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Comparisons of amplitude of pseudoaccommodation with aspheric yellow, spheric yellow, and spheric clear monofocal intraocular lenses

Authors Nishi T, Taketani F, Ueda T, Ogata N

Received 10 August 2013

Accepted for publication 17 September 2013

Published 1 November 2013 Volume 2013:7 Pages 2159—2164


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Tomo Nishi, Futoshi Taketani, Tetsuo Ueda, Nahoko Ogata

Department of Ophthalmology, Nara Medical University, Kashihara City, Nara, Japan

Purpose: To determine the amplitude of pseudoaccommodation and higher-order aberrations with three types of implanted monofocal intraocular lenses (IOLs): aspheric yellow (IQ); spheric yellow (NT); and spheric clear (AT).
Setting: Department of Ophthalmology, Nara Medical University, Nara, Japan.
Methods: We studied 60 patients who underwent small incision phacoemulsification with the implantation of a monofocal IQ, NT, or AT IOL. The pseudoaccommodation was measured by the lens-loading method, and the postoperative ocular higher-order aberrations were measured with a Hartmann–Shack wavefront analyzer through natural and 4 mm pupils.
Results: Sixty eyes of 60 patients were studied. The average amplitude of the pseudoaccommodation was 0.45±0.24 D with the IQ IOL, which was significantly lower than that with the AT IOL at 0.81±0.37 D (Tukey's test; P<0.01). The differences in the amplitude of the pseudoaccommodation between the IQ and the NT IOLs, and between the NT and the AT IOLs were not significant (Tukey's test; P>0.05). The degree of spherical aberration was significantly different for the IQ, NT, and AT lenses (analysis of variance, P=0.016). The spherical aberration through the IQ IOL was significantly lower than that through the NT and the AT IOLs (Tukey's test; P<0.01). The fourth-order RMS (root mean square) aberration of the IQ lens was also significantly lower than that of the NT and AT IOLs (Tukey's test; P<0.01).
Conclusion: Our results suggest that the spherical aberration and selective spectral transmission of IOLs may work together to increase the amplitude of the pseudoaccommodation.

Keywords: pseudoaccommodation, aspheric intraocular lens, spheric intraocular lens, higher-order aberrations

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