Abstract
The Lentis Mplus is a multifocal intraocular lens (IOL) based on the concept of refractive rotational asymmetry. There are two different models, the Lentis Mplus LS-313 with near add of +3.00 D and the Lentis Comfort LS-313 MF15 with near addition of 1.5 D. In this chapter, the visual outcomes and optical quality results obtained with these IOL models are explained in detail.
Forty-five eyes of 25 patients were implanted with the Lentis Mplus LS-313. Thirty-one eyes of 18 patients were implanted with the Lentis Comfort. Distance and near visual acuities, contrast sensitivity, defocus curve, and ocular optical performance were reported.
Distance and near visual acuities improved with the surgery (p < 0.01) for both IOL models. Contrast sensitivity was within the normal range for the age sample for all spatial frequencies for both IOL models. Defocus curve provided two peaks of maximum vision at 0 D and −2.50 D defocus levels for the Lentis Mplus LS-313; for the Lentis Comfort, visual acuity better than 0.20 LogMAR was obtained between 0 D and −1.5 D defocus levels. Mean ocular Strehl ratio was 0.09 ± 0.03 and 0.10 ± 0.04 for the Lentis Mplus LS-313 and Lentis Comfort, respectively; mean cutoff spatial frequency for the ocular MTF was 13.62 ± 6.38 and 13.44 ± 5.41 for the Lentis Mplus LS-313 and Lentis Comfort, respectively.
The Lentis Mplus LS-313 provides better near visual outcomes and an optimal intermediate visual acuity with high stability than the C-loop haptic model. Also, the Lentis Comfort provides better intermediate visual acuity after cataract surgery than the Lentis Mplus LS-313.
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References
Alió JL, Piñero DP, Plaza-Puche AB, Chan MJ. Visual outcomes and optical performance of a monofocal intraocular lens and a new-generation multifocal intraocular lens. J Cataract Refract Surg. 2011;37:241–50.
Alió JL, Plaza-Puche AB, Piñero DP. Rotationally asymmetric multifocal IOL implantation with and without capsular tension ring: refractive and visual outcomes and intraocular optical performance. J Refract Surg. 2012;28:253–8.
Alió JL, Plaza-Puche AB, Javaloy J, Ayala MJ, Vega-Estrada A. Clinical and optical intraocular performance of rotationally asymmetric multifocal IOL plate-haptic design versus C-loop haptic design. J Refract Surg. 2013;29:252–9.
Venter JA, Pelouskova M, Collins BM, Schallhorn SC, Hannan SJ. Visual outcomes and patient satisfaction in 9366 eyes using a refractive segmented multifocal intraocular lens. J Cataract Refract Surg. 2013;39:1477–84.
Hohberger B, Laemmer R, Adler W, Juenemann AG, Horn FK. Measuring contrast sensitivity in normal subjects with OPTEC® 6500: influence of age and glare. Graefes Arch Clin Exp Ophthalmol. 2007;245:1805–14.
Charman WN, Atchinson DA. Decentred optical axes and aberrations along principal visual field meridians. Vision Res. 2009;49:1869–76.
Grabow HB. Toric intraocular lens report. Ann Ophthalmol Glaucoma. 1997;29:161–3.
Patel CK, Ormonde S, Rosen PH, Bron AJ. Postoperative intraocular lens rotation; a randomized comparison of plate and loop haptic implants. Ophthalmology. 1999;106:2190–5.
Prinz A, Neumayer T, Buehl W, Vock L, Menapace R, Findl O, Georgopoulos M. Rotational stability and posterior capsule opacification of a plate-haptic and an open-loop-haptic intraocular lens. J Cataract Refract Surg. 2011;37:251–7.
Bellucci R. Multifocal intraocular lenses. Curr Opin Ophthalmol. 2005;16:33–7.
Dick HB. Accommodative intraocular lenses: current status. Curr Opin Ophthalmol. 2005;16:8–26.
Alio JL, Tavolato M, De La Hoz F, Claramonte P, Rodríguez-Prats JL, Galal A. Near vision restoration with refractive lens exchange and pseudoaccommodating and multifocal refractive and diffractive intraocular lenses. Comparative clinical study. J Cataract Refract Surg. 2004;30:2494–503.
De Vries NE, Webers CA, Montés-Micó R, Ferrer-Blasco T, Nuijts RM. Visual outcomes after cataract surgery with implantation of a +3.00 D or +4.00 D aspheric diffractive multifocal intraocular lens: comparative study. J Cataract Refract Surg. 2010;36:1316–22.
Alió JL, Plaza-Puche AB, Piñero DP, Javaloy J, Ayala MJ. Comparative analysis of the clinical outcomes with 2 multifocal intraocular lens models with rotational asymmetry. J Cataract Refract Surg. 2011;37:1605–14.
Alió JL, Plaza-Puche AB, Montalban R, Javaloy J. Visual outcomes with a single-optic accommodating intraocular lens and a low-addition-power rotational asymmetric multifocal intraocular lens. J Cataract Refract Surg. 2012;38:978–85.
Compliance with Ethical Requirements
Ana Belén Plaza Puche and Jorge Alio declare that they have 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.
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Plaza-Puche, A.B., Alió, J.L. (2014). Lentis Mplus. In: Alió, J., Pikkel, J. (eds) Multifocal Intraocular Lenses. Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-09219-5_18
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DOI: https://doi.org/10.1007/978-3-319-09219-5_18
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