Contrast Sensitivity and Patient Reported Outcomes After Bilateral Implantation of a Bi-Aspheric Hydrophobic Trifocal Diffractive Intraocular Lens
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To assess contrast sensitivity and patient reported outcomes after uncomplicated cataract surgery with a new bi-aspheric diffractive trifocal intraocular lens (IOL) implantation.Twenty-five patients who underwent bilateral implantation with the Asqelio Trifocal TFLIO130C IOL (AST Products Inc., Billerica, MA, USA) were analyzed at 6 months post-surgery. Binocular contrast sensitivity with and without glare was measured under photopic conditions (85 cd/m2) and mesopic conditions (3 cd/m2). Patients were asked to complete the Catquest-9SF patient outcomes questionnaire and a visual symptoms questionnaire.Photopic contrast sensitivity values were either within or above normal levels without glare; when glare was induced, the mean sensitivity values dropped just below normal range. Mesopic contrast sensitivity values were above or within normal range both with and without glare, except for 12 cpd with glare, where the mean fell just below the normal range. Differences in binocular contrast sensitivity threshold values with and without glare were significant for all spatial frequencies tested under both photopic and mesopic conditions (p<0.05). The Catquest-9SF questionnaire outcomes showed that 88% of patients were either satisfied or very satisfied with their sight after the surgery, and in all cases, the results indicated no difficulty in performing different daily activities. The visual symptoms questionnaire indicated no relevant visual symptoms regarding frequency, intensity, or bothersomeness after implantation of the trifocal IOL.This novel bi-aspheric diffractive trifocal IOL provides good contrast sensitivity outcomes under bright and dim lighting conditions. Patients were satisfied with the surgery, with no relevant visual symptoms.Keywords:
Mesopic vision
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The human eye presents different visual responses for different luminosity conditions. Thus, it can be defined different regimes of operation of the human visual system, like photopic and scotopic regimes, for high and low luminance levels respectively. All the classic photometry is based on the vision sensibility under the photopic regime. However, in several situations, it is common to face intermediate conditions known as mesopic. So, in order to convert photometric quantities between photopic and mesopic regimes, there is an equation in literature that describes the relationship between photopic and scotopic luminous fluxes as a function of the color correlate temperature. However, there are some evidences that this expression does not apply accurately to all technologies of light sources. Thus, this paper presents laboratory data showing that the equation in question does not apply to all lighting technologies, pointing towards a review of that relationship.
Mesopic vision
Scotopic vision
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Mesopic vision
Scotopic vision
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Mesopic conditions elicit both rod and cone responses, and they are more commonly encountered in daily life than are scotopic conditions; yet visual function outcome measures of mesopic visual acuity (VA) or contrast sensitivity (CS) are rarely evaluated.In retinitis pigmentosa (RP), we explored whether visual reductions in mesopic versus photopic conditions were correlated with cone or rod function, as well as the between-visit test-retest variability in mesopic measures.At each of two visits, 22 RP subjects completed mesopic and photopic ETDRS VA and Pelli-Robson chart CS tests obtained with and without a U23 NoIR 4% transmission filter; testing of perifoveal scotopic cone or rod sensitivity with the AdaptDx; and the Rabin Cone Contrast Test (CCT).A greater CS reduction in mesopic versus photopic conditions was significantly related to absence of scotopic rod function (p = 0.038) or longer self-reported duration of night vision loss (p = 0.044). VA reductions >0.2 logMAR in mesopic versus photopic conditions were significantly related to reduced cone-mediated scotopic sensitivity (p = 0.038). Significant predictors of the CCT ratio of S-cone to M- and L-cone sensitivity were mesopic VA (p = 0.038) and absence of AdaptDx rod function (p = 0.008). Test-retest 95% coefficients of repeatability were not significantly different when comparing between photopic and mesopic tests of VA (0.16 and 0.12 logMAR, respectively) or CS (0.21 and 0.24 logCS, respectively).Perifoveal scotopic rod and cone function measured with the AdaptDx was significantly correlated with mesopic CS and VA, respectively, which had good, acceptable test-retest repeatability; thus, they appear to be suitable outcome measures to monitor mesopic visual function in clinical practice or trials. RP subjects with reduced mesopic VA and no perifoveal rod function had a greater loss of sensitivity for S-cones than for L-/M-cones.
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To compare the impairment in visual function caused by glare with 2 acrylic intraocular lenses (IOLs) with different modified optic edges.Hayashi Eye Hospital, Fukuoka, Japan.Fifty-four patients had implantation of an IOL with a textured edge (Alcon MA60AC) in 1 eye and an IOL with a round-anterior, sloped-sided edge (AMO AR40e) in the opposite eye. Visual acuity was measured at 5 contrast visual targets (100%, 25%, 10%, 5%, and 2.5%) (contrast visual acuity) under photopic and mesopic conditions with and without a glare source approximately 1 month after surgery using the Contrast Sensitivity Accurate Tester (Menicon CAT-2000).The mean mesopic contrast visual acuity at moderate- to low-contrast visual targets was significantly worse in the presence of a glare source in both groups, whereas photopic contrast visual acuity did not change significantly. There were no significant differences between the 2 groups in the mean visual acuity or in photopic or mesopic lighting contrast visual acuity with and without a glare source. Furthermore, there was no significant difference in loss of contrast visual acuity in the presence of glare.Mesopic contrast sensitivity with both acrylic IOLs was impaired significantly in the presence of glare, but the impairment of contrast sensitivity from glare was approximately the same between eyes with a textured-edge IOL and eyes with a round-anterior, sloped-sided edge IOL.
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Abstract Car headlamp manufacturers have to optimise the headlamp spectrum to produce maximum visibility and minimal glare. There are very few investigations on the best spectrum for mesopic visibility and even less data on the spectrum of discomfort glare. We have performed pilot measurements to determine the spectral discomfort glare sensitivity under situations similar to night‐driving conditions and conclude that it is not a simple additivity of the V ( λ ) and the V ′ ( λ ) functions.
Headlamp
Mesopic vision
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Spectral sensitivity
Night vision
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Mesopic vision
Scotopic vision
Night vision
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Mesopic vision
Scotopic vision
Luminous efficacy
Night vision
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To compare visual function after bilateral implantation of multifocal Lentis Mplus LS-312 (Group A) or Acrysof Restor SN6AD1 (Group B) intraocular lenses (IOLs).Ophthalmology Unit, Centro Hospitalar e Universitário de Coimbra, and Visual Neuroscience Laboratory, IBILI, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.Comparative case series.Patients between 49 years and 76 years had bilateral cataract surgery with multifocal IOL implantation. Patients were evaluated preoperatively and 3 months postoperatively for distance, intermediate, and near visual acuities; static photopic and mesopic contrast sensitivity; and visual acuity under a glare source using the Metrovision contrast sensitivity platform. Color vision was evaluated with the Cambridge Colour Test.Group A comprised 56 eyes and Group B, 44 eyes. Visual and refractive results were comparable between the 2 groups. Photopic contrast sensitivity was significantly better in Group B at intermediate (2.2 cycles per degree [cpd] and 3.4 cpd) and high (7.1 cpd and 23.6 cpd) spatial frequencies. Under low mesopic conditions (0.08 candelas/m(2)), differences were significant at 1.1 cpd and 2.2 cpd spatial frequencies. There were no differences in visual acuity under a glare source or in color vision.Both IOLs provided good distance, intermediate, and near visual acuities. Visual acuity under a glare source and color vision were similar in the 2 groups. However, photopic and low mesopic contrast sensitivities were better in Group B, particularly for intermediate spatial frequencies, which are important for night driving.
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Aim:To analyze the effect of glare on contrast sensitivity assessment in patients with age-related cataract.Methods:Twenty-two patients(30 eyes) with age-related cataract were collected.The patients aged from 46 to 84 years with the best corrected visual acuity from 0.5 to 0.8.Contrast sensitivity with and without glare at different spatial frequency(1.5,3.0,6.0,12.0,and 18.0 c/d) were measured.Results:Photopic and mesopic glare decreased contrast sensitivity at low and medium spatial frequency(1.5,3.0,6.0 c/d)(photopic condition:t=3.359,3.172,and 5.072,P0.05;mesopic condition:t=9.852,9.354,and 2.493,P0.05).Conclusion:Glare mainly influences contrast sensitivity in the patients with age-related cataract at low and medium spatial frequency.
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In addition to photopic visual acuity both mesopic vision and sensitivity to glare play an important role in road traffic safety. It is known since the comprehensive investigations by Harms and Aulhorn that mesopic vision and sensitivity to glare are subjected to interindividually different changes with increasing age. 350 persons divided into three age groups were tested with a recently developed Nyktometer in order to gain some information about the influence of age on mesopic vision and sensitivity to glare. The results clearly show that both mesopic vision and visual performance in the presence of glare are strongly reduced with increasing age. Language: de
Mesopic vision
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Night vision
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