Risk factors for photic phenomena in two different multifocal diffractive intraocular lenses

Abstract Photic phenomena are more pronounced in presbyopia-corrected than in monofocal intraocular lens (IOL), causing dissatisfaction after cataract surgery. Photic Phenomena Test (PPT) quantifies photic phenomena in eyes with two types of presbyopia-corrected IOL. We examined the relationship bet...

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Main Authors: Yuki Ukai, Tsuyoshi Mito, Yui Nakatsugawa, Yusuke Seki, Norihiro Mita, Eri Shibuya, Mai Yamazaki, Eri Kubo, Hiroshi Sasaki
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-83838-x
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author Yuki Ukai
Tsuyoshi Mito
Yui Nakatsugawa
Yusuke Seki
Norihiro Mita
Eri Shibuya
Mai Yamazaki
Eri Kubo
Hiroshi Sasaki
author_facet Yuki Ukai
Tsuyoshi Mito
Yui Nakatsugawa
Yusuke Seki
Norihiro Mita
Eri Shibuya
Mai Yamazaki
Eri Kubo
Hiroshi Sasaki
author_sort Yuki Ukai
collection DOAJ
description Abstract Photic phenomena are more pronounced in presbyopia-corrected than in monofocal intraocular lens (IOL), causing dissatisfaction after cataract surgery. Photic Phenomena Test (PPT) quantifies photic phenomena in eyes with two types of presbyopia-corrected IOL. We examined the relationship between preoperative eye shape and pupil diameter. We included patients with PanOptix IOLs (PanOptix group, n = 38; 65.7 ± 9.2 years old) and Synergy IOLs (Synergy group, n = 39; 61.9 ± 9.6 years old), who underwent the PPT between 1 and 3 months after cataract surgery, from January 2021 to April 2023. The relationships between age, sex, pupil diameter, and higher-order corneal aberrations were examined and mean values for PPT measurements were compared between the groups. There was no difference in glare between the two groups. The halo was larger and thicker, and the starburst was larger and stronger in the Synergy group (P < 0.01). Postoperative halo brightness was positively correlated with the corneal coma aberration in the PanOptix group (P < 0.05). The Synergy group showed a positive correlation between the size and brightness of the postoperative halo and starburst and pupil diameter (P < 0.01). PPT, thus, revealed risk factors in eyes with two types of presbyopia-corrected IOL, which can be examined before cataract surgery to provide critical information for IOL selection.
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spelling doaj-art-d9acab9900a645d7b80e3ac207fe94912025-01-05T12:19:45ZengNature PortfolioScientific Reports2045-23222025-01-0115111010.1038/s41598-024-83838-xRisk factors for photic phenomena in two different multifocal diffractive intraocular lensesYuki Ukai0Tsuyoshi Mito1Yui Nakatsugawa2Yusuke Seki3Norihiro Mita4Eri Shibuya5Mai Yamazaki6Eri Kubo7Hiroshi Sasaki8Department of Ophthalmology, Kanazawa Medical UniversityDepartment of Ophthalmology, Kanazawa Medical UniversityDepartment of Ophthalmology, Kanazawa Medical UniversityDepartment of Ophthalmology, Kanazawa Medical UniversityDepartment of Ophthalmology, Kanazawa Medical UniversityDepartment of Ophthalmology, Kanazawa Medical UniversityDepartment of Ophthalmology, Kanazawa Medical UniversityDepartment of Ophthalmology, Kanazawa Medical UniversityDepartment of Ophthalmology, Kanazawa Medical UniversityAbstract Photic phenomena are more pronounced in presbyopia-corrected than in monofocal intraocular lens (IOL), causing dissatisfaction after cataract surgery. Photic Phenomena Test (PPT) quantifies photic phenomena in eyes with two types of presbyopia-corrected IOL. We examined the relationship between preoperative eye shape and pupil diameter. We included patients with PanOptix IOLs (PanOptix group, n = 38; 65.7 ± 9.2 years old) and Synergy IOLs (Synergy group, n = 39; 61.9 ± 9.6 years old), who underwent the PPT between 1 and 3 months after cataract surgery, from January 2021 to April 2023. The relationships between age, sex, pupil diameter, and higher-order corneal aberrations were examined and mean values for PPT measurements were compared between the groups. There was no difference in glare between the two groups. The halo was larger and thicker, and the starburst was larger and stronger in the Synergy group (P < 0.01). Postoperative halo brightness was positively correlated with the corneal coma aberration in the PanOptix group (P < 0.05). The Synergy group showed a positive correlation between the size and brightness of the postoperative halo and starburst and pupil diameter (P < 0.01). PPT, thus, revealed risk factors in eyes with two types of presbyopia-corrected IOL, which can be examined before cataract surgery to provide critical information for IOL selection.https://doi.org/10.1038/s41598-024-83838-xIntraocular lensPhotic phenomenaCataract surgeryEye shapePupil size
spellingShingle Yuki Ukai
Tsuyoshi Mito
Yui Nakatsugawa
Yusuke Seki
Norihiro Mita
Eri Shibuya
Mai Yamazaki
Eri Kubo
Hiroshi Sasaki
Risk factors for photic phenomena in two different multifocal diffractive intraocular lenses
Scientific Reports
Intraocular lens
Photic phenomena
Cataract surgery
Eye shape
Pupil size
title Risk factors for photic phenomena in two different multifocal diffractive intraocular lenses
title_full Risk factors for photic phenomena in two different multifocal diffractive intraocular lenses
title_fullStr Risk factors for photic phenomena in two different multifocal diffractive intraocular lenses
title_full_unstemmed Risk factors for photic phenomena in two different multifocal diffractive intraocular lenses
title_short Risk factors for photic phenomena in two different multifocal diffractive intraocular lenses
title_sort risk factors for photic phenomena in two different multifocal diffractive intraocular lenses
topic Intraocular lens
Photic phenomena
Cataract surgery
Eye shape
Pupil size
url https://doi.org/10.1038/s41598-024-83838-x
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