Purpose Of Review: The manuscript presents a review of recently published studies reporting objective and subjective outcomes and preoperative considerations of asymmetrical multifocal intraocular lenses (IOLs).
Recent Findings: Current publications suggest that asymmetrical multifocal IOLs provide good, distance, intermediate and near vision for cataract and clear lens extraction patients. The contrast sensitivity achieved is similar to monofocal IOLs. Photopic phenomenon such as glare and halos has been reduced through the use of these IOLs leading to better patient satisfaction. Centration plays a critical role and the lack of a gold standard assessment tool has led to a minority of patients experiencing lower quality of vision and side-effects such as glare and hazy vision. The frequency of dissatisfied patients can be minimized by appropriate patient selection. This is achieved by assessing pupil parameters which guides the surgeon to align the IOL accordingly.
Summary: Asymmetric multifocal IOLs provide the surgeon with an IOL that achieves excellent visual and refractive outcomes enabling patients to see clearly at a range of distances. Subjectively patients report low levels of photopic phenomena and high levels of spectacle independence resulting in high overall patient satisfaction.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/ICU.0000000000000339 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Outcome of a Mix-and-Match Approach with a Monofocal Aspherical and a Bifocal Extended Depth-of-Focus Intraocular Lens to Achieve Extended Monovision in Cataract Patients.
Klin Monbl Augenheilkd
January 2025
Department of Ophthalmology, Pallas Kliniken, Olten/Bern/Zürich/Dübendorf, Switzerland.
Background: Extended monovision is a novel mix-and-match approach that has been recently introduced. It involves implanting an aspherical monofocal intraocular lens (IOL) for distance vision in the dominant eye, and a bifocal extended depth-of-focus (EDOF) IOL in the nondominant eye. The target refraction for the nondominant eye is - 1.
View Article and Find Full Text PDFChronic inflammatory demyelinating polyradiculoneuropathies (CIDP) with monotruncular onset: Frequency, clinical features, electrophysiology, and evolution.
Eur J Neurol
January 2025
Referral Centre for Neuromuscular Diseases and ALS, Hospital La Timone, Aix-Marseille University, Marseille, France.
Article Synopsis
- Multifocal chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is often characterized by uneven sensory and motor issues, with some cases starting from a single nerve, noted as "monotruncular onset."
- A study of 145 CIDP patients identified 16 with this monotruncular start, showing that the ulnar nerve was primarily affected, and diagnostic delays averaged 24 months.
- The findings suggest that monotruncular onset is relatively rare but may progress to more extensive nerve involvement; early treatment with intravenous immunoglobulins (IVIg) appears to help in maintaining a monotruncular state.
Comparison of Visual Performance Between Mix-and-Match and Bilateral Implantation of Rotationally Asymmetric Multifocal Intraocular Lenses.
Clin Ophthalmol
November 2024
Eye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, People's Republic of China.
Article Synopsis
- The study aimed to evaluate the effectiveness of two different approaches to implanting multifocal intraocular lenses (IOLs) in patients: a mix-and-match method versus a bilateral method.
- Patients were divided into two groups, with one receiving a combination of lenses in each eye and the other receiving the same lens in both eyes, and outcomes were assessed after three months.
- Results showed that the mix-and-match approach significantly improved intermediate vision and reduced the need for glasses compared to the bilateral implantation, suggesting it may be a better option for some patients.
Purpose: Multifocal motor neuropathy (MMN) is a rare immune-mediated neuropathy causing progressive, asymmetric weakness without sensory loss. Long-term administration of intravenous (IVIg) or subcutaneous (SCIg) immunoglobulins is the primary therapeutic approach. Despite this, therapy failure can result in a decline in strength, particularly in the hands, impacting daily activities.
View Article and Find Full Text PDF[Multifocal motor neuropathy. Report of three cases at a reference hospital in Mexico].
Rev Med Inst Mex Seguro Soc
March 2024
Instituto Mexicano del Seguro Social. Centro Médico Nacional Siglo XXI, Hospital de Especialidades "Dr. Bernardo Sepúlveda", Servicio de Neurofisiología. Ciudad de México, México.
Background: Motor multifocal neuropathy is an immunemediated neuropathy characterized by progressive and asymmetric weakness of the distal extremities, without sensory symptoms, and an important feature of conduction blocks. The objective of this study is to comprehensively describe the nosological and pathogenic implications of this neurodegenerative disorder, given the unclear diagnosis of MMN and the significant challenges it poses.
Clinical Cases: We present three clinical cases with a chronic clinical presentation, in which neuroconduction studies were performed, revealing the presence of anti-IgM GM1 antibodies, consistent with the diagnosis of motor multifocal neuropathy.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!