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Multifocal Intraocular Lenses: AT LISA Tri Toric 939 M/MP

  • Peter MojzisEmail author
Chapter
Part of the Essentials in Ophthalmology book series (ESSENTIALS)

Abstract

The presence of more than 1.00 D of astigmatism in eyes implanted with diffractive multifocal IOLs has been shown to compromise corrected distance and distance-corrected near visual acuities. This was the reason that led to the development of multifocal toric IOLs. These implants have been demonstrated to provide good visual outcomes at different distances (Mojzis et al. J Cataract Refract Surg 40:60–69, 2014; Alio et al. J Refract Surg 29:756–761, 2013; Hayashi et al. J Cataract Refract Surg 36:1323–1329, 2010; Knorz et al. J Refract Surg 29:762–767, 2013, Bellucci et al. J Cataract Refract Surg 39:1507–1518, 2013; Mojzis et al. Graefes Arch Clin Exp Ophthalmol 251:341–348, 2013; Mojzis et al. J Refract Surg 27:648–657, 2011; Mojzis et al. J Cataract Refract Surg. 2015 Dec;41(12):2695-706). Recently, trifocal toric IOLs have been developed as an option to compensate for different levels of preexisting corneal astigmatism after cataract surgery and to simultaneously provide complete restoration of visual function.

Keywords

Multifocal intraocular lenses AT LISA tri Toric 939 M/MP Visual acuity Refraction Defocus curve Contrast sensitivity Aberrometry Rotational stability Astigmatic changes 

Notes

Compliance with Ethical Requirements

Peter Mojzis declares he has no conflict of interest. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study. No animal studies were carried out by the authors for this article.

References

  1. 1.
    Mojzis P, Pena-Garcıa P, Liehneova I, Ziak P, Alio JL. Outcomes of a new diffractive trifocal intraocular lens. J Cataract Refract Surg. 2014;40:60–9.CrossRefGoogle Scholar
  2. 2.
    Alio JL, Montalban R, Pena-Garcıa P, Soria FA, Vega- Estrada A. Visual outcomes of a trifocal aspheric diffractive intraocular lens with microincision cataract surgery. J Refract Surg. 2013;29:756–61.CrossRefGoogle Scholar
  3. 3.
    Hayashi K, Manabe S-I, Yoshida M, Hayashi H. Effect of astigmatism on visual acuity in eyes with a diffractive multifocal intraocular lens. J Cataract Refract Surg. 2010;36:1323–9.CrossRefGoogle Scholar
  4. 4.
    Knorz MC, Rincon JL, Suarez E, Alfonso JF, Fernandez-Vega L, Titke C, Kohnen T, Tucker S. Subjective outcomes after bilateral implantation of an apodized diffractive C3.0 D multifocal toric IOL in a prospective clinical study. J Refract Surg. 2013;29:762–7.CrossRefGoogle Scholar
  5. 5.
    Bellucci R, Bauer NJ, Daya SM, Visser N, Santin G, Cargnoni M, Nuijts RM, for the Lisa Toric Study Group. Visual acuity and refraction with a diffractive multifocal toric intraocular lens. J Cataract Refract Surg. 2013;39:1507–18.CrossRefGoogle Scholar
  6. 6.
    Mojzis P, Pinero DP, Ctvrteckova V, Rydlova I. Analysis of internal astigmatism and higher order aberrations in eyes implanted with a new diffractive multifocal toric intraocular lens. Graefes Arch Clin Exp Ophthalmol. 2013;251:341–8.CrossRefGoogle Scholar
  7. 7.
    Mojzis P, Pinero DP, Studeny P, Toma s J, Korda V, Plaza AB, Alio JL. Comparative analysis of clinical outcomes obtained with a new diffractive multifocal toric intraocular lens implanted through two types of corneal incision. J Refract Surg. 2011;27:648–57.CrossRefGoogle Scholar
  8. 8.
    Mojzis P, Majerova K, Plaza-Puche AB, Hrckova L, Alio JL. Visual outcomes of a new toric trifocal diffractive intraocular lens. J Cataract Refract Surg. 2015;Dec;41(12):2695–706.CrossRefGoogle Scholar
  9. 9.
    Steinberg EP, Tielsch JM, Schein OD, Javitt JC, Sharkey P, Cassard SD, Legro MW, Diener-West M, Bass EB, Damiano AM, Steinwachs DM, Sommer A. The VF-14; an index of functional impairment in patients with cataract. Arch Ophthalmol. 1994;112:630–8.CrossRefGoogle Scholar
  10. 10.
    Alpins N. Astigmatism analysis by the Alpins method. J Cataract Refract Surg. 2001;27:31–49.CrossRefGoogle Scholar
  11. 11.
    Kretz FT, Bastelica A, Carreras H, Ferreira T, Muller M, Gerl M, Gerl R, Saeed M, Schmickler S, Auffarth GU. Clinical outcomes and surgeon assessment after implantation of a new diffractive multifocal toric intraocular lens. Br J Ophthalmol. 2015;99:405–11.CrossRefGoogle Scholar
  12. 12.
    Crema AS, Walsh A, Ventura BV, Santhiago MR. Visual outcomes of eyes implanted with a toric multifocal intraocular lens. J Refract Surg. 2014;30:486–91.CrossRefGoogle Scholar
  13. 13.
    Alfonso JF, Knorz M, Fernandez-Vega L, Rincon JL, Suarez E, Titke C, Kohnen T. Clinical outcomes after bilateral implantation of an apodized +3.0 D toric diffractive multifocal intraocular lens. J Cataract Refract Surg. 2014;40:51–9.CrossRefGoogle Scholar
  14. 14.
    Alio JL, Pinero DP, Tomas J, Plaza AB. Vector analysis of astigmatic changes after cataract surgery with implantation of a new toric multifocal intraocular lens. J Cataract Refract Surg. 2011;37:1217–29.CrossRefGoogle Scholar
  15. 15.
    Alio JL, Agdeppa MC, Pongo VC, El Kady B. Microincision cataract surgery with toric intraocular lens implantation for correcting moderate and high astigmatism: pilot study. J Cataract Refract Surg. 2010;36:44–52.CrossRefGoogle Scholar
  16. 16.
    Alio JL, Pinero DP, Tomas J, Aleson A. Vector analysis of astigmatic changes after cataract surgery with toric intraocular lens implantation. J Cataract Refract Surg. 2011;37:1038–49.CrossRefGoogle Scholar
  17. 17.
    Viestenz A, Seitz B, Langenbucher A. Evaluating the eye’s rotational stability during standard photography effect on determining the axial orientation of toric intraocular lenses. J Cataract Refract Surg. 2005;31:557–61.CrossRefGoogle Scholar
  18. 18.
    Desai P, Reidy A, Minassian DC, Vafidis G, Bolger J. Gains from cataract surgery: visual function and quality of life. Br J Ophthalmol. 1996;80:868–73.CrossRefGoogle Scholar
  19. 19.
    Alio JL, Plaza-Puche AB, Pinero DP, Amparo F, Rodrıguez- Prats JL, Ayala MJ. Quality of life evaluation after implantation of 2 multifocal intraocular lens models and a monofocal model. J Cataract Refract Surg. 2011;37:638–48.CrossRefGoogle Scholar
  20. 20.
    Alpins NA. Vector analysis of astigmatism changes by flattening, steepening, and torque. J Cataract Refract Surg. 1997;23:1503–14.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of OphthalmologyPremium Clinic TepliceTepliceCzech Republic

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