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Visual and optical performance and quality of life after implantation of posterior chamber phakic intraocular lens

  • Refractive Surgery
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To evaluate visual, optical, and quality of life (QoL) outcomes and intercorrelations after bilateral implantation of posterior chamber phakic intraocular lenses.

Methods

Twenty eyes with high to moderate myopia of 10 patients that underwent PRL implantation (Phakic Refractive Lens, Carl Zeiss Meditec AG) were examined. Refraction, visual acuity, photopic and low mesopic contrast sensitivity (CS) with and without glare, ocular aberrations, as well as QoL outcomes (National Eye Institute Refractive Error Quality of Life Instrument-42, NEI RQL-42) were evaluated at 12 months postoperatively.

Results

Significant improvement in uncorrected (UDVA) and best-corrected distance (CDVA) visual acuities were found postoperatively (p < 0.01), with significant reduction in spherical equivalent (p < 0.01). Low mesopic CS without glare was significantly better than measurements with glare for 1.5, 3, and 6 cycles/degree (p < 0.01). No significant correlations between higher order root mean square (RMS) with CDVA (r = −0.26, p = 0.27) and CS (r ≤ 0.45, p ≥ 0.05) were found. Postoperative binocular photopic CS for 12 cycles/degree and 18 cycles/degree correlated significantly with several RQL-42 scales. Glare index correlated significantly with CS measures and scotopic pupil size (r = −0.551, p = 0.04), but not with higher order RMS (r = −0.02, p = 0.94). Postoperative higher order RMS, postoperative primary coma and postoperative spherical aberration was significant higher for 5-mm pupil diameter (p < 0.01) compared with controls.

Conclusions

Correction of moderate to high myopia by means of PRL implantation had a positive impact on CS and QoL. The aberrometric increase induced by the surgery does not seem to limit CS and QoL. However, perception of glare is still a relevant disturbance in some cases possibly related to the limitation of the optical zone of the PRL.

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References

  1. Pérez-Cambrodí RJ, Piñero DP, Madrid-Costa D, Blanes-Mompó FJ, Ferrer-Blasco T, Cerviño A (2011) Medium-term visual, refractive, and intraocular stability after implantation of a posterior chamber phakic intraocular lens to correct moderate to high myopia. J Cataract Refract Surg 37:1791–1798

    Article  PubMed  Google Scholar 

  2. Gil-Cazorla R, Teus MA, Arranz-Marquez E, Marina-Verde C (2008) Phakic refractive lens (Medennium) for correction of +4.00 to +6.00 diopters: 1-year follow-up. J Refract Surg 24:350–354

    PubMed  Google Scholar 

  3. Koivula A, Taube M, Zetterström C (2008) Phakic refractive lens: two-year results. J Refract Surg 24:507–515

    PubMed  Google Scholar 

  4. Verde CM, Teus MA, Arranz-Marquez E, Cazorla RG (2007) Medennium posterior chamber phakic refractive lens to correct high myopia. J Refract Surg 23:900–904

    PubMed  Google Scholar 

  5. Donoso R, Castillo P (2006) Correction of high myopia with the PRL phakic intraocular lens. J Cataract Refract Surg 32:1296–1300

    Article  PubMed  Google Scholar 

  6. Jongsareejit A (2006) Clinical results with the medennium phakic refractive lens for the correction of high myopia. J Refract Surg 22:890–897

    PubMed  Google Scholar 

  7. Pallikaris IG, Kalyvianaki MI, Kymionis GD, Panagopoulou SI (2004) Phakic refractive lens implantation in high myopic patients: one-year results. J Cataract Refract Surg 30:1190–1197

    Article  PubMed  Google Scholar 

  8. Hoyos JE, Dementiev DD, Cigales M, Hoyos-Chacón J, Hoffer KJ (2002) Phakic refractive lens experience in Spain. J Cataract Refract Surg 28:1939–1946

    Article  PubMed  Google Scholar 

  9. Yu A, Wang Q, Xue A, Zhu S, Wang S, Chen Y, Sun J (2008) Comparison of contrast sensitivity after angle-supported, iris-fixated and posterior chamber phakic intraocular lens implantation for high myopia. Ophthalmologica 222:53–57

    Article  PubMed  Google Scholar 

  10. Thibos LN, Horner D (2001) Power vector analysis of the optical outcomes of refractive surgery. J Cataract Refract Surg 27:80–85

    Article  PubMed  CAS  Google Scholar 

  11. Cerviño A, Hosking SL, Montes-Mico R, Bates K (2007) Clinical ocular wavefront analyzers. J Refract Surg 23:603–616

    PubMed  Google Scholar 

  12. Hays RD, Spritzer KL (2002) National Eye Institute Refractive Error Quality of Life Instrument (NEI-RQL-42TM), version 1.0: a manual for use and scoring

  13. McDonnell MJ, Mangione C, Lee P, Lindblad AS, Spritzer KL, Berry S, Hays RD (2003) Responsiveness of the National Eye Institute Refractive Error Quality of Life Instrument to surgical correction of refractive error. Ophthalmology 110:2302–2309

    Article  PubMed  Google Scholar 

  14. Nichols JJ, Mitchell GL, Saracino M, Zadnik K (2003) Reliability and validity of refractive error-specific quality-of-life instruments. Arch Ophthalmol 121:1289–1296

    Article  PubMed  Google Scholar 

  15. Hays RD, Mangione CM, Ellwein L, Lindblad AS, Spritzer KL, McDonnell PJ (2003) Psychometric properties of the National Eye Institute-Refractive Error Quality of Life Instrument. Ophthalmology 110:2292–2301

    Article  PubMed  Google Scholar 

  16. Peris-Martínez C, Artigas JM, Sánchez-Cortina I, Felipe A, Díaz-Ajenjo A, Menezo JL (2009) Influence of optic quality on contrast sensitivity and visual acuity in eyes with a rigid or flexible phakic intraocular lens. J Cataract Refract Surg 35:1911–1917

    Article  PubMed  Google Scholar 

  17. Vilaseca M, Padilla A, Pujol J, Ondategui JC, Artal P, Güell JL (2009) Optical quality one month after verisyse and Veriflex phakic IOL implantation and Zeiss MEL 80 LASIK for myopia from 5.00 to 16.50 diopters. J Refract Surg 25:689–698

    Article  PubMed  Google Scholar 

  18. Alfonso JF, Baamonde B, Fernández-Vega L, Fernandes P, González-Méijome JM, Montés-Micó R (2011) Posterior chamber collagen copolymer phakic intraocular lenses to correct myopia: five-year follow-up. J Cataract Refract Surg 37:873–880

    Article  PubMed  Google Scholar 

  19. Brunette I, Bueno JM, Harissi-Dagher M, Parent M, Podtetenev M, Hamam H (2003) Optical quality of the eye with the Artisan phakic lens for the correction of high myopia. Optom Vis Sci 80:167–174

    Article  PubMed  Google Scholar 

  20. Ieong A, Hau SC, Rubin GS, Allan BD (2010) Quality of life in high myopia before and after implantable Collamer lens implantation. Ophthalmology 117:2295–2300

    Article  PubMed  Google Scholar 

  21. Lesueur L, Munoz-Sastre MT, Mullet E, Dabadie B, Arné JL (2003) Predictors of quality of life in refractive surgery. J Fr Ophtalmol 26:699–709

    PubMed  CAS  Google Scholar 

  22. Alió JL, Ortiz D, Abdelrahman A, de Luca A (2007) Optical analysis of visual improvement after correction of anisometropic amblyopia with a phakic intraocular lens in adult patients. Ophthalmology 114:643–647

    Article  PubMed  Google Scholar 

  23. Kohnen T, Kook D, Morral M, Güell JL (2010) Phakic intraocular lenses: part 2: results and complications. J Cataract Refract Surg 36:2168–2194

    Article  PubMed  Google Scholar 

  24. Stulting RD, John ME, Maloney RK, Assil KK, Arrowsmith PN, Thompson VM; U.S. Verisyse Study Group (2008) Three-year results of Artisan/Verisyse phakic intraocular lens implantation. Results of the United States Food and Drug Administration clinical trial. Ophthalmology 115:464–472

    Article  Google Scholar 

  25. Lombardo AJ, Hardten DR, McCulloch AG, Demarchi JL, Davis EA, Lindstrom RL (2005) Changes in contrast sensitivity after Artisan lens implantation for high myopia. Ophthalmology 112:278–285

    Article  PubMed  Google Scholar 

  26. Pesudovs K, Hazel CA, Doran RML, Elliott DB (2004) The usefulness of Vistech and FACT contrast sensitivity charts for cataract and refractive surgery outcomes research. Br J Ophthalmol 88:11–16

    Article  PubMed  CAS  Google Scholar 

  27. Kim SW, Yang H, Yoon G, Lee YJ, Kweon M, Kim JK, Seo KY (2011) Higher-order aberration changes after implantable Collamer lens implantation for myopia. Am J Ophthalmol 151:653–662

    Article  PubMed  Google Scholar 

  28. Van Philips LAM (2011) Higher-order aberrations after iris-fixated foldable phakic intraocular lens implantation and wavefront-guided photorefractive keratectomy for the correction of myopia. J Cataract Refract Surg 37:284–294

    Article  PubMed  Google Scholar 

  29. Tahzib NG, MacRae SM, Yoon G, Berendschot TTJM, Eggink FAGJ, Hendrikse F, Nuijts RMMA (2008) Higher-order aberrations after implantation of iris-fixated rigid or foldable phakic intraocular lenses. J Cataract Refract Surg 34:1913–1920

    Article  PubMed  Google Scholar 

  30. Visser N, Berendschot TT, Verbakel F, Tan AN, de Brabander J, Nuijts RM (2011) Evaluation of the comparability and repeatability of four wavefront aberrometers. Invest Ophthalmol Vis Sci 52:1302–1311

    Article  PubMed  Google Scholar 

  31. Chung SH, Lee SJ, Lee HK, Seo KY, Kim EK (2007) Changes in higher order aberrations and contrast sensitivity after implantation of a phakic Artisan intraocular lens. Ophthalmologica 221:167–172

    Article  PubMed  Google Scholar 

  32. Saragoussi JJ, Djadi-Prat J, Lebuisson DA, Arson B, Saragoussi D (2011) Quality of life after LASIK: Part II. Quality of life and satisfaction of a population of patients treated with LASIK. J Fr Ophthalmol 34:294–302

    Article  Google Scholar 

  33. Lipson MJ, Musch DC (2007) Synergeyes versus soft toric lenses: vision-related quality of life. Optom Vis Sci 84:593–597

    Article  PubMed  Google Scholar 

  34. Berntsen DA, Mitchell GL, Barr JT (2006) The effect of overnight contact lens corneal reshaping on refractive-error specific quality of life. Optom Vis Sci 83:354–359

    Article  PubMed  Google Scholar 

  35. Ferrer-Blasco T, Montés-Micó R, Cerviño A, Alfonso JF (2009) Light scatter and disability glare after intraocular lens implantation. Arch Ophthalmol 127:576–577

    Article  PubMed  Google Scholar 

  36. Cerviño A, Hosking SL, Montés-Micó R, Alió JL (2008) Retinal straylight in patients with monofocal and multifocal intraocular lenses. J Cataract Refract Surg 34:441–446

    Article  PubMed  Google Scholar 

  37. Tan JC, Spalton DJ, Arden GB (1998) Comparison of methods to assess visual impairment from glare and light scattering with posterior capsule opacification. J Cataract Refract Surg 24:1626–1631

    PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Optometry Research Group, Department of Optics, University of Valencia, Dr. Moliner, 50, 46100, Burjassot, Valencia, Spain

    Rafael J. Pérez-Cambrodí, Santiago García-Lázaro & Alejandro Cerviño

  2. Alicante Oftalmológica, Oftalmar, Hospital Internacional Medimar, Alicante, Spain

    Rafael J. Pérez-Cambrodí, Francisco J. Blanes-Mompó & David P. Piñero

  3. Foundation for Visual Quality (FUNCAVIS), Alicante, Spain

    Rafael J. Pérez-Cambrodí & David P. Piñero

  4. Departamento de Óptica, Farmacología y Anatomía, Universidad de Alicante, Alicante, Spain

    David P. Piñero

  5. Optometry Unit, Department of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden

    Rune Brautaset

Authors
  1. Rafael J. Pérez-Cambrodí
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  2. Francisco J. Blanes-Mompó
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  3. Santiago García-Lázaro
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  4. David P. Piñero
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  5. Alejandro Cerviño
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  6. Rune Brautaset
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Corresponding author

Correspondence to Alejandro Cerviño.

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Pérez-Cambrodí, R.J., Blanes-Mompó, F.J., García-Lázaro, S. et al. Visual and optical performance and quality of life after implantation of posterior chamber phakic intraocular lens. Graefes Arch Clin Exp Ophthalmol 251, 331–340 (2013). https://doi.org/10.1007/s00417-012-2041-5

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  • DOI: https://doi.org/10.1007/s00417-012-2041-5

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