Study cautions use of multifocal intraocular lenses in patients with dAMD, glaucoma

Multifocal intraocular lenses (MIOL) in patients with glaucoma and dry age-related macular degeneration (dAMD) may lead to an increased risk of glare and need for glasses for reading, according to a study. Patients with preperimetric glaucoma implanted with MIOLS appeared to have good satisfaction.

In this study, 9 patients each with preperimetric glaucoma, perimetric glaucoma, and dAMD groups, as well as 11 healthy patients, who were all implanted with MIOL were included.

Monocular uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and low-contrast visual acuity (LCVA) was statistically better in healthy participants than in those with glaucoma and dAMD.

Halos were more often perceived in healthy participants and patients with preperimetric glaucoma compared with patients with glaucoma or dAMD. However, these patients suffered less from glare.

Patients with glaucoma or dAMD noted more difficulties driving at night and needed glasses for near more than the other groups.

Reference
Sánchez-Sánchez C, Rementería-Capelo LA, Puerto B, et al. Visual function and patient satisfaction with multifocal intraocular lenses in patients with glaucoma and dry age-related macular degeneration. J Ophthalmol. 2021 Jun 10;2021:9935983. doi: 10.1155/2021/9935983. PMID: 34221497; PMCID: PMC8213489.