ArticleEye and vision (London, England)2022
Tolerance to lens tilt and decentration of two multifocal intraocular lenses: using the quick contrast sensitivity function method.
Article in Eye and vision (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- Tolerance to intraocular lens decentration and tilt in five presbyopia-correcting intraocular lenses: SS-AS-OCT-based study.Journal of cataract and refractive surgery · 2026Observational
- A case report of implantable collamer lens removal with cataract extraction and TECNIS Symfony extended range of vision intraocular lens (ZXR00) implantation.BMC ophthalmology · 2025Article
- Article
- Effect of crystalline lens decentration and tilt on visual performance in eyes implanted with bifocal or extended depth of focus intraocular lenses.BMC ophthalmology · 2025Observational
- Impact of Intraocular Lens Design on Refractive Endpoint Selection: A Call for a New Paradigm.Clinical ophthalmology (Auckland, N.Z.) · 2025Review
- Multifocal intraocular lenses improve near vision but increase optical aberrations in patients with non-proliferative diabetic retinopathy.American journal of translational research · 2025Article
- Maximizing extend visual outcomes with extend focus intraocular lens in eyes with axial length shorter than 24 mm.International journal of ophthalmology · 2025Article
- Using Hierarchical Bayesian Modeling to Enhance Statistical Inference on Contrast Sensitivity.Translational vision science & technology · 2024Article
- Comparison of visual outcomes in patients with cataracts and high myopia after implantation of a zonal refractive multifocal or diffractive bifocal intraocular lens.Scientific reports · 2024Article
- Predicting contrast sensitivity functions with digital twins.Scientific reports · 2024Article
- Comparison of postoperative visual performance between trifocal intraocular lens and monofocal intraocular lens.Saudi medical journal · 2023Article
- Challenges of refractive cataract surgery in the era of myopia epidemic: a mini-review.Frontiers in medicine · 2023Review
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundQuick contrast sensitivity function (qCSF) method is an advanced quick method for contrast sensitivity function (CSF) evaluation. This study evaluated the contrast sensitivity (CS) of eyes undergoing cataract surgery with multifocal intraocular lens (IOL) implantation and its tolerance to IOL tilt and IOL decentration using the qCSF method.
methodsPatients undergoing uneventful phacoemulsification and a trifocal IOL (Zeiss AT LISA tri 839MP, Carl Zeiss, Germany) or an extended depth-of-focus (EDOF) IOL (Tecnis Symfony ZXR00, Johnson & Johnsons, USA) implantation were included. Monocular contrast sensitivity was measured using the qCSF method at one month post-surgery. IOL tilt and decentration were measured using an optical aberrometer (OPD-Scan III, NIDEK, Japan).
resultsSeventy-two patients/eyes with the 839MP IOL and 64 patients/eyes with the ZXR00 IOL were included. Area under the log CSF (AULCSF) and CS acuity did not differ significantly between the two groups. The ZXR00 IOL group showed better CS at 1 cpd (1.137 ± 0.164 vs. 1.030 ± 0.183 logCS) and 1.5 cpd (1.163 ± 0.163 vs. 1.071 ± 0.161 logCS), while the 839MP IOL group had better CS at 6 cpd (0.855 ± 0.187 vs. 0.735 ± 0.363 logCS). In the 839MP IOL group, all CSF metrics were negatively correlated with IOL tilt (all P < 0.05), while in the ZXR00 IOL group, the CS at 3 cpd had no significant correlation with IOL tilt (P > 0.05). Among myopic eyes, fewer CSF metrics were negatively correlated with IOL tilt in the ZXR00 IOL group than in the 839MP IOL group. No significant correlation was found between CSF metrics and IOL decentration.
conclusionsThe ZXR00 and the 839MP IOL groups presented comparable CSF. CS was negatively correlated with IOL tilt, instead of decentration in multifocal IOLs, particularly among myopic eyes. The ZXR00 IOL had better tolerance to IOL tilt in myopic eyes.
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