Skip to main content

Advertisement

SpringerLink
Log in

All-distance visual acuity in eyes with a nontinted or a yellow-tinted diffractive multifocal intraocular lens

  • Clinical Investigation
  • Published:
Japanese Journal of Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To compare all-distance visual acuity (VA) between eyes with a nontinted diffractive multifocal intraocular lens (IOL), a yellow-tinted multifocal IOL, and a nontinted monofocal IOL.

Methods

Thirty-four patients underwent bilateral implantation of a nontinted multifocal IOL (Alcon ReSTOR), 30 received a yellow-tinted multifocal IOL (ReSTOR Natural), and 17 a monofocal IOL. All-distance VA was measured with an all-distance vision tester at 12 months postoperatively. The relationships between pupillary diameter and IOL decentration and tilt with VA were determined.

Results

Both uncorrected and best distance-corrected near VA in the multifocal groups were significantly better than those in the monofocal group, whereas no significant differences were found in far-to-intermediate VAs. There was no significant difference in all-distance VA between the nontinted and yellow-tinted multifocal groups. In the multifocal groups, a larger pupillary diameter was associated with better near VA, whereas there was no correlation between VA and IOL decentration and tilt.

Conclusions

Near VA with a diffractive multifocal IOL was better than that with a monofocal IOL, although far-to-intermediate VAs were similar. All-distance VA with the nontinted multifocal IOL was similar to that with the yellow-tinted multifocal IOL. Larger pupillary diameter was associated with better near VA with the multifocal IOL.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Leyland M, Zinicola E. Multifocal versus monofocal intraocular lenses in cataract surgery: a systematic review. Ophthalmology 2003;110:1789–1798.

    Article  PubMed  Google Scholar 

  2. Post CT Jr. Comparison of depth of focus and low-contrast acuities for monofocal versus multifocal intraocular lens patients at 1 year. Ophthalmology 1992;99:1658–1663; discussion 1663–1664.

    Article  PubMed  Google Scholar 

  3. Lindstrom RL. Food and Drug Administration study update. One-year results from 671 patients with the 3M multifocal intraocular lens. Ophthalmology 1993;100:91–97.

    Article  CAS  PubMed  Google Scholar 

  4. Steinert RF, Post CT Jr, Brint SF, et al. A prospective, randomized, double-masked comparison of a zonal-progressive multifocal intraocular lens and a monofocal intraocular lens. Ophthalmology 1992;99:853–60; discussion 860–861.

    Article  CAS  PubMed  Google Scholar 

  5. Kohnen T, Allen D, Boureau C, et al. European multicenter study of the AcrySof ReSTOR apodized diffractive intraocular lens. Ophthalmology 2006;113:578–584.

    Article  Google Scholar 

  6. Souza CE, Muccioli C, Soriano ES, et al. Visual performance of AcrySof ReSTOR apodized diffractive IOL: a prospective comparative trial. Am J Ophthalmol 2006;141:827–832.

    Article  PubMed  Google Scholar 

  7. Mester U, Hunold W, Wesendahl T, Kaymak H. Functional outcomes after implantation of Tecnis ZM900 and Array SA40 multifocal intraocular lenses. J Cataract Refract Surg 2007;33:1033–1040.

    Article  PubMed  Google Scholar 

  8. Fernandez-Vega L, Alfonso JF, Baamonde MB, Montes-Mico R. Symmetric bilateral implantation of a distance-dominant diffractive bifocal intraocular lens. J Cataract Refract Surg 2007;33:1913–1917.

    Article  PubMed  Google Scholar 

  9. Chiam PJT, Chan JH, Haider SI, Karia N, Kasaby H, Aggarwal RK. Functional vision with bilateral ReZoom and ReSTOR intraocular lenses 6 months after cataract surgery. J Cataract Refract Surg 2007;33:2057–2061.

    Article  PubMed  Google Scholar 

  10. Schmidinger G, Geitzenauer W, Hahsle B, Klemen UM, Skorpik C, Pieh S. Depth of focus in eyes with diffractive bifocal and refractive multifocal intraocular lenses. J Cataract Refract Surg 2006;32:1650–1656.

    Article  PubMed  Google Scholar 

  11. Blaylock JF, Si Z, Vickers C. Visual and refractive status at different focal distances after implantation of the ReSTOR multifocal intraocular lens. J Cataract Refract Surg 2006;32:1464–1473.

    Article  PubMed  Google Scholar 

  12. Winther-Nielsen A, Corydon L, Olsen T. Contrast sensitivity and glare in patients with a diffractive multifocal intraocular lens. J Cataract Refract Surg 1993;19:254–257.

    Article  CAS  PubMed  Google Scholar 

  13. Haaskjold E, Allen ED, Burton RL, et al. Contrast sensitivity after implantation of diffractive bifocal and monofocal intraocular lenses. J Cataract Refract Surg 1998;24:653–658.

    Article  CAS  PubMed  Google Scholar 

  14. Hayashi K, Hayashi H, Nakao F, Hayashi F. Influence of astigmatism on multifocal and monofocal intraocular lenses. Am J Ophthalmol 2000;130:477–482.

    Article  CAS  PubMed  Google Scholar 

  15. Montes-Mico R, Espana E, Bueno I, Charman WN, Menezo JL. Visual performance with multifocal intraocular lenses: mesopic contrast sensitivity under distance and near conditions. Ophthalmology 2004;111:85–96.

    Article  PubMed  Google Scholar 

  16. Kamlesh, Dadeya S, Kaushik S. Contrast sensitivity and depth of focus with aspheric multifocal versus conventional monofocal intraocular lens. Can J Ophthalmol 2001;36:197–201.

    Article  CAS  PubMed  Google Scholar 

  17. Dick HB, Krummenauer F, Schwenn O, Krist R, Pfeiffer N. Objective and subjective evaluation of photic phenomena after monofocal and multifocal intraocular lens implantation. Ophthalmology 1999;106:1878–1886.

    Article  CAS  PubMed  Google Scholar 

  18. Pieh S, Lackner B, Hanselmayer G, et al. Halo size under distance and near conditions in refractive multifocal intraocular lenses. Br J Ophthalmol 2001;85:816–821.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Kawamorita T, Uozato H. Modulation transfer function and pupil size in multifocal and monofocal intraocular lenses in vitro. J Cataract Refract Surg 2005;31:2379–2385.

    Article  PubMed  Google Scholar 

  20. Artigas JM, Menezo JL, Peris C, Felipe A, Diaz-Llopis M. Image quality with multifocal intraocular lenses and the effect of pupil size: comparison of refractive and hybrid refractive-diffractive designs. J Cataract Refract Surg 2007;33:2111–2117.

    Article  PubMed  Google Scholar 

  21. 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.

    Article  CAS  PubMed  Google Scholar 

  22. Alfonso JF, Fernandez-Vega L, Baamonde MB, Montes-Mico R. Correlation of pupil size with visual acuity and contrast sensitivity after implantation of an apodized diffractive intraocular lens. J Cataract Refract Surg 2007;33:430–438.

    Article  PubMed  Google Scholar 

  23. Davison JA, Simpson MJ. History and development of the apodized diffractive intraocular lens. J Cataract Refract Surg 2006;32:849–858.

    Article  PubMed  Google Scholar 

  24. Rodriguez-Galietero A, Montes-Mico R, Munoz G, Albarran-Diego C. Comparison of contrast sensitivity and color discrimination after clear and yellow intraocular lens implantation. J Cataract Refract Surg 2005;31:1736–1740.

    Article  PubMed  Google Scholar 

  25. Hayashi K, Hayashi H. Visual function in patients with yellow tinted intraocular lenses compared with vision in patients with non-tinted intraocular lenses. Br J Ophthalmol 2006;90:1019–1023.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Mainster MA, Sparrow JR. How much blue light should an IOL transmit? Br J Ophthalmol 2003;87:1523–1529.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Mainster MA. Intraocular lenses should block UV radiation and violet but not blue light. Arch Ophthalmol 2005;123:550–555.

    Article  PubMed  Google Scholar 

  28. Alfonso JF, Fernandez-Vega L, Baamonde B, Montes-Mico R. Prospective visual evaluation of apodized diffractive intraocular lenses. J Cataract Refract Surg 2007;33:1235–1243.

    Article  PubMed  Google Scholar 

  29. Chiam PJT, Chan JH, Aggarwal RK, Kasaby S. ReSTOR intraocular lens implantation in cataract surgery: quality of vision. J Cataract Refract Surg 2006;32:1459–1463.

    Article  PubMed  Google Scholar 

  30. Pepose JS, Qazi MA, Davies J, et al. Visual performance of patients with bilateral vs combination Crystalens, ReZoom, and ReSTOR intraocular lens implants. Am J Ophthalmol 2007;144:347–357.

    Article  PubMed  Google Scholar 

  31. Hayashi K, Hayashi H. Pupil size before and after phacoemulsification in nondiabetic and diabetic patients. J Cataract Refract Surg 2004;30:2543–2550.

    Article  PubMed  Google Scholar 

  32. 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.

    Article  CAS  PubMed  Google Scholar 

  33. Richter-Mueksch S, Weghaupt H, Skorpik C, Velikay-Parel M, Radner W. Reading performance with a refractive multifocal and a diffractive bifocal intraocular lens. J Cataract Refract Surg 2002;28:1957–1963.

    Article  PubMed  Google Scholar 

  34. Hutz WW, Eckhardt HB, Rohrig B, Grolmus R. Reading ability with 3 multifocal intraocular lens models. J Cataract Refract Surg 2006;32:2015–2021.

    Article  PubMed  Google Scholar 

  35. Pieh S, Weghaupt H, Skorpik C. Contrast sensitivity and glare disability with diffractive and refractive multifocal intraocular lenses. J Cataract Refract Surg 1998;24:659–662.

    Article  CAS  PubMed  Google Scholar 

  36. Vingolo EM, Grenga P, Iacobelli L, Grenga R. Visual acuity and contrast sensitivity: AcrySof ReSTOR apodized diffractive versus AcrySof SA60AT monofocal intraocular lenses. J Cataract Refract Surg 2007;33:1244–1247.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Hayashi Eye Hospital, Fukuoka, Japan

    Ken Hayashi & Miki Masumoto

  2. Department of Ophthalmology, School of Medicine, Fukuoka University, Fukuoka, Japan

    Hideyuki Hayashi

  3. Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-ku, Fukuoka, 812-0011, Japan

    Ken Hayashi

Authors
  1. Ken Hayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Miki Masumoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hideyuki Hayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ken Hayashi.

About this article

Cite this article

Hayashi, K., Masumoto, M. & Hayashi, H. All-distance visual acuity in eyes with a nontinted or a yellow-tinted diffractive multifocal intraocular lens. Jpn J Ophthalmol 53, 100–106 (2009). https://doi.org/10.1007/s10384-008-0626-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10384-008-0626-7

Key Words

Search

Navigation