Skip to main content
Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology 2/2017

26.10.2016 | Pediatrics

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

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

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 2/2017

Einloggen, um Zugang zu erhalten

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.
Literatur
1.
Zurück zum Zitat Nakazawa M, Ohtsuki K (1983) Apparent accommodation in pseudophakic eyes after implantation of posterior chamber intraocular lenses. Am J Ophthalmol 96:435–438CrossRefPubMed Nakazawa M, Ohtsuki K (1983) Apparent accommodation in pseudophakic eyes after implantation of posterior chamber intraocular lenses. Am J Ophthalmol 96:435–438CrossRefPubMed
2.
Zurück zum Zitat Fukuyama M, Oshika T, Amano S, Yoshitomi F (1999) Relationship between apparent accomodation and corneal multifocality in pseudophakic eyes. Ophthalmology 106:1178–1181CrossRefPubMed Fukuyama M, Oshika T, Amano S, Yoshitomi F (1999) Relationship between apparent accomodation and corneal multifocality in pseudophakic eyes. Ophthalmology 106:1178–1181CrossRefPubMed
3.
Zurück zum Zitat Huber C (1981) Planned myopic astigmatism as a substitute for accommodation in pseudophakia. J Am Intra-Ocul Implant Soc 7:244–249CrossRef Huber C (1981) Planned myopic astigmatism as a substitute for accommodation in pseudophakia. J Am Intra-Ocul Implant Soc 7:244–249CrossRef
5.
Zurück zum Zitat 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 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
6.
Zurück zum Zitat 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 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
7.
Zurück zum Zitat 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 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
11.
Zurück zum Zitat 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 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.
Zurück zum Zitat Enyedi LB, Peterseim MW, Freedman SF, Buckley EG (1998) Refractive changes after pediatric intraocular lens implantation. Am J Ophthalmol 126:772–781CrossRefPubMed Enyedi LB, Peterseim MW, Freedman SF, Buckley EG (1998) Refractive changes after pediatric intraocular lens implantation. Am J Ophthalmol 126:772–781CrossRefPubMed
16.
Zurück zum Zitat 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 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.
Zurück zum Zitat Findl O, Kiss B, Petternel V et al (2003) Intraocular lens movement caused by ciliary muscle contraction. J Cataract Refract Surg 29:669–676CrossRefPubMed 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.
19.
Zurück zum Zitat Legeais JM, Werner L, Werner L et al (1999) Pseudoaccommodation: BioComFold versus a foldable silicone intraocular lens. J Cataract Refract Surg 25:262–267CrossRefPubMed 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.
Zurück zum Zitat Lesiewska-Junk H, Kałuzny J (2000) Intraocular lens movement and accommodation in eyes of young patients. J Cataract Refract Surg 26:562–565CrossRefPubMed Lesiewska-Junk H, Kałuzny J (2000) Intraocular lens movement and accommodation in eyes of young patients. J Cataract Refract Surg 26:562–565CrossRefPubMed
22.
Zurück zum Zitat Huber C (1981) Myopic astigmatism a substitute for accommodation in pseudophakia. Doc Ophthalmol 52:123–178CrossRefPubMed Huber C (1981) Myopic astigmatism a substitute for accommodation in pseudophakia. Doc Ophthalmol 52:123–178CrossRefPubMed
23.
Zurück zum Zitat Datiles MB, Gancayco T (1990) Low myopia with low astigmatic correction gives cataract surgery patients good depth of focus. Ophthalmology 97:922–926CrossRefPubMed Datiles MB, Gancayco T (1990) Low myopia with low astigmatic correction gives cataract surgery patients good depth of focus. Ophthalmology 97:922–926CrossRefPubMed
27.
Zurück zum Zitat 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 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
Metadaten
Titel
Pseudo-accommodation in non-amblyopic children after bilateral cataract surgery and implantation with a monofocal intraocular lens: prevalence and possible mechanisms
verfasst von
Charlotte Dénier
Pascal Dureau
Catherine Edelson
Amandine Barjol
Georges Caputo
Publikationsdatum
26.10.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 2/2017
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-016-3526-4

Weitere Artikel der Ausgabe 2/2017

Graefe's Archive for Clinical and Experimental Ophthalmology 2/2017 Zur Ausgabe

Neu im Fachgebiet Augenheilkunde

Open Access 22.02.2024 | Peeling | Originalien

Selektive Vitalfarbstoffe in der Makulachirurgie

Erhöhen sie die Wahrscheinlichkeit der intraoperativen ILM-Identifizierung auch bei einem erfahrenen Operateur?

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.