Original Article

Comparisons of Modulation Transform Function in 2 Monofocal Spherical Hydrophobic and Hydrophilic Intra Ocular Lenses

Abstract

To compare Modulation Transform Function (MTF) between standard monofocal spherical hydrophobic acrylic Alcon SA60AT (Bausch and Lomb) and hydrophilic acrylic Rayner Superflex (620H) (Rayner) intra-ocular lenses (IOLs). This cross-sectional study was conducted on 68 patients who underwent cataract surgery. The hydrophobic Alcon SA60AT IOL was implanted in 39, and the hydrophilic Rayner Superflex (620H) was implanted in 29 eyes. The OPD Scan III (Nidek) was used to assess MTF in normal pupils under mesopic light conditions 1 and 3 months after the surgery. t-test showed no significant difference in mean MTF between the two IOLs in the 2 follow-ups (P=0.788). The results of repeated measure ANOVA for each type of IOL indicated that MTF increased significantly in the hydrophilic group versus the hydrophobic group in the 3rd month (P=0.033). Moreover, the results of repeated measure ANOVA showed that MTF was affected by the type of IOL and refractive error in the 3rd month (P=0.029, P=0.025). It seems that the material of IOL and post-surgical residual refractive error can affect the visual acuity of pseudophakic patients. Although the hydrophilic IOL provided a better MTF three months after the surgery, studies with longer follow-ups are required to confirm the results.

1.Rubin GS, Adamsons IA, Stark WJ. Comparison of acuity, contrast sensitivity, and disability glare before and after cataract surgery. Arch Ophthalmol 1993;111:56-61.
2.Farbowitz MA, Zabriskie NA, Crandall AS, Olson RJ, Miller KM. Visual complaints associated with the AcrySof acrylic intraocular lens(1). J Cataract Refract Surg 2000;26:1339-45.
3.Kinard K, Jarstad A, Olson RJ. Correlation of visual quality with satisfaction and function in a normal cohort of pseudophakic patients. J Cataract Refract Surg 2013;39:590-7.
4.Nanavaty MA, Spalton DJ, Boyce JF. Influence of different acrylic intraocular lens materials on optical quality of vision in pseudophakic eyes. J Cataract Refract Surg 2011;37:1230-8.
5.Schwiegerling J. Theoretical limits to visual performance. Surv Ophthalmol 2000;45:139-46.
6.Tuan KM, Chernyak D, Feldman ST. Predicting patients' night vision complaints with wavefront technology. Am J Ophthalmol 2006;141:1-6.
7.Felipe A, Pastor F, Artigas JM, Diez-Ajenjo A, Gené A, Menezo JL. Correlation between optics quality of multifocal intraocular lenses and visual acuity: tolerance to modulation transfer function decay. J Cataract Refract Surg 2010;36:557-62.
8.Rawer R, Stork W, Spraul CW, Lingenfelder C. Imaging quality of intraocular lenses. J Cataract Refract Surg 2005;31:1618-31.
9.Tognetto D, Sanguinetti G, Sirotti P, Cecchini P, Marcucci L, Ballone E, et al. Analysis of the optical quality of intraocular lenses. Invest Ophthalmol Vis Sci 2004;45:2682-90.
10.Montés-Micó R, Ferrer-Blasco T, Cerviño A. Analysis of the possible benefits of aspheric intraocular lenses: review of the literature. J Cataract Refract Surg 2009;35:172-81.
11.Hayashi K, Hayashi H, Nakao F, Hayashi F. Correlation between pupillary size and intraocular lens decentration and visual acuity of a zonal-progressive multifocal lens and a monofocal lens. Ophthalmology 2001;108:2011-7.
12.Leyland M, Zinicola E. Multifocal versus monofocal intraocular lenses in cataract surgery: a systematic review. Ophthalmology 2003;110:1789-98.
13.Kawamorita T, Uozato H. Modulation transfer function and pupil size in multifocal and monofocal intraocular lenses in vitro. J Cataract Refract Surg 2005;31:2379-85.
14.Vilarrodona L, Barrett GD, Johnson B. High-order aberrations in pseudophakia with different intraocular lenses. J Cataract Refract Surg 2004;30:571-5.
15.Zhou Z, Congdon NG, Zhang M, Chen L, Zheng Z, Zhang L, et al. Distribution and visual impact of postoperative refractive error after cataract surgery in rural China: study of cataract outcomes and up-take of services report 4. J Cataract Refract Surg 2007;33:2083-90.
16.Guirao A, Redondo M, Geraghty E, Piers P, Norrby S, Artal P. Corneal optical aberrations and retinal image quality in patients in whom monofocal intraocular lenses were implanted. Arch Ophthalmol 2002;120:1143-51.
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IssueVol 60 No 9 (2022) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/acta.v60i9.11101
Keywords
Intraocular lens Spherical Hydrophobic Hydrophilic Modulation transform function

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How to Cite
1.
Abdolahinia T, Hashemi H, Jafarzadehpur E, Yekta A, Saffarpour M, Jafarzadehpour A, Shanbezadeh E, Khabazkhoob M. Comparisons of Modulation Transform Function in 2 Monofocal Spherical Hydrophobic and Hydrophilic Intra Ocular Lenses. Acta Med Iran. 2022;60(9):594-598.