Skip to main content

Advertisement

SpringerLink
Log in

Effect of blue light-filtering intraocular lens on color vision in patients with macular diseases after vitrectomy

  • Original Paper
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

To evaluate the color vision of patients with macular diseases after implanting a blue light-filtering intraocular lens (IOL) during vitrectomy. Twenty-seven patients had a blue light-filtering IOL implanted during vitrectomy for macular diseases (macular disease group), and 40 patients without macular disease had the same type of IOL implanted (non-macular disease group). The postoperative best-corrected visual acuity (BCVA) was ≥ 16/20 in all patients. The Farnsworth-Munsell 100-hue test was used to determine total error scores (TES) and mean error scores under photopic and mesopic conditions in both groups. The TES under mesopic conditions was significantly higher than that under photopic conditions in both groups (P < 0.05). However, the TES in the macular disease group was not significantly different from that of the non-macular disease group under both photopic and mesopic conditions. The mean error scores under photopic conditions for hues 11, 14, 16, 17, 18, and 20 (yellowish-red to yellow) were significantly higher in the macular disease group than in the non-macular disease group. The mean error scores for hues 7 and 85 (red) were significantly higher in the non-macular disease group than in the macular disease group. Under mesopic conditions, the mean error scores for hues 30, 60, and 61 were significantly higher in the non-macular disease group than in the macular disease group (P < 0.05). Our results indicate that blue light-filtering IOLs do not alter color discrimination in eyes with macular diseases, and these patients had good postoperative BCVA even under mesopic conditions.

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

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Foote SC (1976) Photosensitized oxidation and singlet oxygen: consequence in biological system. In: Pryor WA (ed) Free Radicals in Biology. Academic Press, New York, pp 85–134

    Chapter  Google Scholar 

  2. Verhoeff FH, Bell L (1916) The pathological effects of radiant energy on the eye. Proc Am Acad Arts Sci 51:630

    Article  Google Scholar 

  3. Ham WT, Mueller HA, Sliney DH (1976) Retinal sensitivity to damage from short wavelength light. Nature 260:153–155

    Article  PubMed  Google Scholar 

  4. Ham WT, Ruffolo JJ Jr, Mueller HA, Clarke AM, Moon ME (1978) Histologic analysis of photochemical lesions produced in rhesus retina by short-wave-length light. Invest Ophthalmol Vis Sci 17:1029–1035

    PubMed  Google Scholar 

  5. Boettner EA, Wolter JR (1962) Transmission of the ocular media. Invest Ophthalmol Vis Sci 1:776–783

    Google Scholar 

  6. Lindstrom RL, Doddi N (1986) Ultraviolet light absorption in intraocular lenses. J Cataract Refract Surg 12:285–289

    Article  CAS  PubMed  Google Scholar 

  7. Weale RA (1986) Aging and Vision. Vision Res 26:1507–1512

    Article  CAS  PubMed  Google Scholar 

  8. Weale RA (1988) Age and the transmittance of the human crystalline lens. J Physiol 395:577–587

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Gaillard ER, Zheng L, Merriam JC, Dillon J (2000) Age-related changes in the absorption characteristics of the primate lens. Invest Ophthalmol Vis Sci 41:1454–1459

    CAS  PubMed  Google Scholar 

  10. Mellerio J (1987) Yellowing of the human lens: nuclear and cortical contributions. Vis Res 27:1581–1587

    Article  CAS  PubMed  Google Scholar 

  11. Neumaier-Ammerer B, Felke S, Hagen S, Haas P, Zeiler F, Mauler H, Binder S (2010) Comparison of visual performance with blue light-filtering and ultraviolet light-filtering intraocular lenses. J Cataract Refract Surg 36:2073–2079

    Article  PubMed  Google Scholar 

  12. Wang H, Wang J, Fan W, Wang W (2010) Comparison of photochromic, yellow, and clear intraocular lenses in human eyes under photopic and mesopic lighting conditions. J Cataract Refract Surg 36:2080–2086

    Article  PubMed  Google Scholar 

  13. Pinckars A (1975) Dyschromatopsies acquises d’axe bleu-jaune. Ann d’Oculist 208:659–666

    Google Scholar 

  14. Ohta Y (1970) Studies on the acquired anomalous colour vision (colour vision anomalies in patients with lesion of the retina, optic chiasma and post-occipital center). Color 69. Gottingen, Musterschmidt Verlag, 88–96 (Chapters 4 and 8)

  15. Farnsworth D (1943) The Farnsworth-Munsell 100 hue and dichotomous tests for color vision. J Opt Soc Am 33:568–578

    Article  Google Scholar 

  16. Farnsworth D (1949/1957) The Farnsworth-Munsell 100 hue tests for examination of color discrimination (manual). Munsell Color Company. Inc., New York

    Google Scholar 

  17. Smith VC, Pokorny J, Pass AS (1985) Color-axis determination on the Farnsworth-Munsell 100-hue test. Am J Ophthalmol 100:176–182

    Article  CAS  PubMed  Google Scholar 

  18. Knoblauch K (1987) On quantifying the bipolarity and axis of the Farnsworth-Munsell 100-Hue test. Invest Ophthalmol Vis Sci 28:707–710

    CAS  PubMed  Google Scholar 

  19. Verriest G (1963) Further studies on acquired deficiency of color discrimination. J Opt Soc Am 53:185–195

    Article  CAS  PubMed  Google Scholar 

  20. Verriest G (1982) A new assessment of the normal ranges of the Farnsworth-Munsell 100-hue test scores. Am J Ophthalmol 93:635–642

    Article  CAS  PubMed  Google Scholar 

  21. Vivianne CS, Judith AM, Van Everdingen, Pokorny J (1991) Sensitivity of arrangement tests as evaluated in normal at reduced levels of illumination. In Drum B, Moreland JD, Serra A (eds) Colour vision deficiencies X, 177–185

  22. Marshall J, Cionni RJ, Davison J, Ernest P, Lehmann R, Maxwell WA et al (2005) Clinical results of the blue-light filtering AcrySof natural foldable acrylic intraocular lens. J Cataract Refract Surg 31:2319–2323

    Article  PubMed  Google Scholar 

  23. Cionni RJ, Tsai JH (2006) Color perception with AcrySof natural and AcrySof single-piece intraocular lenses under photopic and mesopic conditions. J Cataract Refract Surg 32:236–242

    Article  PubMed  Google Scholar 

  24. Greenstein VC, Chiosi F, Baker P, Seiple W, Holopigian K, Braunstein RE et al (2007) Scotopic sensitivity and color vision with a blue-light-absorbing intraocular lens. J Cataract Refract Surg 33:667–672

    Article  PubMed  PubMed Central  Google Scholar 

  25. Mainster MA, Turner PL (2010) Blue-blocking IOLs decrease photoreception without providing significant photoprotection. Surv Ophthalmol 55:272–289

    Article  PubMed  Google Scholar 

  26. Ao M, Chen X, Huang C, Li X, Hou Z, Chen X et al (2010) Color discrimination by patients with different types of light-filtering intraocular lenses. J Cataract Refract Surg 36:389–395

    Article  PubMed  Google Scholar 

  27. Falkner-Radler CI, Benesch T, Binder S (2008) Blue light-filter intraocular lenses in vitrectomy combined with cataract surgery: results of a randomized controlled clinical trial. Am J Ophthalmol 145:499–503

    Article  PubMed  Google Scholar 

  28. Lerman S, Borkman R (1976) Spectroscopic evaluation and classification of the normal, aging, and cataractous lens. Ophthal Res 8:335–353

    Article  Google Scholar 

  29. Lerman S (1987) Chemical and physical properties of the normal and aging lens: spectroscopic (UV, fluorescence, phosphorescence, and NMR) analyses. Am J Optom Physiol Opt 64:11–22

    Article  CAS  PubMed  Google Scholar 

  30. Tanito M, Okuno T, Ishiba Y, Ohira A (2010) Transmission spectrum and retinal blue-light irradiance values of untinted and yellow-tinted intraocular lenses. J Cataract Refract Surg 36:299–307

    Article  PubMed  Google Scholar 

  31. François J, Verriest G (1957) Les dyschromatopsies acquises. Ann Oculist (Paris) 190:713–746

    Google Scholar 

  32. Perdriel G (1962) Le test de Farnsworth 100 hue. Ann Ocul 195:120–130

    CAS  Google Scholar 

Download references

Acknowledgments

The authors thank to Professor Duco Hamasaki of the Bascom Palmer Eye Institute of the University of Miami for his critical discussion and final manuscript revision. This study was supported by Grant-in Aids No.13307048, No.14370557 and No.14370556 from the Ministry of Education, Science and Culture, Japan

Author information

Authors and Affiliations

  1. Department of Ophthalmology, Kariya Toyota General Hospital, 5-15 Sumiyoshi-cho, Kariya, Aichi, 448-8505, Japan

    Kumiko Mokuno & Hirotaka Ito

  2. Department of Ophthalmology, Nagoya University School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya, Aichi, 466-8550, Japan

    Kumiko Mokuno, Tetsu Asami, Norie Nonobe, Kumi Fujiwara & Hiroko Terasaki

Authors
  1. Kumiko Mokuno
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tetsu Asami
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Norie Nonobe
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hirotaka Ito
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Kumi Fujiwara
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Hiroko Terasaki
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Tetsu Asami.

Ethics declarations

Conflicts of interest

The authors have no potential proprietary interest in any aspect of this study.

Additional information

Certified Orthoptist: Hirotaka Ito and Kumi Fujiwara

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mokuno, K., Asami, T., Nonobe, N. et al. Effect of blue light-filtering intraocular lens on color vision in patients with macular diseases after vitrectomy. Int Ophthalmol 36, 829–839 (2016). https://doi.org/10.1007/s10792-016-0214-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-016-0214-7

Keywords

Search

Navigation