Visual function after bilateral implantation of multifocal versus monofocal IOLs in children below 5 years of age

• Authors: Marek E. Prost
• Languages of publication: EN

Abstracts

EN

Background: Since pediatric ophthalmologists still prefer to implant monofocal IOL and experience with multifocal IOL implantation in children is limited. Therefore, the aim of the study was to evaluate visual results after bilateral implantation of multifocal versus monofocal IOLs in children aged 1–5 years with congenital cataract. Methods: Children between 1 and 5 years of age with bilateral cataract who underwent cataract removal implantation of an multifocal IOL – Lentis Mplusx , Oculentis GmbH, Germany (55 children – group A) or monofocal IOL – C-flex Aspheric Monofocal, Rayner Intraocular Lenses Limited, UK (55 children – group B). The distance corrected visual acuity, distance corrected near visual acuity, binocular function using the Worth 4-dot test, stereopsis using the TNO test were evaluated. Results: At the final follow-up visit after 12 months, the mean best corrected distant visual acuity was not significantly different between groups A and B but the best corrected near visual acuity, binocular vision and stereopsis were significantly better in patients from group A as compared to group B. Conclusion: Implantation of a multifocal IOL in children aged 1–5 years with bilateral cataract provides a better level of near vision and considerably improves the development of stereopsis in comparison with children after monofocal IOL implantation.

Keywords

EN

binocular vision; distanceand near visual acuity; monofocal IOLs; multifocal IOLs; pediatric cataract surgery; stereopsis

Discipline

• MEDICINE: MEDICINE

• Publisher: Medical Education
• Journal: OphthaTherapy
• Year: 2019
• Volume: 6
• Issue: 3
• Pages: 192-197

Contributors

author

Marek E. Prost

• Department of Ophthalmology, Military Institute of Aviation Medicine

References

• 1. Leyland M, Zinicola E. Multifocal versus monofocal intraocular lenses in cataract surgery: a systematic review. Ophthalmology 2003; 110: 1789-1798.
• 2. Calladine D, Evans JR, Shah S, et al. Multifocal versus monofocal intraocular lenses after cataract extraction. Cochrane Database of Systematic Reviews 2012; 9. Art. No.: CD003169. DOI: 10.1002/14651858.CD003169.pub3.
• 3. 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.
• 4. Braga-Mele R, Chang D, Dewey S, et al.; for the ASCRS Cataract Clinical Committee. Multifocal Intraocular Lenses: Relative indications and contraindications for implantation. J Cataract Refract Surg 2014; 40: 313-322.
• 5. Rychwalski PJ. Multifocal IOL implantation in children: Is the future clear? J Cataract Refract Surg 2010; 36: 2019-2021.
• 6. Wright KW, Matsumoto E, Edelman PM. Binocular fusion and stereopsis associated with early surgery for monocular congenital cataracts. Arch Ophthalmol 1992; 110: 1607-1609.
• 7. Brown SM, Archer S, Del Monte MA. Stereopsis and binocular vision after surgery for unilateral infantile cataract. J AAPOS 1999; 3: 109-113.
• 8. Jacobi PC, Dietlein TS, Konen W. Multifocal intraocular lens implantation in pediatric cataract surgery. Ophthalmology 2001; 108: 1375-1380.
• 9. Cristóbal J, Remoón L, Ángeles Del Buey M, Monstés-Micó R. Multifocal intraocular lenses for unilateral cataract in children. J Cataract Refract Surg 2010; 36: 2035-2040.
• 10. Ram J, Agarwal A, Kumar J, Gupta A. Bilateral implantation of multifocal versus monofocal intraocular lens in children above 5 years of age. Graefes Arch Clin Exp Ophthalmol 2014; 252: 441-447.
• 11. Abouzeid H, Moetteli L, Munier F. New-generation multifocal intraocular lens for pediatric cataract. Ophthalmologica 2013; 200: 100-107.
• 12. Trivedi RH, Wilson ME Jr. Intraocular lens power selection for children. In: Garg A, Lin JT, Latkany R, Bovet J, Haigis W (eds). Mastering the techniques of IOL power calculations. Jaypee Brothers 2005: 127-135.
• 13. Morris R. Mplus innovative multifocal IOL with unique optics. Presented at 17th ESCRS Winter Meeting, Warsaw 2013.
• 14. Auffarth GU. Lentis Mplus: An innovative multifocal lens technology. Cataract and Refractive Surgery Today Europe 2010; 2: 34-35.
• 15. Wanders B. Lentis Mplusx Get off the peaks, get into the zone. Cataract and Refractive Surgery Today Europe 2014; 2 Suppl: 3-4.
• 16. Ferrer-Blasco T, Madrid-Costa D, Garcia-Lázaro S, et al. Stereopsis in bilaterally multifocal pseudophakic patients. Graefes Arch Clin Exp Ophthalmol 2011; 249: 245-251.

• Document Type: article