AIMS: The aim of the study was to retrospectively evaluate changes in vision after the implantation of trifocal (tIOL) or rotationally asymmetric multifocal artificial intraocular lenses (mIOL) in patients undergoing clear lens extraction. The main goal was to determine whether changes to central visual acuity occur after the implantation of an IOL at a follow-up examination after one year. Other objectives were to determine the difference between the groups with implanted diffractive and rotationally asymmetric artificial intraocular lenses, as well as to evaluate the risk of accurate correction in patients who had lived most of their lives "undercorrected". MATERIAL AND METHODS: In our study, we present a retrospective longitudinal evaluation of results in patients after the implantation of an artificial intraocular lens. In the period from 2013 to 2020, we evaluated changes in the vision of 22 patients aged 39-59 years, of whom 18 were women and 5 were men. The average preoperative refraction of myopic eyes was +5.7 ±2.13 Dsf and +1.24 ±0.86 Dcyl. In amblyopic eyes, 7 diffractive lenses and 15 rotationally asymmetric lenses were used. RESULTS: Uncorrected distance visual acuity before surgery and one year (1Y) after was 0.13 ±0.09 vs. 0.57 ±0.28 (p < 0.001); the best corrected distance visual acuity before and 1Y after was 0.53 ±0.22 vs. 0.62 ±0.29 (p = 0.024); uncorrected near visual acuity before and 1Y after was 0.06 ±0.06 vs. 0.48 ±0.32 (p < 0.001); the best corrected near visual acuity before and afér the surgical procedure was 0.45 ±0.27vs. 0.55 ±0.35 (p = 0.014). CONCLUSION: Implantation of tIOL and mIOL lenses was effective in our group of patients with amblyopia, thus improving uncorrected distance and near visual acuity and without serious adverse effects. At the same time, we evaluate that the change in refraction and the removal of anisometropia lead to a significant change in the best corrected visual acuity for distance or near vision at the one-year follow-up examination.

• Klíčová slova
• CLE, amblyopia, intraocular lens,
• MeSH
• amblyopie * etiologie   chirurgie   MeSH
• dospělí MeSH
• fakoemulzifikace * MeSH
• implantace nitrooční čočky škodlivé účinky   metody   MeSH
• lidé MeSH
• myopie * chirurgie   MeSH
• nitrooční čočky * MeSH
• protézy - design MeSH
• refrakce oka MeSH
• retrospektivní studie MeSH
• zraková ostrost MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

PURPOSE: To describe clinical visual outcomes, spectacle independence, and patient satisfaction after cataract surgery with blending implantation of ReSTOR (Alcon laboratories) multifocal intraocular lenses. MATERIAL AND METHODS: A single-arm, non-randomized prospective study assessed patients undergoing cataract surgery with ReSTOR® +2.50 intraocular lens in the dominant eye and +3.00 add in the fellow eye between January 2015 to January 2020. RESULTS: In total, 47 patients (94 eyes) were enrolled, 28 women and 19 men. The average age at surgery time was 64 ±8 years, average postoperative follow-up was 45.4 ±7.0 months, with a minimum of 18.9 months. Postoperative binocular uncorrected distance visual acuity (UDVA) was on average 0.07 logMar (Snellen 20/24), uncorrected binocular intermediate visual acuity at 65 cm was 0.07 logMar (20/24), uncorrected binocular near visual acuity at 40 cm was 0.06 logMar (20/23). Contrast sensitivity under photopic and scotopic conditions, with and without glare, remained at the upper limit of normality. 98% of patients were quite satisfied or very satisfied. 87% did not require glasses for any activities, either at distant vision, nor at near vision. CONCLUSIONS: Cataract surgery with ReSTOR® IOL blended vision showed medium-term satisfactory visual results, achieving spectacle independence and a high level of satisfaction.

• Klíčová slova
• Cataract surgery, ReSTOR, blended vision, intraocular lens, spectacle independence,
• MeSH
• citlivost na kontrast MeSH
• fakoemulzifikace * MeSH
• implantace nitrooční čočky metody   MeSH
• lidé středního věku MeSH
• lidé MeSH
• multifokální intraokulární čočky * MeSH
• nitrooční čočky * MeSH
• osobní uspokojení MeSH
• prospektivní studie MeSH
• protézy - design MeSH
• senioři MeSH
• spokojenost pacientů MeSH
• vidění binokulární MeSH
• zkalení zadního pouzdra čočky * MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

AIMS: To analyze changes in surgically induced corneal astigmatism and articial intraocular lens (IOL) stability over time following cataract surgery. To compare the interchangeability of measurements between an automatic keratorefractometer (AKRM) and a biometer. MATERIAL AND METHODS: In this prospective observational study, the above-mentioned parameters were collected from 25 eyes (25 subjects) on the first day, first week, first and third month after uncomplicated cataract surgery. We used IOL-induced astigmatism (difference between refractometry and keratometry) as an indirect indicator of IOL stability change. We used the Blant-Altman method to analyze consistency between devices. RESULTS: At the above time points, surgically induced astigmatism (SIA) decreased as follows: 0.65 D; 0.62 D; 0.60 D and 0.41 D (in the first day, week, month and third month respectively). Astigmatism induced by changes of the position of the IOL varied as follows: 0.88 D; 0.59 D; 0.44 D and 0.49 D. Changes in both parameters were statistically significant (p0.05). CONCLUSION: Both surgically induced astigmatism and astigmatism induced by IOL decreased over time, in which both changes were statistically significant. The decrease in SIA was most pronounced between the first and third month after surgery. For IOL-induced astigmatism, the greatest decrease was within the first month after surgery. The differences in measurement between the biometer and AKRM were statistically insignificant, but the clinical interchangeability between the given methods is questionable, especially with regard to measurement of the astigmatism angle.

• Klíčová slova
• astigmatism change over time, intraocular lens position, surgically induced astigmatism,
• MeSH
• astigmatismus * diagnóza   etiologie   MeSH
• fakoemulzifikace * škodlivé účinky   MeSH
• implantace nitrooční čočky škodlivé účinky   metody   MeSH
• katarakta * MeSH
• lidé MeSH
• nemoci rohovky * MeSH
• nitrooční čočky * škodlivé účinky   MeSH
• refrakce oka MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• pozorovací studie MeSH

PURPOSE: To evaluate the incidence of laser enhancement following cataract surgery and refractive lens exchange (RLE) with FineVision Micro F trifocal lens implantation (PhysIOL, Liège, Belgium). METHODS: Retrospective study of patients who had undergone cataract or RLE surgery and had received a FineVision Micro F intraocular lens. Laser enhancement of residual refractive error was determined. Visual acuity (VA) assessments were performed before and after surgery: uncorrected distance VA (UCDVA), best-corrected distance VA (BCDVA), uncorrected near VA (UCNVA), plus preoperative and postoperative spherical equivalent (SE) assessments. RESULTS: Of the 1129 eyes from 596 patients, 61 (5.4%) required laser enhancement to correct residual refractive error (by group: 30/679 eyes [4.4%] cataract; 31/450 eyes [6.9%] RLE). Eleven eyes received FemtoLASIK; 50 eyes received PRK. Mean UCDVA before laser enhancement was 0.26±0.19 logMAR and 0.24±0.14 in the FemtoLASIK and PRK groups, respectively. After laser enhancement, these were 0.04±0.05 logMAR and 0.13±0.19, respectively; BCDVA values were 0.00±0.00 logMAR in the FemtoLASIK group and 0.06±0.11 in the PRK group. Laser enhancement improved UCNVA (Jaeger) from 2-3 to 1-2 in both groups. Enhancement reduced preoperative SE of -0.39±0.99 D and -0.53±0.58 D (FemtoLASIK and PRK groups, respectively) to 0.24±0.36 D and 0.04±0.47 D. CONCLUSIONS: The FineVision Micro F trifocal lens is an effective solution for gaining increased spectacle independence. The incidence of residual refractive error requiring laser enhancement is low, and laser procedures are a safe and effective solution for improving the quality of vision and patient satisfaction. SYNOPSIS: Laser enhancement rates and outcomes were determined following cataract / refractive lens exchange surgery that used a trifocal IOL. Enhancement was safe and effective and rates were low (5.4%).

• Klíčová slova
• cataract surgery, laser enhancement, refractive lens exchange, trifocal IOL,
• MeSH
• fakoemulzifikace * MeSH
• implantace nitrooční čočky metody   MeSH
• incidence MeSH
• lasery MeSH
• lidé MeSH
• protézy - design MeSH
• refrakční vady * MeSH
• retrospektivní studie MeSH
• spokojenost pacientů MeSH
• zkalení zadního pouzdra čočky * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

AIMS: The aim of this study was to evaluate the changes in IOL position (axial shift, tilt and decentration) in the capsular bag after Nd:YAG laser capsulotomy and to create a user-friendly software that is optimized for the output of available imaging technology, then verify the relationship between the biometric parameters of the eye and the extent of changes in the IOL position. PATIENTS AND METHODS: The study included 35 artephakic eyes that underwent laser capsulotomy. Before and at least one hour after capsulotomy, all patients underwent the following assessments: optical biometry (Lenstar LS900), OCT with anterior segment module (Optovue Avanti) and IOL photography in infrared mode using reference unit (Verion). The original software solution was designed for the graphical evaluation of the differences between centering, axial displacement and tilt of IOL. Changes in IOL position were evaluated as simple differences before and after the laser procedure and as differences in absolute values (abs). RESULTS: The following results show the average differences in IOL position: ACD=0.02±0.23 mm (abs=0.11±0.20 mm), IOL decentration in x-axis = -0.001±0.091 mm (abs=0.065±0.063 mm), IOL decentration in y-axis =0.012±0.119 mm (abs=0.048±0.53 mm), tilt in horizontal plane TILT-H=0.11±0.83° (abs=0.51±0.66°) and tilt in vertical plane TILT-V = -0.14±0.49° (abs=0.26±0.44°). All changes were insignificant (P>>0.05). In total, 74.29% of IOLs showed a hypermetropic shift. A moderate positive correlation was found between the absolute differences in horizontal tilt and keratometry (r=0.45). Relationship with other changes and parameters were weak. CONCLUSION: In conclusion, the use of the original software solution developed by the authors showed that changes in IOL centering, axial displacement and tilt occur after Nd:YAG capsulotomy, but average differences were insignificant. In almost 3/4 cases, there was a hypermetropic axial displacement of the IOL.

• Klíčová slova
• IOL axial shift, IOL centration, IOL position, IOL tilt, NdYAG laser, capsulotomy, posterior capsule opacification,
• MeSH
• fakoemulzifikace * MeSH
• implantace nitrooční čočky metody   MeSH
• laserová terapie * MeSH
• lidé MeSH
• nitrooční čočky * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

AIMS: To present the initial results of Scharioth Macula Lens (SML) implantation. The SML is a new add-on intraocular lens designed to increase uncorrected near visual acuity (UCVA) in patients with stabilized maculopathy. METHODS: Eight patients were included in the study. All met the indication criteria before SML implantation. An SML was implanted in the better seeing eye. Near and distance visual acuity were tested. Possible complications and patient complaints were recorded and patients were asked about their quality of vision after SML implantation. The examination was carried out on day 1, 1 week, 1, 3 and 6 months after surgery. RESULTS: Six-month-results are presented. Apart from one, all patients with the SML had good near visual acuity at a recommended reading distance of 15 cm. Preoperatively, the mean (min-max) near UCVA was J13 (J8-J16), mean distance BCVA was 0.27. Postoperatively, the best results were after 1 month - near UCVA was J2.5 (J1-J7), distance BCVA was 0.26. Three months after surgery, this decreased to J4.5 (J1-J8); distance VA remained 0.25. Six months postoperatively - near vision was J4 (J1-J8) and distance VA was unchanged. Patients reported problems with reading speed and reading distance. Daily exercise improved their reading ability. One patient converted to wet AMD 3 months post-implantation. CONCLUSION: The SML is a new hope for low-vision patients. It acts as a magnifier in the eye. It is a suitable method for increasing near visual acuity in patients with inactive maculopathy.

• Klíčová slova
• Scharioth Macula Lens, low-vision, maculopathy, near vision improvement,
• MeSH
• implantace nitrooční čočky přístrojové vybavení   metody   MeSH
• lidé MeSH
• macula lutea patofyziologie   chirurgie   MeSH
• makulární degenerace chirurgie   MeSH
• nitrooční čočky * MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• zraková ostrost fyziologie   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

PURPOSE: To evaluate long-term refractive outcomes of implantable collamer lens (ICL) implantation and late postoperative complications. METHODS: We assessed outcomes of patients who underwent ICL implantation (type ICM V4 for myopia, ICH V3 for hyperopia, TICM V4 for astigmatism) in our department between 1998 and 2013. It comprised 62 eyes (40 myopic and 22 hyperopic). The average follow-up period was 10.5 years. We evaluated: uncorrected and best-corrected visual acuity (UCVA and BCVA), spherical equivalent (SE), ICL vault, endothelial cell density and late postoperative complications. RESULTS: In myopes, the average UCVA was 1.0±0.37 and BCVA 1.18±0.38, in hyperopes 0.78±0.19 and 1.14±0.18, respectively. The average SE in myopes, whose target refraction was emmetropia, was -0.6±0.83 Dsf, in hyperopes +0.73±0.93. Central ICL vault was 206.16μm±105.94, (range 10-427) in myopes, 195.5μm±109.09, (range 20-404) in hyperopes. The most common late postoperative complication was cataract formation. Three myopic eyes (7.5%) developed symptomatic anterior subcapsular opacities with loss of at least two lines of BCVA. Cataract significantly affecting visual acuity occurred in 5 myopic eyes (12.5%) and 2 hyperopic eyes (9.09%). In these eyes, ICL removal and cataract surgery was performed. CONCLUSIONS: In our experience, ICL implantation in moderate and high ametropia was effective and relatively safe. The most common late complication was cataract formation. This complication can be managed effectively surgically with good refractive outcomes without loss of BCVA.

• Klíčová slova
• Chirurgie réfractive, ICL, Implant phaque intra-oculaire de chambre postérieure, Implantable collamer lens, Implantable collamer lens (ICL), Posterior chamber phakic intraocular lens, Refractive surgery,
• MeSH
• dospělí MeSH
• fakické nitrooční čočky * škodlivé účinky   MeSH
• hypermetropie diagnóza   chirurgie   MeSH
• implantace nitrooční čočky škodlivé účinky   metody   MeSH
• lidé MeSH
• mladý dospělý MeSH
• myopie diagnóza   chirurgie   MeSH
• následné studie MeSH
• pooperační komplikace etiologie   MeSH
• prognóza MeSH
• retrospektivní studie MeSH
• výsledek terapie MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

UNLABELLED: Our study evaluated the visual and refractive results of LASEK and anterior chamber phakic intraocular lens (pIOL) implantation performed for high myopic anisometropia with amblyopia and contact lens intolerance in children compared with conventional treatment by contact lenses.Fourty-three patients (Group A) aged 3 to 7 years (mean, 5,6 years) with high myopic anisometropia and amblyopia had performed multizonal LASEK (27 eyes) or pIOL Verisyse implantation (16 eyes) on the more myopic eye in general anesthesia. Surgery was followed by patching of the dominant eye. Postoperative visual and refractive outcomes were analyzed and all children had minimally two years follow-up after procedure. Refractive surgical data were reported in standard format to describe safety, efficacy, predictability and stability of the procedure. This Group A of 43 children was compared with control Group B of 37 children (mean age 5,4 years), in whom myopic anisometropia and amblyopia were treated conventionally by contact lenses (CL) and patching of the dominant eye. Visual acuity (VA) and binocular vision (BV) outcome were analyzed and compared in both groups.The mean preoperative spherical equivalent (SE) cycloplegic refraction in Group A was - 9,45 ± 2,47 diopters (D) (range -6.0 to -18.25 D) and the mean postoperative SE -1,48 ± 1,13 D (range + 0,75 to - 2,25 D). The mean preop. decimal uncorrected visual acuity (UCVA) 0,023 ± 0,017 increased to 0,46 ± 0,18. The mean preop.decimal best-corrected visual acuity (BCVA) in Group A was 0,28 ± 0.22 and changed to 0,78± 0,19 by 2 years after surgery. The mean BCVA in Group B was 0,23 ± 0,19, at start of CL correction and amblyopia therapy, and improved to 0,42 ± 0,15 after two years. The mean BCVA at final examination was significantly better in Group A (P < 0,05). Binocular vision improvement expressed by the proportions of subjects gained fusion and stereopsis, was overall better in Group A (81 %) than in Group B (33 %), (P < 0,05). There were no complications after surgery.Refractive surgery in children, multizonal LASEK and pIOL Verisyse implantation, are effective and safe methods for correction of high myopic anisometropia, and has an important role in the treatment of amblyopia in children when contact lens intolerance. Visual acuity and binocular vision outcomes were better in children who received permanent surgical correction of anisometropia, than in children conventionally treated by contact lenses. KEY WORDS: myopic anisometropia, amblyopia, children, laser subepithelial keratomileusis (LASEK), anterior chamber phakic intraocular lenses (AC pIOL), binocular vision.

• MeSH
• amblyopie patofyziologie   chirurgie   MeSH
• anizometropie patofyziologie   chirurgie   MeSH
• dítě MeSH
• fakické nitrooční čočky * MeSH
• implantace nitrooční čočky metody   MeSH
• keratektomie laserová pod epiteliálním lalokem metody   MeSH
• kontaktní čočky * MeSH
• lidé MeSH
• myopie patofyziologie   chirurgie   MeSH
• přední komora oční chirurgie   MeSH
• předškolní dítě MeSH
• refrakce oka fyziologie   MeSH
• výsledek terapie MeSH
• zraková ostrost fyziologie   MeSH
• zrakové testy MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mužské pohlaví MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• srovnávací studie MeSH

AIM: The aim of our study was to evaluate the outcome of cataract surgeries with implantation of intraocular trifocal toric lens, and to study the accuracy of astigmatism correction, lens rotational stability, and safety of the procedures. PATIENTS AND METHODS: Our study comprised 22 eyes of 16 patients who underwent unilateral or bilateral implantation of AT LISA tri toric 939MP, or its implantation in combination with AT LISA tri 839MP. Mean patient age was 58 ± 11 years (39 to 75 years). Mean follow-up was 5 months. Evaluated parameters were preoperative and postoperative decimal corrected (CDVA) and uncorrected (UDVA) distance visual acuity. Uncorrected near (UNVA) and intermediate (UIVA) visual acuity was obtained with Jaeger optotypes. Furthermore, we studied manifest refraction, amount of corneal astigmatism, implanted lens position, and potential complications. Using two types of questionnaires we surveyed patients on their subjective satisfaction with vision. RESULTS: Spherical equivalent changed from preoperative -1.32 ± 4.05 D (-9.25 to 4.00 D) to postoperative -0.23 ± 0.21 D (-0.75 to 0.00 D). Preoperative corneal astigmatism was -1.97 ± 0.76 D (-4.02 to -1.01 D), manifest astigmatism was -1.70 ± 1.26 D. After the surgery, manifest astigmatism significantly improved to -0.34 ± 0.37 D (p<0.001). Mean monocular UDVA increased from 0.26 ± 0.18 (0.05 to 0.60) to postoperative 0.88 ± 0.13 (0.60 to 1.00) (p<0.001). CDVA also improved significantly, from 0.57 ± 0.24 to a final value of 1.02 ± 0.07 (p<0.001). Mean postoperative monocular UNVA was Jaeger 1-2, UIVA corresponded to Jaeger 3-4.No serious complications were recorded. Based on the outcome of questionnaires, all patients are satisfied with their vision and they are independent of spectacles. CONCLUSION: In the present study we have obtained very good functional outcomes of vision at far, near and intermediate in cataract patients after trifocal AT LISA tri toric lens implantation. Also, total astigmatism in studied eyes was substantially reduced. The treatment led to a high subjective satisfaction of patients and to their independence of spectacles. KEY WORDS: trifocal toric intraocular lens, cataract, astigmatism, refractive outcomes, patient subjective satisfaction.

• MeSH
• dospělí MeSH
• fakoemulzifikace metody   MeSH
• implantace nitrooční čočky metody   MeSH
• katarakta patofyziologie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• následné studie MeSH
• nitrooční čočky * MeSH
• prospektivní studie MeSH
• protézy - design MeSH
• průzkumy a dotazníky MeSH
• pseudofakie patofyziologie   MeSH
• refrakce oka fyziologie   MeSH
• senioři MeSH
• spokojenost pacientů MeSH
• výsledek terapie MeSH
• zraková ostrost fyziologie   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

PURPOSE: To evaluate the properties and clinical outcomes after implantation the new hydrophobic intraocular lens CT LUCIA 601P in patients undergoing routine cataract surgery. MATERIAL AND METHODS: The study included 38 patients (43 eyes), mean age 70±8 years (range 56-91 years) with senile cataract. After phacoemulsification intraocular lens CT LUCIA 601P was implanted. Patients were evaluated at 4 months after surgery. We assessed uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), refraction, keratometry and the incidence of posterior capsule opacification (PCO--Posterior capsule opacification). RESULTS: Before surgery the mean UCVA was 0.3±0.18 and four months after surgery was 0.7±0.15. The mean BCVA before surgery was 0.58±0.21 and after surgery was 0.94±0.08. PCO value was 0.199±0.05, that means minimal incidence of PCO. CONCLUSION: The new hydrophobic intraocular lens CT LUCIA 601P could be easily implanted and after surgery shows a high degree of biocompatibility in patients undergoing routine cataract surgery.

• MeSH
• implantace nitrooční čočky metody   MeSH
• katarakta diagnóza   patofyziologie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• nitrooční čočky * MeSH
• počítačová rentgenová tomografie MeSH
• protézy - design MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• zkalení zadního pouzdra čočky MeSH
• zraková ostrost * MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH