The feasibility of multifocal intraocular lenses in cataract surgery in the elderly
Year: 2021, volume 17 Issue: №2 Pages: 269-273
Heading: Тhematic supplement Article type: Original article
Authors: Alnoelaty Almasri M.A., Stebnev V.S.
Organization: Samara State Medical University
Heading: Тhematic supplement Article type: Original article
Authors: Alnoelaty Almasri M.A., Stebnev V.S.
Organization: Samara State Medical University
Summary:
Purpose: to evaluate the effect of changes in pupil size on visual acuity after implantation of multifocal intraocular lenses in patients with senile cataract, to assess the influence of multifocal intraocular lenses on the quality of life of elderly people. Material and Methods. 50 eyes of 50 elderly patients (32 men, 18 women aged 48-81 years) after cataract surgery in 2019-2021 were retrospectively examined. Preoperative and postoperative pupil sizes were measured using an Oasis pupillometer. We assessed the quality of life using a special questionnaire NEI-VFQ-25 (National Eye Institute Visual Function Questionnaire, version 2000), before and one month afterthe operation. Results. The average preoperative pupil size decreased to 4.1±0.9 from 4.9±1.0 mm during the first postoperative month (p=0.05). In the total score forthe quality of life the patients had an increase after surgery from 49.5±15.1 to64.7±14.4 points (p<0.05). Conclusion. The change in the pupil size after surgery does not affect or only slightly affects the clinical results of implantation of multifocal intraocular lenses (MF-IOLs). Multifocal intraocular lenses allow elderly people to improve their quality of life.
Bibliography:
1. Pelit A, Aydm P. Okuler yaslanma. Geriatri 2001; (4): 28-32.
2. izzet CAN. Surgical treatment of presbyopia and multifocal intraocular lenses: Transitioning from cataract to refractive intraocular lens surgery. Glokom-Katarakt 2007; 2 (1): 1-12.
3. Petermeier K, Frank C, Gekeler F, et al. Influence of the pupil size on visual quality and spherical aberration after implantation of the Tecnis 1-piece intraocular lens. Br J of Ophthalmology 2011; 95: 42-5.
4. Fernandez de Castro LE, Sandoval HP, Bartholomew LR, et al. High-order aberrations and preoperative associated factors. Acta Ophthalmologica Scandinavica 2007; 85 (1): 06-110.
5. McKelvie J, McArdle B, McGhee С The influence of tilt, decentration, and pupil size on the higher-order aberration profile of aspheric intraocular lenses. Ophthalmology 2011; 118 (9): 1724-31. ISSN 1549-4713.
6. Erkihc K, Tuzcu E, Ozkiris A, et al. Effect of pupillary size on ocular aberrations. Abant Medical Journal 2014; 65365: 134-7.
7. Perry RJ, Hodges JR. Attention and executive deficits in Alzheimer'sdisease:Acritical review. Brain: A Journal of Neurology 1999; 122 (3): 383-404. DOI: 10.1093/brain/122.3.383383-404.
8. Arnaiz E, Almkvist O. Neuropsychological features of mild cognitive impairment and preclinical Alzheimer's disease. Acta Neurologica Scandinavica 2003; 179 (107): 34-41.
9. Burns A, Lishman WA. Organic psychiatry: The psychological consequences of cerebral disorder. Oxford: Blackwell Scientific Publications, 1987; 745 p.
10. Tuncay SU, Ozdincler AR, Erdincler DS. Geriatrik hastalarda dusme risk faktbrlerinin gunluk yasam aktiviteleri ve yasam kalitesine etkisi. Turkish Journal of Geriatrics 2011; (14): 245-52.
11. Emre M, Bilgic B. Noroloji Temel Kitabi. Baski, 2013; 938 p.
12. Gurvit iH. Demans Sendromu, Alzheimer Hastahgi ve Alzheimer DISI Demanslar. istanbul Tip Fakultesi Noroloji Kitabi 2011; (1): 443.
13. Felson DT, Radin EL. What causes knee osteoarthrosis: are different compartments susceptible to different risk factors? J of Rheumatology 1994; (21): 181 -3.
14. Eason J, Seward HO Pupil size and reactivity following hydroxypropyl methylcellulose and sodium hyaluronate. Br J of Ophthalmology 1995; (79): 541-3.
15. Mesci C, Karakurt Y, Aydm N, et al. Comparison of visual functions with diffractive (Restor) and refractive (Rezoom) multifocal intraocular lenses after cataract operations. Glo-Kat 2009; (4): 183-8.
16. Asian BS, Akyol N. Multifocal intraocular lenses for cataract surgery and neuroadaptation. Glokom-Katarakt J 2008; (3): 1-4.
17. Hayashi K, Hayashi H. Pupil size before and after phacoemulsification in nondiabetic and diabetic patients. J of Cataract & Refractive Surgery 30 (2004): 2543-50.
18. Donnenfeld E, Gupta A, Morris M, et al. The effect of cataract surgery on the pupil light response, presented at XXXI Congress of the European Society of Cataract and Refractive Surgeons in 5-9 October 2013. [Google Scholar].
19. Koch DD, Samuelson SW, Villarreal R, et al. Changes in pupil size induced by phacoemulsification and posterior chamber lens implantation: consequences for multifocal lenses. J of Cataract & Refractive Surgery 22 (1996): 579-84.
20. Birren JE, Casperson RC, Botwinick J. Age changes in pupil size. J of Gerontology 1950; 5: 216-21.
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