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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2003, Number 3

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Rev Mex Oftalmol 2003; 77 (3)

Estudio comparativo entre lentes intraoculares monofocal y multifocal para visión cercana

Morales GME, Aguilera AR, Maldonado H, Nasser NL, Matiz-Moreno H
Full text How to cite this article

Language: Spanish
References: 11
Page: 105-109
PDF size: 441.87 Kb.


Key words:

multifocal, phacoemulsification, jaeger, intraocular implantation, silicon.

ABSTRACT

Purpose: To compare the near visual acuity sharpness between the monofocal and multifocal lens.
Method: Comparative, prospective, longitudinal and experimental clinic trial, divided in two groups: Groupo one: 11 patients with silicon monofocal lens S140 and the second group 11 patients with Amo-Array silicon multifocal. We included patients older than 40 years old, males and females submitted to cataract surgery with phacoemulsification and IOL implantation. All patients were evaluated near and far visual acuity pre and postoperative, contrast sensitivity, topography and specular microscopy.
Results: The mean age was very similar in both groups. There was no difference at one month in far visual acuity: Group one 20/50 to 20/30 and group two 20/30 to 20/25. There was statistical significant difference in near visual acuity: Group I J6 and J3 in group II. Contrast sensitivity and endothelial cell lost were similar in both groups.
Conclusions: Most patients with multifocal lens had an acceptable far and near vision; nevertheless we need longer follow up and more patients to have more accurate results.


REFERENCES

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  2. Percival, S. P. B.; Sehy, S. S.: Prospectively randomized trial comparing the pseudoaccommodation of the AMO ARRAY multifocal lens an monofocal lens. J Cataract Refract Surg, 1993; 19:26-31.

  3. Felix, K. J. ; Kammann, J. y cols. : Bilateral implantation of asymmetrical diffractive multifocal intraocular lenses. Arch Ophthalmol, 1999; 117:17-23.

  4. Birgit, A. ; Freudenthauer, N. y cols. : Binocular function after bilateral implantation of monofocal an refractive multifocal intraocular lenses. J Cataract Refract Surg, 1999; 25: 399-404.

  5. Weghawpt, H.; Pieh, S.; Skorpik, C.: Visual properties of foldable ARRAY multifocal intraocular lens. J Cataract Refract Surg, 1996; 22(2):1313-1317.

  6. Nakazawa, M.; Ohtsuki, K.: Apparent accommodation in pseudophakic eyes after implantation of posterior chamber intraocular lenses. Am J Ophthalmol, 1983; 96:435-438.

  7. Featherston, K. A.; Bloomfield, J. R.: Lang, A. J. y cols.: Driving simulation study: Bilateral Array multifocal versus bilateral AMO monofocal intraocular lenses. J Cataract Refract Surg, 1999; 25:1254-1262.

  8. Häring, G.; Gronemeyer, A.; Hedderich, J. y cols.: Stereoacuity and aniseikonia after unilateral and bilateral implantation of the Array refractive multifocal intraocular lens. J Cataract Refract Surg, 1999; 25:1151-1156.

  9. Steinert, R. F.; Aker, B. L.; Debra, J.; Trentacost, B. S. y cols.: A prospective comparative study of the AMO ARRAY zonalprogressive multifocal silicone intraocular lens and a monofocal intraocular lens. Ophthalmology, 1999; 106(7):1243-1255.

  10. Walkow, T.; Liekfeld, A.; Anders, N.; Pham, D. T. y cols.: A prospective evaluation of a Diffractive versus a refractive designed multifocal intraocular lens. Ophthalmology, 1997; 104(9):1380-1386.

  11. Dick, B.; Krummenauer, F.; Schwenn, O.; Krist, R.; Pfeiffer, N.: Objetive and subjective evaluation of photic phenomena monofocal and multifocal intraocular lens implation. Ophthalmology, 1999; 106(10):1878–1886.




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Rev Mex Oftalmol. 2003;77