High-addition segmented refractive bifocal intraocular lens in inactive age-related macular degeneration: A multicenter pilot study.

This multicenter, open-label study aimed to determine the safety and functional outcome of a high-addition segmented refractive bifocal intraocular lens (IOL) in late inactive age-related macular degeneration (AMD). Twenty eyes of 20 patients were enrolled and followed until 12 months after the inte...

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Autores principales: Gerd U Auffarth, Josef Reiter, Martin Leitritz, Karl-Ulrich Bartz-Schmidt, Fabian Höhn, Detlev Breyer, Hakan Kaymak, Klaus Rohrschneider, Ramin Khoramnia, Timur M Yildirim
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/21bf34da9b7d47988e767a6a584b5a02
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spelling oai:doaj.org-article:21bf34da9b7d47988e767a6a584b5a022021-12-02T20:08:34ZHigh-addition segmented refractive bifocal intraocular lens in inactive age-related macular degeneration: A multicenter pilot study.1932-620310.1371/journal.pone.0256985https://doaj.org/article/21bf34da9b7d47988e767a6a584b5a022021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256985https://doaj.org/toc/1932-6203This multicenter, open-label study aimed to determine the safety and functional outcome of a high-addition segmented refractive bifocal intraocular lens (IOL) in late inactive age-related macular degeneration (AMD). Twenty eyes of 20 patients were enrolled and followed until 12 months after the intervention. Patients underwent cataract surgery with implantation of a LS-313 MF80 segmented refractive bifocal intraocular lens with a near addition of +8.0 D (Teleon Surgical Vertriebs GmbH, Berlin, Germany). The main outcome measures were distance corrected near visual acuity (DCNVA) and safety as determined by intra- and post-operative complications. Secondary outcomes included distance corrected visual acuity (CDVA), uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), the need for magnification to read newspaper, preferred reading distance, speed and performance (logRAD), as well as patient satisfaction. Mean DCNVA improved from 0.95 (±0.19) to 0.74 (±0.35) logMAR, until 6 months after surgery, P<0.05. CDVA improved from 0.70 (±0.23) to 0.59 (±0.30) logMAR, UDVA from 0.94 (±0.25) to 0.69 (±0.34) logMAR, UNVA from 1.08 (±0.19) to 0.87 (±0.43) logMAR. The mean need for magnification decreased from 2.9- to 2.3-fold, preferred reading distance from 23 to 20 cm. No intraoperative complications occurred during any of the surgeries. One patient lost > 2 lines of CDVA between 6 and 12 months, in another case, the study IOL was exchanged for a monofocal one due to dysphotopsia and decreased CDVA. Implantation of a segmented refractive bifocal IOL with +8.0 D addition improves near and distance vision in patients with late AMD and has a satisfactory safety profile.Gerd U AuffarthJosef ReiterMartin LeitritzKarl-Ulrich Bartz-SchmidtFabian HöhnDetlev BreyerHakan KaymakKlaus RohrschneiderRamin KhoramniaTimur M YildirimPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0256985 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Gerd U Auffarth
Josef Reiter
Martin Leitritz
Karl-Ulrich Bartz-Schmidt
Fabian Höhn
Detlev Breyer
Hakan Kaymak
Klaus Rohrschneider
Ramin Khoramnia
Timur M Yildirim
High-addition segmented refractive bifocal intraocular lens in inactive age-related macular degeneration: A multicenter pilot study.
description This multicenter, open-label study aimed to determine the safety and functional outcome of a high-addition segmented refractive bifocal intraocular lens (IOL) in late inactive age-related macular degeneration (AMD). Twenty eyes of 20 patients were enrolled and followed until 12 months after the intervention. Patients underwent cataract surgery with implantation of a LS-313 MF80 segmented refractive bifocal intraocular lens with a near addition of +8.0 D (Teleon Surgical Vertriebs GmbH, Berlin, Germany). The main outcome measures were distance corrected near visual acuity (DCNVA) and safety as determined by intra- and post-operative complications. Secondary outcomes included distance corrected visual acuity (CDVA), uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), the need for magnification to read newspaper, preferred reading distance, speed and performance (logRAD), as well as patient satisfaction. Mean DCNVA improved from 0.95 (±0.19) to 0.74 (±0.35) logMAR, until 6 months after surgery, P<0.05. CDVA improved from 0.70 (±0.23) to 0.59 (±0.30) logMAR, UDVA from 0.94 (±0.25) to 0.69 (±0.34) logMAR, UNVA from 1.08 (±0.19) to 0.87 (±0.43) logMAR. The mean need for magnification decreased from 2.9- to 2.3-fold, preferred reading distance from 23 to 20 cm. No intraoperative complications occurred during any of the surgeries. One patient lost > 2 lines of CDVA between 6 and 12 months, in another case, the study IOL was exchanged for a monofocal one due to dysphotopsia and decreased CDVA. Implantation of a segmented refractive bifocal IOL with +8.0 D addition improves near and distance vision in patients with late AMD and has a satisfactory safety profile.
format article
author Gerd U Auffarth
Josef Reiter
Martin Leitritz
Karl-Ulrich Bartz-Schmidt
Fabian Höhn
Detlev Breyer
Hakan Kaymak
Klaus Rohrschneider
Ramin Khoramnia
Timur M Yildirim
author_facet Gerd U Auffarth
Josef Reiter
Martin Leitritz
Karl-Ulrich Bartz-Schmidt
Fabian Höhn
Detlev Breyer
Hakan Kaymak
Klaus Rohrschneider
Ramin Khoramnia
Timur M Yildirim
author_sort Gerd U Auffarth
title High-addition segmented refractive bifocal intraocular lens in inactive age-related macular degeneration: A multicenter pilot study.
title_short High-addition segmented refractive bifocal intraocular lens in inactive age-related macular degeneration: A multicenter pilot study.
title_full High-addition segmented refractive bifocal intraocular lens in inactive age-related macular degeneration: A multicenter pilot study.
title_fullStr High-addition segmented refractive bifocal intraocular lens in inactive age-related macular degeneration: A multicenter pilot study.
title_full_unstemmed High-addition segmented refractive bifocal intraocular lens in inactive age-related macular degeneration: A multicenter pilot study.
title_sort high-addition segmented refractive bifocal intraocular lens in inactive age-related macular degeneration: a multicenter pilot study.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/21bf34da9b7d47988e767a6a584b5a02
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