Skip to main content

Advertisement

SpringerLink
Log in

Comparison of wavefront aberrations in eyes with multifocal and monofocal iols before and after Nd:YAG laser capsulotomy for posterior capsule opacification

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

Abstract

Purpose

The aim of this study was to compare wavefront aberrations before and after Nd:YAG capsulotomy in multifocal intraocular lens (MfIOL) and monofocal (MoIOL) pseudophakic eyes with posterior capsule opacification (PCO).

Materials and methods

Wavefront aberrations were measured using a ARK-10000 topographer before and after Nd:YAG capsulotomy in eyes that underwent MfIOL or MoIOL implantation and developed PCO. Total and higher-order aberrations (HOAs) values were evaluated as root mean square (RMS).

Results

The study included 64 eyes with MfIOLs (64 patients) and 72 with MoIOLs (72 patients) that developed PCO. Total RMS values before and 1 month after Nd:YAG capsulotomy were 0.863 ± 0.27 and 0.504 ± 0.24 in the MFIOL group and 0.862 ± 0.31 and 0.466 ± 0.26 in the MoIOL group, respectively. Total RMS values did not differ significantly between the groups before (p = 0.914) or 1 month after Nd:YAG laser capsulotomy (p = 0.357), but decreased significantly after Nd:YAG capsulotomy compared to baseline in both the MfIOL (p = 0.027) and MoIOL (p = 0.012) groups. HOA values before and 1 month after Nd:YAG capsulotomy were 0.546 ± 0.23 and 0.364 ± 0.19 in the MfIOL group and 0.500 ± 0.21 and 0.346 ± 0.18 in the MoIOL group, respectively. HOA values did not differ significantly before (p = 0.828) or after Nd:YAG capsulotomy (p = 0.111), while both groups showed significant reduction in HOAs after Nd:YAG capsulotomy (MfIOL: p = 0.021, MoIOL: p = 0.027).

Conclusions

Nd:YAG capsulotomy reduces total and HOAs to the same extent in eyes with both MfIOLs and MoIOLs, with no significant impact of the IOL design.

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

Similar content being viewed by others

References

  1. Magno BV, Datiles MB, Lasa MSM et al (1997) Evaluation of visual function following neodymium:YAG laser posterior capsulotomy. Ophthalmology 104(8):1287–1293

    Article  CAS  PubMed  Google Scholar 

  2. Claesson M, Klarén L, Beckman C, Sjöstrand J (1994) Glare and contrast sensitivity before and after Nd:YAG laser capsulotomy. Acta Ophthalmol (Copenh) 72(1):27–32

    Article  CAS  Google Scholar 

  3. Hayashi K, Hayashi H, Nakao F, Hayashi F (2003) Correlation between posterior capsule opacification and visual function before and after neodymium:YAG laser posterior capsulotomy. Am J Ophthalmol 136(4):720–726

    Article  PubMed  Google Scholar 

  4. Knighton RW, Slomovic AR, Parrish RK II (1985) Glare measurements before and after neodymium-YAG laser posterior capsulotomy. Am J Ophthalmol 100(5):708–713

    Article  CAS  PubMed  Google Scholar 

  5. Sunderraj P, Villada JR, Joyce PW, Watson A (1992) Glare testing in pseudophakes with posterior capsule opacification. Eye 6(4):411–413

    Article  PubMed  Google Scholar 

  6. Menon GJ, Wong KK, Bundhun T, Ewings P, Twomey JM (2009) The effect of Nd:YAG laser posterior capsulotomy on stereoacuity. Eye 23(1):186–189

    Article  CAS  PubMed  Google Scholar 

  7. Montenegro GA, Marvan P, Dexl A et al (2010) Posterior capsule opacification assessment and factors that influence visual quality after posterior capsulotomy. Am J Ophthalmol 150(2):248–253

    Article  PubMed  Google Scholar 

  8. Levy J, Lifshitz T, Klemperer I et al (2009) The effect of Nd:YAG laser posterior capsulotomy on ocular wave front aberrations. Can J Ophthalmol 44(5):529–533

    Article  PubMed  Google Scholar 

  9. Yotsukura E, Torii H, Saiki M, Negishi K, Tsubota K (2016) Effect of neodymium:YAG laser capsulotomy on visual function in patients with posterior capsule opacification and good visual acuity. J Cataract Refract Surg 42(3):399–404

    Article  PubMed  Google Scholar 

  10. Casprini F, Balestrazzi A, Tosi GM et al (2008) Optical aberrations in pseudophakic eyes after 2.5-mm Nd:YAG laser capsulotomy for posterior capsule opacification. J Refract Surg 24(7):702–706

    Article  PubMed  Google Scholar 

  11. Cillino S, Casuccio A, Di Pace F et al (2008) One-year outcomes with new-generation multifocal intraocular lenses. Ophthalmology 115(9):1508–1516

    Article  PubMed  Google Scholar 

  12. Chiam PJ, Chan JH, Aggarwal RK, Kasaby S (2006) ReSTOR intraocular lens implantation in cataract surgery: quality of vision. J Cataract Refract Surg 32(9):1459–1463

    Article  PubMed  Google Scholar 

  13. Haring G, Dick HB, Krummenauer F, Weissmantel U, Kroncke W (2001) Subjective photic phenomena with refractive multifocal and monofocal intraocular lenses results of a multicenter questionnaire. J Cataract Refract Surg 27(2):245–249

    Article  CAS  PubMed  Google Scholar 

  14. Zeng M, Liu Y, Liu X et al (2007) Aberration and contrast sensitivity comparison of aspherical and monofocal and multifocal intraocular lens eyes. Clin Exp Ophthalmol 35(4):355–360

    Article  PubMed  Google Scholar 

  15. Toto L, Falconio G, Vecchiarino L et al (2007) Visual performance and biocompatibility of 2 multifocal diffractive IOLs: six-month comparative study. J Cataract Refract Surg 33(8):1419–1425

    Article  PubMed  Google Scholar 

  16. Souza CE, Muccioli C, Soriano ES et al (2006) Visual performance of AcrySof ReSTOR apodized diffractive IOL: a prospective comparative trial. Am J Ophthalmol 141(5):827–832

    Article  PubMed  Google Scholar 

  17. Holladay JT, Piers PA, Koranyi G, van der Mooren M, Norrby NE (2002) A new intraocular lens design to reduce spherical aberration of pseudophakic eyes. J Refract Surg 18(6):683–691

    PubMed  Google Scholar 

  18. Zheleznyak L, Kim MJ, MacRae S, Yoon G (2012) Impact of corneal aberrations on through-focus image quality of presbyopia-correcting intraocular lenses using an adaptive optics bench system. J Cataract Refract Surg 38(10):1724–1733

    Article  PubMed  Google Scholar 

  19. Alio JL, Plaza-Puche AB, Férnandez-Buenaga R, Pikkel J, Maldonado M (2017) Multifocal intraocular lenses: an overview. Surv Ophthalmol 62(5):611–634

    Article  PubMed  Google Scholar 

  20. Woodward MA, Randleman JB, Stulting RD (2009) Dissatisfaction after multifocal intraocular lens implantation. J Cataract Refract Surg 35(6):992–997

    Article  PubMed  PubMed Central  Google Scholar 

  21. Wakamatsu TH, Yamaguchi T, Negishi K et al (2011) Functional visual acuity after neodymium:YAG laser capsulotomy in patients with posterior capsule opacification and good visual acuity preoperatively. J Cataract Refract Surg 37(2):258–264

    Article  PubMed  Google Scholar 

  22. Muñoz G, Albarrán-Diego C, Montés-Micó R, Rodríguez-Galietero A, Alió JL (2006) Spherical aberration and contrast sensitivity after cataract surgery with the Tecnis Z9000 intraocular lens. J Cataract Refract Surg 32(8):1320–1327

    Article  PubMed  Google Scholar 

  23. Kasper T, Buhren J, Kohnen T (2006) Intraindividual comparison of higher-order aberrations after implantation of aspherical and spherical intraocular lenses as a function of pupil diameter. J Cataract Refract Surg 32(1):78–84

    Article  PubMed  Google Scholar 

  24. Mester U, Dillinger P, Anterist N (2003) Impact of a modified optic design on visual function; clinical comparative study. J Cataract Refract Surg 29(4):652–660

    Article  PubMed  Google Scholar 

  25. Awwad ST, Lehmann JD, McCulley JP, Bowman RW (2007) A comparison of higher order aberrations in eyes implanted with AcrySof IQ SN60WF and AcrySof SN60AT intraocular lenses. Eur J Ophthalmol 17(3):320–326

    Article  CAS  PubMed  Google Scholar 

  26. Taketani F, Matuura T, Yukawa E, Hara Y (2004) Influence of intraocular lens tilt and decentration on wavefront aberrations. J Cataract Refract Surg 30(10):2158–2162

    Article  PubMed  Google Scholar 

  27. Uzel MM, Ozates S, Koc M, Taslipinar Uzel AG, Yılmazbaş P (2018) Decentration and tilt of intraocular lens after posterior capsulotomy. Semin Ophthalmol 33(6):766–771

    Article  PubMed  Google Scholar 

  28. Cinar E, Yuce B, Aslan F, Erbakan G, Kucukerdonmez C (2019) Intraocular lens tilt and decentration after Nd:YAG laser posterior capsulotomy: Femtosecond laser capsulorhexis versus manual capsulorhexis. J Cataract Refract Surg 45(11):1637–1644

    Article  PubMed  Google Scholar 

  29. Jun I, Choi YJ, Kim EK, Seo KY, Kim TI (2012) Internal spherical aberration by ray tracing-type aberrometry in multifocal pseudophakic eyes. Eye (Lond) 26(9):1243–2128

    Article  CAS  Google Scholar 

  30. Ortiz D, Alió JL, Bernabéu G, Pongo V (2008) Optical performance of monofocal and multifocal intraocular lenses in the human eye. J Cataract Refract Surg 34(5):755–762

    Article  PubMed  Google Scholar 

  31. Hayashi K, Yoshida M, Hayashi H (2008) Correlation of higher-order wavefront aberrations with visual function in pseudophakic eyes. Eye 22(12):1476–1482

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

Authors report no conflict of interest. This work has not been presented.

Author information

Authors and Affiliations

  1. Department of Ophthalmology, Ekol Eye Hospital, 8019/13 str. No:2 Çigli, İzmir, Turkey

    Esat Cinar & Gökhan Erbakan

  2. İzmir Tepecik Training and Research Hospital, Ophthalmology Clinic, University of Health Sciences, Izmir, Turkey

    Berna Yuce

  3. Department of Ophthalmology, Alaaddin Keykubat University, Alanya, Antalya, Turkey

    Fatih Aslan

Authors
  1. Esat Cinar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Berna Yuce
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Fatih Aslan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Gökhan Erbakan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Esat Cinar.

Ethics declarations

Conflict of interest

None of the authors has any conflict of interest with the submission.

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. Approval for the study was obtained from the Alanya Alaaddin Keykubat University Ethics Committee (Protocol No. 4-6/2018).

Informed consent

Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cinar, E., Yuce, B., Aslan, F. et al. Comparison of wavefront aberrations in eyes with multifocal and monofocal iols before and after Nd:YAG laser capsulotomy for posterior capsule opacification. Int Ophthalmol 40, 2169–2178 (2020). https://doi.org/10.1007/s10792-020-01397-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-020-01397-2

Keywords

Search

Navigation