Abstract
Background
Laser in situ keratomileusis (LASIK) is the most common refractive surgery in young patients, which aims at providing a clear distance vision without the use of spectacles. With time, these patients develop symptomatic cataract, which affects activities of daily living, and to improve visual acuity, intraocular lens (IOL) implantation can be considered. In post-myopic LASIK patients, to allow continuation of spectacle independence, the implantation of presbyopia-correcting IOLs is a suitable option. The purpose of this retrospective case series is to report the visual outcome and quality in post-myopic LASIK eyes after the implantation of AT LISA tri839MP IOL.
Method
Twenty eyes of 13 patients with history of myopic LASIK within 20 years underwent phacoemulsification by one single surgeon. All eyes were implanted with AT LISA tri839PMP IOL, and their outcomes were evaluated at 6 months postoperation.
Results
The mean postoperative uncorrected distance visual acuity (VA) is 0.28 ± 0.29, while the corrected distance VA is 0.06 ± 0.14. The mean postoperative uncorrected near VA is 0.02 ± 0.05, while the corrected near VA is 0.01 ± 0.02. The mean postoperative manifest refraction spherical equivalent (SE) is − 0.92 ± 0.76D. There is a statistically significant difference between the preoperative and postoperative refraction (p = 0.02), which shows a postoperative myopic shift. There is also a statistically significant difference between the mean targeted SE and postoperative manifest refraction SE (p = 0.00). Only one out of 20 eyes (5%) reported halo and glare symptoms. Ten out of 20 eyes (50%) are able to achieve spectacles independence.
Conclusion
In conclusion, in post-myopic LASIK eyes, AT LISA tri839MP provides a good visual outcome at both near and distance, but is more predictable at near than at distance. There is a myopic shift in the postoperative SE. Visual quality is satisfactory and has not been exacerbated. Most patients can remain to be spectacles free at all distances.
Similar content being viewed by others
References
Reinstein DZ, Waring GO 3rd (2006) Have you seen the 10-year long-term safety data on LASIK? J Refract Surg 22(9):843–845
Shen Z, Lin Y, Zhu Y, Liu X, Yan J, Yao K (2017) Clinical comparison of patient outcomes following implantation of trifocal or bifocal intraocular lenses: a systematic review and meta-analysis. Sci Rep 7:45337. https://doi.org/10.1038/srep45337
Jonker SM, Bauer NJ, Makhotkina NY, Berendschot TT, van den Biggelaar FJ, Nuijts RM (2015) Comparison of a trifocal intraocular lens with a +3.0 D bifocal IOL: results of a prospective randomized clinical trial. J Cataract Refract Surg 41(8):1631–1640. https://doi.org/10.1016/j.jcrs.2015.08.011
Gatinel D, Pagnoulle C, Houbrechts Y, Gobin L (2011) Design and qualification of a diffractive trifocal optical profile for intraocular lenses. J Cataract Refract Surg 37(11):2060–2067. https://doi.org/10.1016/j.jcrs.2011.05.047
Voskresenskaya A, Pozdeyeva N, Pashtaev N, Batkov Y, Treushnicov V, Cherednik V (2010) Initial results of trifocal diffractive IOL implantation. Graefes Arch Clin Exp Ophthalmol 248(9):1299–1306. https://doi.org/10.1007/s00417-010-1424-8
Alfonso JF, Madrid-Costa D, Poo-Lopez A, Montes-Mico R (2008) Visual quality after diffractive intraocular lens implantation in eyes with previous myopic laser in situ keratomileusis. J Cataract Refract Surg 34(11):1848–1854. https://doi.org/10.1016/j.jcrs.2008.07.023
Fernandez-Vega L, Madrid-Costa D, Alfonso JF, Montes-Mico R, Poo-Lopez A (2009) Optical and visual performance of diffractive intraocular lens implantation after myopic laser in situ keratomileusis. J Cataract Refract Surg 35(5):825–832. https://doi.org/10.1016/j.jcrs.2008.12.040
Moreno-Barriuso E, Lloves JM, Marcos S, Navarro R, Llorente L, Barbero S (2001) Ocular aberrations before and after myopic corneal refractive surgery: LASIK-induced changes measured with laser ray tracing. Invest Ophthalmol Vis Sci 42(6):1396–1403
Chang JS, Ng JC, Chan VK, Law AK (2017) Visual outcomes, quality of vision, and quality of life of diffractive multifocal intraocular lens implantation after myopic laser in situ keratomileusis: a prospective, observational case series. J Ophthalmol 2017:6459504. https://doi.org/10.1155/2017/6459504
Dick HB, Krummenauer F, Schwenn O, Krist R, Pfeiffer N (1999) Objective and subjective evaluation of photic phenomena after monofocal and multifocal intraocular lens implantation. Ophthalmology 106(10):1878–1886. https://doi.org/10.1016/S0161-6420(99)90396-2
Pieh S, Lackner B, Hanselmayer G, Zohrer R, Sticker M, Weghaupt H, Fercher A, Skorpik C (2001) Halo size under distance and near conditions in refractive multifocal intraocular lenses. Br J Ophthalmol 85(7):816–821
Villa C, Gutierrez R, Jimenez JR, Gonzalez-Meijome JM (2007) Night vision disturbances after successful LASIK surgery. Br J Ophthalmol 91(8):1031–1037. https://doi.org/10.1136/bjo.2006.110874
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
All authors have no conflict of interest to declare.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Chow, S.S.W., Chan, T.C.Y., Ng, A.L.K. et al. Outcomes of presbyopia-correcting intraocular lenses after laser in situ keratomileusis. Int Ophthalmol 39, 1199–1204 (2019). https://doi.org/10.1007/s10792-018-0908-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10792-018-0908-0