Top

Graefe's Archive for Clinical and Experimental Ophthalmology

Published in:

01-02-2017 | Pediatrics

Pseudo-accommodation in non-amblyopic children after bilateral cataract surgery and implantation with a monofocal intraocular lens: prevalence and possible mechanisms

Authors: Charlotte Dénier, Pascal Dureau, Catherine Edelson, Amandine Barjol, Georges Caputo

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 2/2017

Abstract

Background

Some pseudophakic patients implanted with a monofocal intraocular lens (IOL) have good near visual acuity (VA) with their distance correction. The objective was to evaluate the prevalence of pseudo-accommodation in children after bilateral cataract surgery, without amblyopia, and to define its mechanisms.

Methods

Observational study that took place in a pediatric ophthalmology department, Paris, France. A total of 68 eyes were included, 40 from 23 children and 28 from 14 adults, with a corrected distance VA above 20/25 and a normal near VA (20/25) with +3 addition. Pseudo-accommodation was defined as a near VA better than 20/50 with the distance correction and without addition. Prevalence of pseudo-accommodation was calculated in each group. In order to determine the possible mechanisms of pseudo-accommodation in children, we compared children with pseudo-accommodation and adults without pseudo-accommodation regarding several parameters: refraction, axial length, corneal topography, aberrometry, pupillary diameter and IOL shift after cyclopentolate instillation.

Results

Among the children group, 36 (90 %) had pseudo-accommodation versus 2 (7 %) in the adult group. We found that spherical equivalent, implant power, corneal multifocality and corneal higher-order aberrations (mainly coma and trefoil) were significantly higher in the pseudo-accommodation group, while pupil diameter and implant shift were not significantly different.

Conclusions

Pseudo-accommodation has a high prevalence among non-amblyopic pseudophakic children. Several possible mechanisms have been found to explain pseudo-accommodation in children: a high power of the IOL and a small axial length, maximizing the effect of the IOL shift, corneal multifocality and corneal higher-order aberrations.

Nakazawa M, Ohtsuki K (1983) Apparent accommodation in pseudophakic eyes after implantation of posterior chamber intraocular lenses. Am J Ophthalmol 96:435–438CrossRefPubMed

Fukuyama M, Oshika T, Amano S, Yoshitomi F (1999) Relationship between apparent accomodation and corneal multifocality in pseudophakic eyes. Ophthalmology 106:1178–1181CrossRefPubMed

Huber C (1981) Planned myopic astigmatism as a substitute for accommodation in pseudophakia. J Am Intra-Ocul Implant Soc 7:244–249CrossRef

Nanavaty MA, Vasavada AR, Patel AS et al (2006) Analysis of patients with good uncorrected distance and near vision after monofocal intraocular lens implantation. J Cataract Refract Surg 32:1091–1097. doi:10.1016/j.jcrs.2006.03.021 CrossRefPubMed

Nawa Y, Ueda T, Nakatsuka M et al (2003) Accommodation obtained per 1.0 mm forward movement of a posterior chamber intraocular lens. J Cataract Refract Surg 29:2069–2072CrossRefPubMed

Oshika T, Mimura T, Tanaka S et al (2002) Apparent accommodation and corneal wavefront aberration in pseudophakic eyes. Invest Ophthalmol Vis Sci 43:2882–2886PubMed

Hayashi K, Hayashi H, Nakao F, Hayashi F (2003) Aging changes in apparent accommodation in eyes with a monofocal intraocular lens. Am J Ophthalmol 135:432–436CrossRefPubMed

Nihalani BR, VanderVeen DK (2013) Uncorrected visual acuity in children with monofocal pseudophakia. J Cataract Refract Surg 39:419–424. doi:10.1016/j.jcrs.2012.09.021 CrossRefPubMed

Gouws P, Hussin HM, Markham RHC (2006) Long term results of primary posterior chamber intraocular lens implantation for congenital cataract in the first year of life. Br J Ophthalmol 90:975–978. doi:10.1136/bjo.2006.094656 CrossRefPubMedPubMedCentral

10.

Ledoux DM, Trivedi RH, Wilson ME, Payne JF (2007) Pediatric cataract extraction with intraocular lens implantation: visual acuity outcome when measured at age four years and older. J AAPOS 11:218–224. doi:10.1016/j.jaapos.2006.11.003 CrossRefPubMed

11.

Chak M, Wade A, Rahi JS, British Congenital Cataract Interest Group (2006) Long-term visual acuity and its predictors after surgery for congenital cataract: findings of the British congenital cataract study. Invest Ophthalmol Vis Sci 47:4262–4269. doi:10.1167/iovs.05-1160 CrossRefPubMed

12.

Enyedi LB, Peterseim MW, Freedman SF, Buckley EG (1998) Refractive changes after pediatric intraocular lens implantation. Am J Ophthalmol 126:772–781CrossRefPubMed

13.

Du C, Shen M, Li M et al (2012) Anterior segment biometry during accommodation imaged with ultralong scan depth optical coherence tomography. Ophthalmology 119:2479–2485. doi:10.1016/j.ophtha.2012.06.041 CrossRefPubMedPubMedCentral

14.

Chen Q, Leng L, Zhu D et al (2014) Fully automated biometry of in situ intraocular lenses using long scan depth spectral-domain optical coherence tomography. Eye Contact Lens 40:37–45. doi:10.1097/ICL.0000000000000005 CrossRefPubMed

15.

Tsorbatzoglou A, Németh G, Széll N et al (2007) Anterior segment changes with age and during accommodation measured with partial coherence interferometry. J Cataract Refract Surg 33:1597–1601. doi:10.1016/j.jcrs.2007.05.021 CrossRefPubMed

16.

Dhital A, Spalton DJ, Gala KB (2013) Comparison of near vision, intraocular lens movement, and depth of focus with accommodating and monofocal intraocular lenses. J Cataract Refract Surg 39:1872–1878CrossRefPubMed

17.

Findl O, Kiss B, Petternel V et al (2003) Intraocular lens movement caused by ciliary muscle contraction. J Cataract Refract Surg 29:669–676CrossRefPubMed

18.

Tsorbatzoglou A, Németh G, Máth J, Berta A (2006) Pseudophakic accommodation and pseudoaccommodation under physiological conditions measured with partial coherence interferometry. J Cataract Refract Surg 32:1345–1350. doi:10.1016/j.jcrs.2006.02.069 CrossRefPubMed

19.

Legeais JM, Werner L, Werner L et al (1999) Pseudoaccommodation: BioComFold versus a foldable silicone intraocular lens. J Cataract Refract Surg 25:262–267CrossRefPubMed

20.

Lesiewska-Junk H, Kałuzny J (2000) Intraocular lens movement and accommodation in eyes of young patients. J Cataract Refract Surg 26:562–565CrossRefPubMed

21.

Nakamura K, Bissen-Miyajima H, Oki S, Onuma K (2009) Pupil sizes in different Japanese age groups and the implications for intraocular lens choice. J Cataract Refract Surg 35:134–138. doi:10.1016/j.jcrs.2008.10.020 CrossRefPubMed

22.

Huber C (1981) Myopic astigmatism a substitute for accommodation in pseudophakia. Doc Ophthalmol 52:123–178CrossRefPubMed

23.

Datiles MB, Gancayco T (1990) Low myopia with low astigmatic correction gives cataract surgery patients good depth of focus. Ophthalmology 97:922–926CrossRefPubMed

24.

Nanavaty MA, Spalton DJ, Boyce J et al (2009) Wavefront aberrations, depth of focus, and contrast sensitivity with aspheric and spherical intraocular lenses: fellow-eye study. J Cataract Refract Surg 35:663–671. doi:10.1016/j.jcrs.2008.12.011 CrossRefPubMed

25.

Cheng X, Bradley A, Thibos LN (2004) Predicting subjective judgment of best focus with objective image quality metrics. J Vis 4:310–321. doi:10.1167/4.4.7 CrossRefPubMed

26.

Nishi T, Nawa Y, Ueda T et al (2006) Effect of total higher-order aberrations on accommodation in pseudophakic eyes. J Cataract Refract Surg 32:1643–1649. doi:10.1016/j.jcrs.2006.05.020 CrossRefPubMed

27.

Brunette I, Bueno JM, Parent M et al (2003) Monochromatic aberrations as a function of age, from childhood to advanced age. Invest Ophthalmol Vis Sci 44:5438–5446CrossRefPubMed

28.

Ye H, Zhang K, Yang J, Lu Y (2014) Changes of corneal higher-order aberrations after cataract surgery. Optom Vis Sci 91(10):1244–50. doi:10.1097/OPX.0000000000000362 CrossRefPubMed

29.

Marcos S, Rosales P, Llorente L, Jiménez-Alfaro I (2007) Change in corneal aberrations after cataract surgery with 2 types of aspherical intraocular lenses. J Cataract Refract Surg 33:217–226. doi:10.1016/j.jcrs.2006.10.021 CrossRefPubMed

30.

Iseli HP, Jankov M, Bueeler M et al (2006) Corneal and total wavefront aberrations in phakic and pseudophakic eyes after implantation of monofocal foldable intraocular lenses. J Cataract Refract Surg 32:762–771. doi:10.1016/j.jcrs.2005.10.032 CrossRefPubMed

Title: Pseudo-accommodation in non-amblyopic children after bilateral cataract surgery and implantation with a monofocal intraocular lens: prevalence and possible mechanisms
Authors: Charlotte Dénier
Pascal Dureau
Catherine Edelson
Amandine Barjol
Georges Caputo
Publication date: 01-02-2017
Publisher: Springer Berlin Heidelberg
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 2/2017
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-016-3526-4

ACC 2024 Congress

Springer Medicine

Pseudo-accommodation in non-amblyopic children after bilateral cataract surgery and implantation with a monofocal intraocular lens: prevalence and possible mechanisms

Abstract

Background

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 2/2017

Treatment for stage 4A retinopathy of prematurity: laser and/or ranibizumab

The clinical depth of field achievable with trifocal and monofocal intraocular lenses: theoretical considerations and proof of concept clinical results

Long-term results and recurrence rates after spironolactone treatment in non-resolving central serous chorio-retinopathy (CSCR)

Association between axial length and horizontal and vertical globe diameters

Contralateral eye comparison study in MICS & MIGS: Trabectome® vs. iStent inject®

Investigation of precursor lesions of polypoidal choroidal vasculopathy using contralateral eye findings