Diffractive multifocal intraocular lens interferes with intraoperative view

Mami Yoshino1, Makoto Inoue1,2, Nae Kitamura1, Hiroko Bissen-Miyajima11Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital, Tokyo, Japan; 2Kyorin Eye Center, Kyorin University School of Medicine, Tokyo, JapanAbstract: We report an unusual finding during vitreous surgery in an eye i...

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Autores principales: Mami Yoshino, Makoto Inoue, Nae Kitamura, et al
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2010
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Acceso en línea:https://doaj.org/article/3da997db13124893af786e7d8028f1d7
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spelling oai:doaj.org-article:3da997db13124893af786e7d8028f1d72021-12-02T05:57:27ZDiffractive multifocal intraocular lens interferes with intraoperative view1177-54671177-5483https://doaj.org/article/3da997db13124893af786e7d8028f1d72010-05-01T00:00:00Zhttp://www.dovepress.com/diffractive-multifocal-intraocular-lens-interferes-with-intraoperative-a4390https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Mami Yoshino1, Makoto Inoue1,2, Nae Kitamura1, Hiroko Bissen-Miyajima11Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital, Tokyo, Japan; 2Kyorin Eye Center, Kyorin University School of Medicine, Tokyo, JapanAbstract: We report an unusual finding during vitreous surgery in an eye implanted with a diffractive multifocal intraocular lens (IOL). A 70-year-old woman reported gradual visual deterioration to 20/40 in the left eye two and a half years after uneventful cataract surgery with implantation of a diffractive multifocal IOL. Funduscopic examination showed an epiretinal membrane (ERM) in the left eye. Increased macular traction was believed to cause the visual deterioration. Vitreous surgery with removal of the ERM was performed and triamcinolone acetonide (TA) was injected intravitreally to visualize the residual vitreous cortex. Although the ERM was peeled successfully, the ability to focus on the vitreoretinal interface through the IOL required great effort with decreased contrast sensitivity and ghost images of the intravitreal TA crystals. The vision improved to 20/25 4 months postoperatively. Macular surgery can be performed in an eye with a diffractive multifocal IOL; however, decreased contrast sensitivity and ghost images may interfere with the intraoperative view through the diffractive IOL in complicated cases.Keywords: diffractive multifocal intraocular lens, intraoperative view Mami YoshinoMakoto InoueNae Kitamuraet alDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2010, Iss default, Pp 467-469 (2010)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Mami Yoshino
Makoto Inoue
Nae Kitamura
et al
Diffractive multifocal intraocular lens interferes with intraoperative view
description Mami Yoshino1, Makoto Inoue1,2, Nae Kitamura1, Hiroko Bissen-Miyajima11Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital, Tokyo, Japan; 2Kyorin Eye Center, Kyorin University School of Medicine, Tokyo, JapanAbstract: We report an unusual finding during vitreous surgery in an eye implanted with a diffractive multifocal intraocular lens (IOL). A 70-year-old woman reported gradual visual deterioration to 20/40 in the left eye two and a half years after uneventful cataract surgery with implantation of a diffractive multifocal IOL. Funduscopic examination showed an epiretinal membrane (ERM) in the left eye. Increased macular traction was believed to cause the visual deterioration. Vitreous surgery with removal of the ERM was performed and triamcinolone acetonide (TA) was injected intravitreally to visualize the residual vitreous cortex. Although the ERM was peeled successfully, the ability to focus on the vitreoretinal interface through the IOL required great effort with decreased contrast sensitivity and ghost images of the intravitreal TA crystals. The vision improved to 20/25 4 months postoperatively. Macular surgery can be performed in an eye with a diffractive multifocal IOL; however, decreased contrast sensitivity and ghost images may interfere with the intraoperative view through the diffractive IOL in complicated cases.Keywords: diffractive multifocal intraocular lens, intraoperative view
format article
author Mami Yoshino
Makoto Inoue
Nae Kitamura
et al
author_facet Mami Yoshino
Makoto Inoue
Nae Kitamura
et al
author_sort Mami Yoshino
title Diffractive multifocal intraocular lens interferes with intraoperative view
title_short Diffractive multifocal intraocular lens interferes with intraoperative view
title_full Diffractive multifocal intraocular lens interferes with intraoperative view
title_fullStr Diffractive multifocal intraocular lens interferes with intraoperative view
title_full_unstemmed Diffractive multifocal intraocular lens interferes with intraoperative view
title_sort diffractive multifocal intraocular lens interferes with intraoperative view
publisher Dove Medical Press
publishDate 2010
url https://doaj.org/article/3da997db13124893af786e7d8028f1d7
work_keys_str_mv AT mamiyoshino diffractivemultifocalintraocularlensinterfereswithintraoperativeview
AT makotoinoue diffractivemultifocalintraocularlensinterfereswithintraoperativeview
AT naekitamura diffractivemultifocalintraocularlensinterfereswithintraoperativeview
AT etal diffractivemultifocalintraocularlensinterfereswithintraoperativeview
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