Journal of Cataract & Refractive Surgery
Volume 34, Issue 9 , Pages 1468-1475 , September 2008

Microincision multifocal intraocular lens with and without a capsular tension ring: Optical quality and clinical outcomes

  • Jorge L. Alió, MD, PhD

      Affiliations

    • Corresponding Author InformationCorresponding author: Jorge L. Alió, MD, PhD, Research, Development, and Innovation Department, Vissum-Instituto de Oftalmológico de Alicante, Avenida de Denia s/n, Edificio Vissum, 03016 Alicante, Spain.
  • ,
  • Bassam Elkady, MD
  • ,
  • Dolores Ortiz, PhD
  • ,
  • Gonzalo Bernabeu, MD

,Accepted 28 May 2008.

References 

  1. Alió JL, Elkady B, Ortiz D, Bernabeu G. Clinical outcomes and intraocular optical quality of a diffractive multifocal intraocular lens with asymmetrical light distribution. J Cataract Refract Surg. 2008;34:942–948
  2. Alió JL, Tavolato M, De la Hoz F, Claramonte P, Rodríguez-Prats J-L, Galal A. Near vision restoration with refractive lens exchange and pseudoaccommodating and multifocal refractive and diffractive intraocular lenses; comparative clinical study. J Cataract Refract Surg. 2004;30:2494–2503
  3. Lane SS, Morris M, Nordan L, Packer M, Tarantino N. Wallace RB III. Multifocal intraocular lenses. Ophthalmol Clin North Am. 2006;19(1):89–105
  4. Walkow T, Liekfeld A, Anders N, Pham DT, Hartmann C, Wollensak J. A prospective evaluation of a diffractive versus a refractive designed multifocal intraocular lens. Ophthalmology. 1997;104:1380–1386
  5. Bellucci R. Multifocal intraocular lenses. Curr Opin Ophthalmol. 2005;16:33–37
  6. Hoffman RS, Fine IH, Packer M. Refractive lens exchange with a multifocal intraocular lens. Curr Opin Ophthalmol. 2003;14:24–30
  7. Keates RH, Pearce JL, Schneider RT. Clinical results of the multifocal lens. J Cataract Refract Surg. 1987;13:557–560
  8. Duffey RJ, Zabel RW, Lindstrom RL. Multifocal intraocular lenses. J Cataract Refract Surg. 1990;16:423–429
  9. Holladay JT, van Dijk H, Lang A, Portney V, Willis TR, Sun R, et al. Optical performance of multifocal intraocular lenses. J Cataract Refract Surg. 1990;16:413–422erratum, 781
  10. Alfonso JF, Fernández-Vega L, Señaris A, Montés-Micó R. Prospective study of the Acri.LISA bifocal intraocular lens. J Cataract Refract Surg. 2007;33:1930–1935
  11. Baumeister M, Neidhardt B, Strobel J, Kohnen T. Tilt and decentration of three-piece foldable high-refractive silicone and hydrophobic acrylic intraocular lenses with 6 mm optics in an intraindividual comparison. Am J Ophthalmol. 2005;140:1051–1058
  12. Hayashi K, Hayashi H, Nakao F, Hayashi F. Correlation between pupillary size and intraocular lens decentration and visual acuity of a zonal-progressive multifocal lens and a monofocal lens. Ophthalmology. 2001;108:2011–2017
  13. Jung CK, Chung SK, Baek NH. Decentration and tilt: silicone multifocal versus acrylic soft intraocular lenses. J Cataract Refract Surg. 2000;26:582–585
  14. Gimbel HV, Sun R. Clinical applications of capsular tension rings in cataract surgery. Ophthalmic Surg Lasers. 2002;33:44–53
  15. Lanzetta P, Chiodini RG, Polito A, Bandello F. Use of capsular tension ring in phacoemulsification. Indications and technique. Indian J Ophthalmol. 2002;50:333–337Available at: http://www.ijo.in/text.asp?2002/50/4/333/14752Accessed June 12, 2008
  16. Lee D-H, Shin S-C, Joo C-K. Effect of a capsular tension ring on intraocular lens decentration and tilting after cataract surgery. J Cataract Refract Surg. 2002;28:843–846
  17. Ortiz D, Alió JL, Bernabeu G, Pongo V. Optical performance of monofocal and multifocal intraocular lenses in the human eye. J Cataract Refract Surg. 2008;34:755–762
  18. Chylack LT, Wolfe JK, Singer DM, Leske MC, Bullimore MA, Bailey IL, et al. The Lens Opacities Classification System III; the Longitudinal Study of Cataract Study Group. Arch Ophthalmol. 1993;111:831–836
  19. World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. 52nd general assembly, Edinburgh, Scotland, October 2000. Available at http://www.wma.net/e/policy/b3.htm. Accessed June 12, 2008
  20. Elkady B, Alió J, Ortiz D, Montalbán R. Corneal aberrations after microincision cataract surgery. J Cataract Refract Surg. 2008;34:40–45
  21. Alió J, Rodríguez-Prats JL, Galal A, Ramzy M. Outcomes of microincision cataract surgery versus coaxial phacoemulsification. Ophthalmology. 2005;112:1997–2003
  22. Alio JL. What does MICS require? The transition to microincisional surgery. In:  Alio JL,  Rodriguez Prats JL,  Galal A editor. MICS Micro-Incision Cataract Surgery. El Dorado, Republic of Panama: Highlights of Ophthalmology International; 2004;p. 1–4
  23. Lee DH, Lee H-Y, Lee KH, Chung KH, Joo C-K. Effect of a capsular tension ring on the shape of the capsular bag and opening and the intraocular lens. J Cataract Refract Surg. 2001;27:452–456
  24. Kaymak H, Mester U. Erste Ergebnisse mit einer neuen aberrationskorrigierten intraokularen Bifokallinse. [First results with a new aberration correcting bifocal intraocular lens.] Ophthalmologe. 2007;104:1046–1051
  25. Chiam PJ, Chan JH, Aggarwal RK, Kasaby S. ReSTOR intraocular lens implantation in cataract surgery: quality of vision. J Cataract Refract Surg. 2006;32:1459–1463errata, 1987
  26. Hessemer V, Eisenmann D, Jacobi KW. Multifokale Intraokularlinsen – eine Bestandsaufnahme. [Multifocal intraocular lenses – an assessment of current status.] Klin Monatsbl Augenheilkd. 1993;203:19–33
  27. Campbell FW, Green DG. Monocular versus binocular visual acuity. Nature. 1965;208:191–192
  28. Fiala W, Pingitzer J. Analytical approach to diffractive multifocal lenses. Eur Phys J AP. 2000;9:227–234
  29. Johansson B, Sundelin S, Wikberg-Matsson A, Unsbo P, Behndig A. Visual and optical performance of the Akreos Adapt Advanced Optics and Tecnis Z9000 intraocular lenses; Swedish multicenter study. J Cataract Refract Surg. 2007;33:1565–1572
  30. Charman WN, Montés-Micó R, Radhakrishnan H. Can we measure wave aberration in patients with diffractive IOLs?. J Cataract Refract Surg. 2007;33;1997
  31. Alió JL, Schimchak P, Montés-Micó R, Galal A. Retinal image quality after microincision intraocular lens implantation. J Cataract Refract Surg. 2005;31:1557–1560

 No author has a financial or proprietary interest in any material or method mentioned.

 Supported in part by a grant from the Spanish Ministry of Health, Instituto Carlos III, Red Temática de Investigación Cooperativa en Salud Patología Ocular del Envejecimiento, Calidad Visual y Calidad de Vida, Subproyecto de Calidad Visual (RD07/0062).

PII: S0886-3350(08)00638-X

doi: 10.1016/j.jcrs.2008.05.042

Journal of Cataract & Refractive Surgery
Volume 34, Issue 9 , Pages 1468-1475 , September 2008