 19(5): 762-768. doi:10.1177/112067210901900513.
[43] Mester U, Vaterrodt T, Goes F, et al. Impact of personality characteristics on patient satisfaction after multifocal intraocular lens implantation: results from the “happy patient study”[J]. J Refract Surg, 2014, 30(10): 674-678. doi:10.3928/1081597x-20140903-05.
[1] WANG Xinmeng, JI Junya, YU Haonan, FU Hongchen, WANG Xiang, ZHENG Zekun, LI Yan, ZHONG Yingying. Analysis of refractive prediction accuracy after phacoemulsification combined with goniosynechialysis in acute Angle closure glaucoma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(2): 74-79.
[2] LIU Zhen, ZHOU Weiwei, LIU Hanjing, ZHANG Yi, ZHU Yuguang, ZHU Yan. Influence of Alpha angle of intraocular lens on visual quality after the implantation of extended depth-of-field intraocular lens [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(1): 47-53.
[3] HUANG Qi, DENG Xuwen, WANG Peipei, CHEN Yequn, GU Xuejun. Research on evaluating the cataract surgery level of ophthalmologists using eyeSi surgical simulator [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(5): 83-88.
[4] WANG Sheng, HUANG Xudong. Recent advancements in the research on ferroptosis and age-related cataracts [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(5): 161-168.
[5] SUN Hongxiang, CAO Juan. Status of mental fragility in elderly cataract patients and its correlation with hope level and alexithymia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(1): 89-95.
[6] MA Jiling, WANG Xiaoming, LI Yan, MU Yanxiao, JIN Lin, KONG Hui, YANG Naifu, DANG Guangfu. Evaluation of three different aspheric intraocular lens tilts and decentrations in capsular bags after cataract surgery based on CASIA2 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(4): 76-85.
[7] LI Yang, MA Ping, ZHANG Han. Effect of different Glaucoma surgery on induced astigmatism [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(3): 137-143.
[8] WANG Daoguang, MA Yuanxiao, WANG Yucheng, REN Mengjia, CAI Keli. A controlled study of visual function after implantation of AT LISA 809M bifocal and Proming A1-UV monofocal intraocular lens [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(1): 39-45.
[9] YUSUFU·Maierhaba, ABULA·Kelimujiang, DING Lin, QIN Yanli, CHEN Xueyi. Fundus changes in high myopia cataract with posterior scleral staphyloma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(5): 107-114.
[10] LI Wanyu, GU Xuejun. Anti-neutrophil cytoplasmic antibody associated vasculitis complicated with scleritis and cataract: a case study and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(4): 149-152.
[11] HAN Yiping, ZHANG Han. Research progress on the pathogenesis of posterior capsular opacification and on anterior capsular polishing [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(4): 181-186.
[12] ZHANG Yi, TANG Li. Oculocerebrorenal syndrome of lowe with glaucoma: a case report [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 93-97.
[13] DONG Shuguang, GUO Fengfei, MENG Xuxia, YAN Shilong. Retrospective analysis of the causes of anterior capsular tear in early femtosecond laser-assisted cataract surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 110-114.
[14] DUAN Lian, MENG FanlanReview,DANG GuangfuGuidance. Effect of dry eye on refractive cataract surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 1-6.
[15] SUN JiOverview,LI CanGuidance. Prediction and stability of axial intraocular lens position after cataract surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 7-12.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!