April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Glistenings in multifocal intraocular lenses: Visual outcomes and risk factors
Author Affiliations & Notes
  • Lemy Agbessi
    ophtalmologie, CHU Bordeaux, BORDEAUX, France
    ophtalmologie, Centre Hospitalier Libourne, LIBOURNE, France
  • Remi Mascali
    ophtalmologie, CHU Brest, BREST, France
  • Beatrice Cochener
    ophtalmologie, CHU Brest, BREST, France
  • Isabelle Orignac
    ophtalmologie, CHU Nantes, NANTES, France
  • Cedric Schweitzer
    ophtalmologie, CHU Bordeaux, BORDEAUX, France
  • Footnotes
    Commercial Relationships Lemy Agbessi, None; Remi Mascali, None; Beatrice Cochener, None; Isabelle Orignac, None; Cedric Schweitzer, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 2522. doi:
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      Lemy Agbessi, Remi Mascali, Beatrice Cochener, Isabelle Orignac, Cedric Schweitzer; Glistenings in multifocal intraocular lenses: Visual outcomes and risk factors. Invest. Ophthalmol. Vis. Sci. 2014;55(13):2522.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: Intraocular lens glistenings have been reported in the literature since 1984 and its impact on vision is controversial. The aims of this study were to evaluate quality of vision after implantation of multifocal hydrophobic acrylic intraocular lenses with glistenings, and to determine clinical factors associated with glistenings.

Methods: This study prospectively included consecutive eyes from September 2012 to March 2013. Glistenings was graded with slitlamp examination and IOL photography. Quality of vision was evaluated with corrected visual acuity, reading speed, and best reading distance (Salzburg Reading Desk), defocus curve, contrast sensitivity and aberrometry. All participants underwent a complete ophthalmologic examination and had to fill the NEI-RQL questionnaire.

Results: The study consecutively included 102 eyes. Glistenings occurred in 65% of eyes, 20% were mild glistenings, 45% were moderate to severe glistenings. Glistenings was related to glare (p=0.01) but had no significant impact on visual acuity, reading speed, best reading distance, defocus curve, contrast sensitivity and aberrometry. Glistening density was related to higher dioptric intraocular lens power (p=0.04).

Conclusions: Glistenings do not impair visual function measurements, but have an impact on patients' visual symptoms such as glare. In this study, lens glistenings increase with high dioptric power.

Keywords: 567 intraocular lens • 754 visual acuity • 630 optical properties  
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