Aberrometric impact in post-cataract surgery patients with high-tech intraocular lenses
Main Article Content
Abstract
Introduction
Premium intraocular lenses have captured the vision of the most demanding users around the world, however, aberrometric phenomena are the most responsible for patient discomfort when we talk about the quality of life.
Objective
The objective is to evaluate pre surgical high order aberrations and their impact on post-surgical outcome, after cataract surgery with high-tech lenses.
Methods
We present an original, single-center, retrospective, and descriptive study, performed at “Puerta de Hierro” Hospital in Guadalajara, Jalisco, Mexico. Between January 2024 to December 2024, we obtained a total of 43 patients, of which 64 eyes corresponded, whether they had cataract surgery on one or both eyes and with an intraocular premium lens, performed by the same surgeon.
Results
The results consist of 64 eyes, of which 43 patients were evaluated for this study. The demographic distribution was 21 men and 22 women with a mean age of 62.98 ± 4.808 years. The mean pupil diameter in pre-operative surgery conditions in photopic conditions was 3.67 ± 0.64 mm and pre-operative surgery in mesopic conditions was 5.25 ± 0.76 mm. The mean pupil diameter in the post-operative photopic conditions was 3.36 ± 0.54 mm and the post-operative mesopic conditions was 4.63 ± 0.69 mm.
Conclusion
In conclusion the lack of consensus or real or specific information regarding corneal aberrations in premium lenses, motivates this type of study to be possible. The quality of vision compared to previous years was evaluated subjectively, today it can be objectified and promote true visual quality.
Keywords:
Cataract; Aberrometric; Intraocular lens; Surgery; Quality of life.
Article Details
How to Cite
PACHECO, Dr. Arturo Iván Pérez; HERNÁNDEZ, Dr. Miguel Ángel Ibáñez; CASTILLO, Dra. Beatriz Alvarado.
Aberrometric impact in post-cataract surgery patients with high-tech intraocular lenses.
Medical Research Archives, [S.l.], v. 13, n. 6, june 2025.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/6621>. Date accessed: 15 july 2025.
doi: https://doi.org/10.18103/mra.v13i6.6621.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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2. Alio JL, D’Oria F, Toto F, et al. Retinal image quality with multifocal, EDoF, and accommodative intraocular lenses as studied by pyramidal aberrometry. Eye And Vision. 2021;8(1). doi:10.1186/s 40662-021-00258-y.
3. Alió JL, Kaymak H, Breyer D, Cochener B, Plaza‐Puche AB. Quality of life related variables measured for three multifocal diffractive intraocular lenses: a prospective randomised clinical trial. Clinical and Experimental Ophthalmology. 2017; 46(4):380-388. doi:10.1111/ceo.13084.
4. Ashena Z, Gallagher S, Naveed H, Spalton DJ, Nanavaty MA. Comparison of Anterior Corneal Aberrometry, Keratometry and Pupil Size with Scheimpflug Tomography and Ray Tracing Aberrometer. Vision. 2022;6(1):18. doi:10.3390/vis ion6010018.
5. Bhasin P, Sarkar D, Bhasin P, Dhanapal PP, Ubhal GN, Bhargava M. Visual performance and patient satisfaction with AcrySof® IQ Vivity® IOL: Experience from a tertiary care center in central India. Indian Journal of Ophthalmology. 2024;72 (4):554-557. doi:10.4103/ijo.ijo_1018_23.
6. Castillo RA, Hernández QE. Aberraciones corneales de alto orden. ¿Un método para graduar al queratocono? Rev Mex Oftalmol. 2008;82(6): 369-375.
7. Cerviño A, Esteve-Taboada JJ, Chiu YF, Yang CH, Tseng WC, Lee W. Tolerance to decentration of biaspheric intraocular lenses with refractive phase-ring extended depth of focus and diffractive trifocal designs. Graefe S Archive for Clinical and Experimental Ophthalmology. 2024; 262(8):2541-2550. doi:10.1007/s00417-024-06458-1.
8. Chen AJ, Long CP, Lu T, Garff KJ, Heichel CW. Accuracy of intraoperative aberrometry versus modern preoperative methods in post-myopic laser vision correction eyes undergoing cataract surgery with capsular tension ring placement. Graefe S Archive for Clinical and Experimental Ophthalmology. 2023;262(5):1545-1552. doi:10.100 7/s00417-023-06327-3.
9. Chen JL, Al-Mohtaseb ZN, Chen AJ. Criteria for premium intraocular lens patient selection. Curr Opin Ophthalmol. 2024;35(5):353-358. doi:10.1097/ ICU.0000000000001067.
10. Chuck RS, Jacobs DS, Lee JK, et al. Refractive Errors & Refractive Surgery Preferred Practice Pattern®. Ophthalmology. 2017;125(1):P1-P104. doi:10.1016/j.ophtha.2017.10.003.
11. Danzinger V, Schartmüller D, Schwarzenbacher L, et al. Clinical prospective intra-individual comparison after mix-and-match implantation of a monofocal EDOF and a diffractive trifocal IOL. Eye. 2023;38(2):321-327. doi:10.1038/s41433-023-02682-x.
12. Espaillat A, Coelho C, Batista MJM, Perez O. Predictors of Photic Phenomena with a Trifocal IOL. Clinical Ophthalmology. 2021;Volume 15: 495-503. doi:10.2147/opth.s282469.
13. Fernández J, Rodríguez-Vallejo M, Martínez J, Burguera N, Piñero DP. Prediction of visual acuity and contrast sensitivity from optical simulations with multifocal intraocular lenses. Journal of Refractive Surgery. 2019;35(12):789-795. doi:10.3928/1081597x-20191024-01.
14. Fu Y, Kou J, Chen D, et al. Influence of angle kappa and angle alpha on visual quality after implantation of multifocal intraocular lenses. Journal of Cataract & Refractive Surgery. 2019; 45(9):1258-1264. doi:10.1016/j.jcrs.2019.04.003.
15. Furlan WD, Martínez-Espert A, Montagud-Martínez D, Ferrando V, García-Delpech S, Monsoriu JA. Optical performance of a new design of a trifocal intraocular lens based on the Devil’s diffractive lens. Biomedical Optics Express. 2023; 14(5):2365. doi:10.1364/boe.487812.
16. García S, Salvá L, García-Delpech S, Martínez-Espert A, Ferrando V. Numerical analysis of the effect of decentered Refractive Segmented Extended Depth of Focus (EDOF) intraocular lenses on predicted visual outcomes. Photonics. 2023;10 (7):850. doi:10.3390/photonics10070850.
17. Garzón N, García-Montero M, López-Artero E, Poyales F, Albarrán-Diego C. Influence of trifocal intraocular lenses on standard autorefraction and aberrometer-based autorefraction. Journal of Cataract & Refractive Surgery. 2019;45(9):1265-1274. doi:10.1016/j.jcrs.2019.04.017.
18. Gatinel D, Rampat R, Dumas L, Malet J. An alternative wavefront reconstruction method for human eyes. Journal of Refractive Surgery. 2020; 36(2):74-81. doi:10.3928/1081597x-20200113-01.
19. Gatinel D, Rampat R, Malet J, Dumas L. Wavefront sensing, novel lower degree/higher degree polynomial decomposition and its recent clinical applications: A review. Indian Journal of Ophthalmology. 2020;68(12):2670. doi:10.4103/I jo.ijo_1760_20.
20. Huh J, Eom Y, Yang SK, Choi Y, Kim HM, Song JS. A comparison of clinical outcomes and optical performance between monofocal and new monofocal with enhanced intermediate function intraocular lenses: a case-control study. BMC Ophthalmology. 2021;21(1). doi:10.1186/s12886-021-02124-w.
21. Huang CY, Pu C, Hou CH. Premium intraocular lens adoption: Insights from a national health insurance analysis. J Formos Med Assoc. Published online August 7, 2024. doi:10.1016/j.j fma.2024.07.027.
22. Imburgia A, Gaudenzi F, Mularoni K, Mussoni G, Mularoni A. Comparison of clinical performance and subjective outcomes between two diffractive trifocal intraocular lenses (IOLs) and one monofocal IOL in bilateral cataract surgery. Frontiers in Bioscience-Landmark. 2022;27(2):041. doi:10.31083/j.fbl2702041.
23. Ishiguro N, Horiguchi H, Katagiri S, Shiba T, Nakano T. Correlation between higher-order aberration and photophobia after cataract surgery. PLoS ONE. 2022;17(9):e0274705. doi:10.1371/jour nal.pone.0274705.
24. Jameel A, Dong L, Lam CFJ, et al. Attitudes and understanding of premium intraocular lenses in cataract surgery: a public health sector patient survey. Eye. 2023;38(1):76-81. doi:10.1038/s41433-023-02633-6.
25. Jeon S, Choi A, Kwon H. Analysis of uncorrected near visual acuity after extended depth-of-focus AcrySof® VivityTM intraocular lens implantation. PLoS ONE. 2022;17(11):e0277687. doi:10.1371/journal.pone.0277687.
26. Kawamura J, Tanabe H, Shojo T, Yamauchi T, Takase K, Tabuchi H. Comparison of visual performance between diffractive bifocal and diffractive trifocal intraocular lenses. Scientific Reports. 2024;14(1). doi:10.1038/s41598-024-55926-5.
27. Kim JW, Eom Y, Bae SH, et al. Visual outcomes according to age after bilateral implantation of trifocal intraocular lenses. Journal of Refractive Surgery. 2024;40(4). doi:10.3928/1081597x-2024 0314-03.
28. La Cruz DZD, Garzón M, Pulido-London D, et al. Trifocal intraocular lenses versus bifocal intraocular lenses after cataract extraction. Cochrane Library. May 2017. doi:10.1002/14651858.cd012648.
29. Łabuz G, Güngör H, Auffarth GU, Yildirim TM, Khoramnia R. Altering chromatic aberration: how this latest trend in intraocular-lens design affects visual quality in pseudophakic patients. Eye And Vision. 2023;10(1). doi:10.1186/s40662-023-00367-w.
30. Łabuz G, Yan W, Baur ID, Khoramnia R, Auffarth GU. Comparison of Five Presbyopia-Correcting Intraocular Lenses: Optical-Bench Assessment with Visual-Quality Simulation. Journal of Clinical Medicine. 2023;12(7):2523. doi:10.339 0/jcm12072523.
31. Li LP, Yuan LY, Mao DS, Hua X, Yuan XY. Systematic bibliometric analysis of research hotspots and trends on the application of premium IOLs in the past 2 decades. International Journal of Ophthalmology. 2024;17(4):736-747. doi:10.18240/i jo.2024.04.19.
32. Liu X, Wu X, Huang Y. Laboratory evaluation of halos and Through-Focus performance of three different multifocal intraocular lenses. Journal of Refractive Surgery. 2022;38(9):552-558. doi:10.39 28/1081597x-20220802-02.
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