Aktuelle Übersicht: multifokale Linsen und Extended-Depth-of-Focus-Intraokularlinsen

Zusammenfassung

Das Bedürfnis von Presbyopie- und Kataraktpatienten nach einer erhöhten postoperativen Brillenunabhängigkeit ist einer der Hauptgründe für die Entwicklung multifokaler Intraokularlinsen (MIOL) und erweiterter Tiefenschärfe (EDOF) bei intraokularen Linsen (IOL). Da sich in den letzten 10 Jahren die Bereiche Ausbildung, Biometrie, Diagnostik, chirurgische Techniken und MIOL-/EDOF-IOL-Designs verbessert haben, sind immer mehr Kataraktchirurgen zu Katarakt- und Refraktivchirurgen geworden, um diesen Anforderungen gerecht zu werden. Es gibt jedoch keine einzige MIOL/EDOF-IOL, die für alle Patienten geeignet ist. Die große Vielfalt an MIOL und EDOF-IOL, ihrer Optiken und ihr jeweiliger Einfluss auf die Sehqualität unserer Patienten müssen verstanden werden, um die geeignete IOL für jedes Individuum passend auszuwählen. MIOL-/EDOF-IOL-Chirurgie muss individuell geplant werden. Dieser Review untersucht die verschiedenen optischen Aspekte und klinischen Konsequenzen von MIOL/EDOF-IOL, um Chirurgen bei der Suche nach geeigneten Lösungen für jeden einzelnen Patienten zu unterstützen.

Abstract

Presbyopia and cataract patientsʼ wish to be increasingly independent of spectacles after surgery and this is one of the main drivers for the development of multifocal intraocular lenses (MIOL) and extended depth of focus (EDOF) intraocular lenses (IOL). As education, biometry, diagnostics, surgical techniques, and MIOL/EDOF IOL designs have improved over the past decade, an increasing number of cataract surgeons have become cataract refractive surgeons to help address this need. There is not one single MIOL/EDOF IOL, however, that suits all patientsʼ needs. The wide variety of MIOL and EDOF IOL, their optics, and their impact on our patientsʼ quality of vision have to be fully understood if we have to choose the appropriate IOL for each individual; MIOL/EDOF IOL surgery has to be customized. This review article looks at the different optical aspects and clinical consequences of MIOL/EDOF IOL, in order to help surgeons find an appropriate solution for each of their individual patients.

Schlüsselwörter

Presbyopie - refraktive Chirurgie - Katarakt

Key words

presbyopia - refractive surgery - cataract

• Literatur

• 1 de Silva S, Evans J, Kirthi V. et al. Multifocal versus monofocal intraocular lenses after cataract extraction. Cochrane Database Syst Rev 2016; (12) CD003169
• 2 Leyland M, Zinicola E. Multifocal versus monofocal intraocular lenses in cataract surgery: a systematic review. Ophthalmology 2003; 110: 1789-1798 doi:10.1016/S0161-6420(03)00722-X
• 3 Agresta B, Knorz MC, Kohnen T. et al. Distance and near visual acuity improvement lenses in cataract patients with presbyopia. J Refract Surg 2012; 28: 426-435 doi:10.3928/1081597X-20120518-06
• 4 Cochener B, Lafuma A, Khoshnood B. et al. Comparison of outcomes with multifocal intraocular lenses: a meta-analysis. Clin Ophthalmol 2012; 5: 45-56 doi:10.2147/OPTH.S14325
• 5 De Vries NE, Nuijts RMMA. Multifocal intraocular lenses in cataract surgery: Literature review of benefits and side effects. J Cataract Refract Surg 2013; 39: 268-278 doi:10.1016/j.jcrs.2012.12.002
• 6 Rosen E, Alió JL, Dick HB. et al. Efficacy and safety of multifocal intraocular lenses following cataract and refractive lens exchange: metaanalysis of peer-reviewed publications. J Cataract Refract Surg 2016; 42: 310-328 doi:10.1016/j.jcrs.2016.01.014
• 7 Łabuz G, Reus NJ, van den Berg TJTP. Comparison of ocular straylight after implantation of multifocal intraocular lenses. J Cataract Refract Surg 2016; 42: 618-625 doi:10.1016/j.jcrs.2016.02.022
• 8 Braga-Mele R, Chang D, Dewey S. et al. Multifocal intraocular lenses: relative indications and contraindications for implantation. J Cataract Refract Surg 2014; 40: 313-322 doi:10.1016/j.jcrs.2013.12.011
• 9 Ramón RM, Abengózar-Vela A, Aramburu A. et al. Comparison of visual outcomes after bilateral implantation of extended range of vision and trifocal intraocular lenses. Eur J Ophthalmol 2017; 27: 460-465 doi:10.5301/ejo.5000935
• 10 Gatinel D, Loicq J. Clinically relevant optical properties of bifocal, trifocal, and extended depth of focus intraocular lenses. J Refract Surg 2016; 32: 237-280 doi:10.3928/1081597X-20160121-07
• 11 Katz M. Refraction of Light. Introduction to geometrical Optics. Singapore: World Scientific Publishing Co Pte Ltd; 2002: 33-44
• 12 Sines G, Sakellarakis YA. Lenses in antiquity. Am J Archaeol 2013; 91: 191-196 doi:10.2307/505216
• 13 Anicin BA, Babovi VM, Davidovic DM. Fresnel lenses. Am J Phys 1989; 57: 312-316 doi:10.1119/1.16071
• 14 Born M, Wolf E. Principles of Optics. Electromagnetic Theory of Propagation, Interference, and Diffraction of Light. New York: Pergamon Press; 1975: 5
• 15 Buckhurst PJ, Wolffsohn JS, Naroo SA. et al. Multifocal intraocular lens differentiation using defocus curves. Invest Ophthalmol Vis Sci 2012; 53: 3920-3926 doi:10.1167/iovs.11-9234
• 16 Yoon SY, Song IS, Kim JY. et al. Bilateral mix-and-match versus unilateral multifocal intraocular lens implantation: long-term comparison. J Cataract Refract Surg 2013; 39: 1682-1690 doi:10.1016/j.jcrs.2013.04.043
• 17 Wolffsohn JS, Jinabhai AN, Kingsnorth A. et al. Exploring the optimum step size for defocus curves. J Cataract Refract Surg 2013; 39: 873-880 doi:10.1016/j.jcrs.2013.01.031
• 18 Gatinel D, Houbrechts Y, Snwf A. et al. Comparison of bifocal and trifocal diffractive and refractive intraocular lenses using an optical bench. J Cataract Refract Surg 2013; 39: 1093-1099 doi:10.1016/j.jcrs.2013.01.048
• 19 Alba-Bueno F, Vega MS, Millán F. Halos y lentes intraoculares multifocales: origen e interpretación. Arch Soc Esp Oftalmol 2014; 89: 397-404 doi:10.1016/j.oftal.2014.01.002
• 20 Gil MA, Varon C, Rosello N. et al. Visual acuity, contrast sensitivity, subjective quality of vision, and quality of life with 4 different multifocal IOLs. Eur J Ophthalmol 2012; 22: 175-187 doi:10.5301/EJO.2011.8371
• 21 Hagen PR, Breyer DRH, Hakan K. et al. Halo and glare classification of multifocal IOLs compared with monofocal IOL and phakic eyes. Paper presented at: American Society of Cataract and Refractive Surgery Annual Meeting May 6 – 10, 2016; New Orleans, LA.
• 22 Taylor E, Breyer DRH, Kaymak H. et al. Individualized patient care: comparison of variants of blended vision with rotational asymmetric multifocal intraocular lenses. Paper presented at: American Society of Cataract and Refractive Surgery Annual Meeting May 5 – 9, 2017; Los Angeles, CA.
• 23 Kretz FTA, Khoramnia R, Attia MS. et al. Clinical evaluation of functional vision of + 1.5 diopters near addition, aspheric, rotational asymmetric multifocal intraocular lens. Korean J Ophthalmol 2016; 30: 382-389 doi:10.3341/kjo.2016.30.5.382
• 24 Alió JL, Plaza-Puche AB, Piñero DP. et al. Comparative analysis of the clinical outcomes with 2 multifocal intraocular lens models with rotational asymmetry. J Cataract Refract Surg 2011; 37: 1605-1614 doi:10.1016/j.jcrs.2011.03.054
• 25 Alió JL, Plaza-Puche AB, Montalban R. et al. Visual outcomes with a single-optic accommodating intraocular lens and a low-addition-power rotational asymmetric multifocal intraocular lens. J Cataract Refract Surg 2012; 38: 978-985 doi:10.1016/j.jcrs.2011.12.033
• 26 Yoo A, Kwag JY, Song IS. et al. Comparison of visual function after implantation of inferior sector-shaped intraocular lenses: low-add + 1.5 D vs. + 3.0 D. Eur J Ophthalmol 2016; 26: 607-611 doi:10.5301/ejo.5000771
• 27 Khurana AK. Theory and Practice of Optics and Refraction. In: Khurana AK. Intraocular Lenses: optical Aspects and Power Calculation. 3rd ed.. New Delhi, India: Elsevier India; 2013: 268-293
• 28 Morales EL, Rocha KM, Chalita MR. et al. Comparison of optical aberrations and contrast sensitivity between aspheric and spherical intraocular lenses. J Refract Surg 2011; 27: 723-728 doi:10.3928/1081597X-20110708-02
• 29 Keates RH, Pearce JL, Schneider RT. Clinical results of the multifocal lens. J Cataract Refract Surg 1987; 13: 557-560 doi:10.1016/s0886-3350(87)80114-1
• 30 Duffey J, Zabel RW, Lindstrom L. Multifocal intraocular lenses. J Cataract Refract Surg 1990; 16: 423-429 doi:10.1016/S0886-3350(13)80794-8
• 31 Lindstrom RL. Food and Drug Administration study update. One-year results from 671 Patients with the 3M multifocal intraocular lens. Ophthalmology 1993; 100: 91-97 doi:10.1016/S0161-6420(93)31687-8
• 32 Pallikaris IG, Portaliou DM, Kymionis GD. et al. Outcomes After accommodative bioanalogic intraocular lens implantation. J Refract Surg 2014; 30: 402-406 doi:10.3928/1081597X-20140520-01
• 33 Studeny P, Krizova D, Urminsky J. Clinical experience with the WIOL-CF accommodative bioanalogic intraocular lens: Czech National Observational Registry. Eur J Ophthalmol 2016; 26: 230-235 doi:10.5301/ejo.5000653
• 34 McNeely RN, Pazo E, Millar Z. et al. Threshold limit of postoperative astigmatism for patient satisfaction after refractive lens exchange and multifocal intraocular lens implantation. J Cataract Refract Surg 2016; 42: 1126-1134 doi:10.1016/j.jcrs.2016.05.007
• 35 Grabner G, Ang RE, Vilupuru S. The small-aperture IC-8 intraocular lens: a new concept for added depth of focus in cataract patients. Am J Ophthalmol 2015; 160: 1176-1184 doi:10.1016/j.ajo.2015.08.017
• 36 Schultz T, Dick HB. Small-aperture intraocular lens implantation in a patient with an irregular cornea. J Refract Surg 2016; 32: 706-708 doi:10.3928/1081597X-20160721-01
• 37 Williams C, Becklund O. Introduction to the Optical Transfer Function. Bellingham, Washington, USA: SPIE; 2002
• 38 Majaj NJ, Pelli DG, Kurshan P. et al. The role of spatial frequency channels in letter identification. Vision Res 2002; 42: 1165-1184 doi:10.1016/s0042-6989(02)00045-7
• 39 Alarcon A, Canovas C, Rosen R. et al. Preclinical metrics to predict through-focus visual acuity for pseudophakic patients. Biomed Opt Express 2016; 7: 1877-1888 doi:10.1364/BOE.7.001877
• 40 Piers PA, Chang DH, Alarcón A. et al. Clinically relevant interpretations of optical bench measurement of intraocular lenses. J Refract Surg 2017; 33: 64 doi:10.3928/108159
• 41 Pieh S, Kellner C, Hanselmayer G. et al. Comparison of visual acuities at different distances and defocus curves. J Cataract Refract Surg 2002; 28: 1964-1967 doi:10.1016/s0886-3350(02)01317-2
• 42 Plaza-Puche A, Alió J, MacRae S. et al. Correlating optical bench performance with clinical defocus curves in varifocal and trifocal intraocular lenses. J Refract Surg 2015; 31: 300-307 doi:10.3928/1081597X-20150423-03
• 43 MacRae S, Holladay JT, Glasser A. et al. Special Report: American Academy of Ophthalmology Task Force Consensus Statement for extended depth of focus intraocular lenses. Ophthalmology 2017; 124: 139-141 doi:10.1016/j.ophtha.2016.09.039
• 44 Davison JA, Simpson MJ. History and development of the apodized diffractive intraocular lens. J Cataract Refract Surg 2006; 32: 849-858 doi:10.1016/j.jcrs.2006.02.006
• 45 Domínguez-Vicent A, Esteve-Taboada JJ, Del Águila-Carrasco AJ. et al. In vitro optical quality comparison between the Mini WELL Ready progressive multifocal and the TECNIS Symfony. Graefes Arch Clin Exp Ophthalmol 2016; 254: 1387-1397 doi:10.1007/s00417-015-3240-7
• 46 Domínguez-Vicent A, Esteve-Taboada JJ, Del Águila-Carrasco AJ. et al. In vitro optical quality comparison of 2 trifocal intraocular lenses and 1 progressive multifocal intraocular lens. J Cataract Refract Surg 2016; 42: 138-147 doi:10.1016/j.jcrs.2015.06.040
• 47 Soda M, Yaguchi S. Effect of decentration on the optical performance in multifocal intraocular lenses. Ophthalmologica 2012; 227: 197-204 doi:10.1159/000333820
• 48 Lawless M, Hodge C, Reich J. et al. Visual and refractive outcomes following implantation of a new trifocal intraocular lens. Eye Vis (Lond) 2017; 4: 10 doi:10.1186/s40662-017-0076-8
• 49 Lee S, Alexander E. Optical bench performance of a novel trifocal intraocular lens compared with a multifocal intraocular lens. Clin Ophthalmol 2016; 10: 1031-1038
• 50 Carson D, Xu Z, Alexander E. et al. Optical bench performance of 3 trifocal intraocular lenses. J Cataract Refract Surg 2016; 42: 1361-1367 doi:10.1016/j.jcrs.2016.06.036
• 51 Gundersen KG, Potvin R. Comparison of visual outcomes and subjective visual quality after bilateral implantation of a diffractive trifocal intraocular lens and blended implantation of apodized diffractive bifocal intraocular lenses. Clin Ophthalmol 2016; 10: 805-811 doi:10.2147/OPTH.S107162
• 52 Nuijts RMMA, Jonker SMR, Kaufer RA. et al. Bilateral implantation of 2.5 D multifocal intraocular lens and contralateral implantation of 2.5 D and 3.0 D multifocal intraocular lenses: clinical outcomes. J Cataract Refract Surg 2016; 42: 194-202 doi:10.1016/j.jcrs.2016.02.009
• 53 Tarib I, Kasier I, Herbers C. et al. Comparison of visual outcomes and patient satisfaction after bilateral implantation of an EDOF IOL and a Mix-and-Match approach. J Refract Surg 2019; 35: 408-416 doi:10.3928/1081597X-20190417-02
• 54 Breyer DRH. MIOL Implantation nach dem Düsseldorfer Schema. Der Augenspiegel 2016; 07: 24-28
• 55 Huber F. Light scattering by small particles. Aqua 1998; 47: 87-94
• 56 Ehmer A, Rabsilber TM, Mannsfeld A. et al. Einfluss verschiedener multifokaler Intraokularlinsenkonzepte auf den Streulichtparameter. Ophthalmologe 2011; 108: 952-956 doi:10.1007/s00347-011-2411-0
• 57 Jin Y, Zabriskie N, Olson RJ. Dysphotopsia outcomes analysis of two truncated acrylic 6.0 mm intraocular optic lenses. Ophthalmologica 2008; 223: 47-51 doi:10.1159/000167793
• 58 Radmall BR, Floyd A, Oakey Z. et al. Refractive index and its impact on pseudophakic dysphotopsia. Clin Ophthalmol 2015; 9: 1353-1358 doi:10.2147/OPTH.S86980
• 59 Pieh S, Lackner B, Hanselmayer G. et al. Halo size under distance and near conditions in refractive multifocal intraocular lenses. Br J Ophthalmol 2001; 85: 816-821
• 60 Mamalis N, Brubaker J, Davis D. et al. Complications of foldable intraocular lenses requiring explantation or secondary intervention 2007 survey update. J Cataract Refract Surg 2008; 34: 1584-1591 doi:10.1016/j.jcrs.2008.05.046
• 61 Berrow EJ, Wolffsohn JS, Bilkhu PS. et al. Visual performance of a new bi-aspheric, segmented, asymmetric multifocal IOL. J Refract Surg 2014; 30: 584-588 doi:10.3928/1081597X-20140814-01
• 62 Puell MC, Pérez-Carrasco MJ, Hurtado-Ceña FJ. et al. Disk halo size measured in individuals with monofocal versus diffractive multifocal intraocular lenses. J Cataract Refract Surg 2015; 41: 2417-2423 doi:10.1016/j.jcrs.2015.04.030
• 63 Buckhurst PJ, Naroo SA, Davies LN. et al. Tablet app halometer for the assessment of dysphotopsia. J Cataract Refract Surg 2015; 41: 2424-2429 doi:10.1016/j.jcrs.2015.05.041
• 64 McNeely RN, Pazo E, Spence A. et al. Comparison of the visual performance and quality of vision with combined symmetrical inferonasal near addition versus inferonasal and superotemporal placement of rotationally asymmetric refractive multifocal intraocular lenses. J Cataract Refract Surg 2016; 42: 1721-1729 doi:10.1016/j.jcrs.2016.10.016
• 65 Alió JL, Plaza-Puche AB, Javaloy J. et al. Comparison of the visual and intraocular optical performance of a refractive multifocal IOL. J Refract Surg 2012; 28: 100-105
• 66 Venter JA, Pelouskova M. et al. Initial experience with a new refractive rotationally asymmetric multifocal intraocular lens. J Refract Surg 2014; 30: 770-776 doi:10.3928/1081597X-20141021-09
• 67 Vega F, Alba-Bueno F, Milán MS. et al. Halo and through-focus performance of four diffractive multifocal intraocular lenses. Invest Ophthalmol Vis Sci 2015; 56: 3967-3975 doi:10.1167/iovs.15-16600
• 68 Wang M, Corpuz CCC, Fujiwara M. et al. Visual and optical performances of multifocal intraocular lenses with three different near additions: 6-month follow-up. Open Ophthalmol J 2015; 9: 1-7 doi:10.2174/1874364101509010001
• 69 Chaves MA, Hida WT, Tzeliks PF. et al. Comparative study on optical performance and visual outcomes between two diffractive multifocal lenses: AMO Tecnis^® ZMB00 and AcrySof^® IQ ReSTOR^® Multifocal IOL SN6AD1. Arq Bras Oftalmol 2016; 79: 171-176 doi:10.5935/0004-2749.20160050
• 70 Plaza-Puche AB, Alio JL. Analysis of defocus curves of different modern multifocal intraocular lenses. Eur J Ophthalmol 2016; 26: 412-417 doi:10.5301/ejo.5000780
• 71 Dexl AK, Zaluski S, Rasp M. et al. Visual performance after bilateral implantation of a new diffractive aspheric multifocal intraocular lens with a 3.5 D addition. Eur J Ophthalmol 2014; 24: 35-43 doi:10.5301/ejo5000315
• 72 Kaymak H, Höhn F, Breyer DR. et al. [Functional results 3 months after implantation of an “extended range of vision” intraocular lens]. Klin Monatsbl Augenheilkd 2016; 233: 923-927 doi:10.1055/s-0042-104064
• 73 Kretz FT, Gerl M, Gerl R. et al. Clinical evaluation of a new pupil independent diffractive multifocal intraocular lens with a + 2.75 D near addition: a European multicentre study. Br J Ophthalmol 2015; 99: 1655-1659 doi:10.1136/bjophthalmol-2015-308032
• 74 Kretz FTA, Koss MJ, Auffarth GU. ZLB00 Study Group. Intermediate and near visual acuity of an aspheric, bifocal, diffractive multifocal intraocular lens with + 3.25 D near addition. J Refract Surg 2015; 31: 295-299 doi:10.3928/1081597X-20150423-02
• 75 Cochener B. Prospective clinical comparison of patient outcomes following implantation of trifocal or bifocal intraocular lenses. J Refract Surg 2016; 32: 146-151 doi:10.3928/1081597X-20160114-01
• 76 Can I, Bostancı Ceran B, Soyugelen G. et al. Comparison of clinical outcomes with 2 small-incision diffractive multifocal intraocular lenses. J Cataract Refract Surg 2012; 38: 60-67 doi:10.1016/j.jcrs.2011.07.036
• 77 Kretz FTA, Breyer D, Klabe K. et al. Clinical outcomes after implantation of a trifocal toric intraocular lens. J Refract Surg 2015; 31: 504-510 doi:10.3928/1081597X-20150622-01
• 78 Mojizis P, Majerova K, Hrckova L. et al. Implantation of a diffractive trifocal intraocular lens: one-year-follow-up. J Cataract Refract Surg 2015; 41: 1623-1630 doi:10.1016/j.jcrs.2014.11.050
• 79 Kohnen T, Titke C, Böhm M. Trifocal intraocular lens implantation to treat visual demands in various distances following lens removal. Am J Ophthalmol 2016; 161: 71-77 doi:10.1016/j.ajo.2015.09.30
• 80 Mendicute J, Kapp A, Levy P. et al. Evaluation of visual outcomes and patient satisfaction after implantation of a diffractive trifocal intraocular lens. J Cataract Refract Surg 2016; 42: 203-210 doi:10.1016/j.jcrs.2015.11.037
• 81 Kretz FTA, Choi CT, Müller M. et al. Visual outcomes, patient satisfaction and spectacle independence with a trifocal diffractive intraocular lens. Korean J Ophthalmol 2016; 30: 180-191 doi:10.3341/kjo.2016.30.3.180
• 82 Wang M, Corpuzz CC, Fujiwara M. et al. Visual and optical performance of diffractive multifocal intraocular lenses with different haptic designs: 6-month follow-up. Clin Ophthalmol 2014; 8: 919-926 doi:10.2147/OPTH.S60493
• 83 Torun Acar B, Duman E, Simsek S. Clinical outcomes of a new diffractive trifocal intraocular lens with enhanced depth of focus (EDOF). BMC Ophthalmol 2016; 16: 208 doi:10.1186/s12886-016-0389-8