Research progress of influencing factors of pars plana vitrectomy combined with primary implantation of multifocal intraocular lenses in patients with retinopathy complicated by cataract_Chinese Journal of Ocular Fundus Diseases

Authors：

Wang Qingqing ^1,2 ,  Cai Shanjun ¹

1. Department of Ophthalmology, Affiliated Hospital of Zunyi Medical University, Guizhou Ophthalmology Hospital & Guizhou Branch of National Ophthalmology Clinical Research Center & Special Key Laboratory of Ocular Diseases of Guizhou Province, Zunyi 563003, China;
2. Department of Clinical Medicine, the First Clinical College of Zunyi Medical University, Zunyi 563003, China;

Corresponding?author：

Cai Shanjun, Email: caishanjun@163.com

Keywords：

Pars plana vitrectomy; Multifocal intraocular lens; Retinopathy; Cataract; Refractive drift; Review

DOI：

10.3760/cma.j.cn511434-20241213-00484

Video：

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Cataract combined with retinopathy can seriously affect the vision of patients. Vitrectomy combined with one-stage implantation of multi-focal intraocular lens (MIOL) has been paid more and more attention. The application of MIOL shows potential in improving the visual quality of patients, but its effect is affected by many factors, and refractive drift is a key problem to be solved. At present, the research mainly focuses on cataract patients with high myopia, and further research on other types of retinopathy is needed. In the future, multi-center, large-sample, long-term clinical studies and interdisciplinary cooperation are needed to optimize surgical and management programs to enhance the application effect of MIOL in the treatment of retinopathy and improve the quality of life of patients.

Citation： Wang Qingqing, Cai Shanjun. Research progress of influencing factors of pars plana vitrectomy combined with primary implantation of multifocal intraocular lenses in patients with retinopathy complicated by cataract. Chinese Journal of Ocular Fundus Diseases, 2025, 41(9): 728-733. doi: 10.3760/cma.j.cn511434-20241213-00484 Copy

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1. Pham TQ, Wang JJ, Rochtchina E, et al. Systemic and ocular comorbidity of cataract surgical patients in a western Sydney public hospital[J]. Clin Exp Ophthalmol, 2004, 32(4): 383-387. DOI: 10.1111/j.1442-9071.2004.00842.x.
2. Riley AF, Malik TY, Grupcheva CN, et al. The Auckland cataract study: co-morbidity, surgical techniques, and clinical outcomes in a public hospital service[J]. Br J Ophthalmol, 2002, 86(2): 185-190. DOI: 10.1136/bjo.86.2.185.
3. Grzybowski A, Kanclerz P, Tuuminen R. Multifocal intraocular lenses and retinal diseases[J]. Graefe's Arch Clin Exp Ophthalmol, 2020, 258(4): 805-813. DOI: 10.1007/s00417-020-04603-0.
4. Cataract and Intraocular Lens Group, Society of Ophthalmology, Chinese Medical Association. Expert consensus on clinical application of multi-focal intraocular lens in China (2019)[J]. Chin J Ophthalmol, 2019, 55(7): 491-494. DOI: 10.3760/cma.j.issn.0412-4081.2019.07.003.
5. 中華醫學會眼科學分會白內障及人工晶狀體學組. 中國人工晶狀體分類專家共識(2021年)[J]. 中華眼科雜志, 2021, 57(7): 495-501. DOI: 10.3760/cma.j.cn112142-20210516-00232.Cataract and Intraocular Lens Group, Society of Ophthalmology, Chinese Medical Association. Chinese expert consensus on classification of intraocular lenses (2021)[J]. Chin J Ophthalmol, 2021, 57(7): 495-501. DOI: 10.3760/cma.j.cn112142-20210516-00232.
6. Black S. A clinical assessment of visual performance of combining the TECNIS^? Symfony Extended Range of Vision IOL (ZXR00) with the +3.25 D TECNIS Multifocal 1-piece IOL (ZLB00) in subjects undergoing bilateral cataract extraction[J]. Clin Ophthalmol, 2018, 12: 2129-2136. DOI: 10.2147/OPTH.S175901.
7. Law EM, Aggarwal RK, Buckhurst H, et al. Visual function and subjective perception of vision after bilateral implantation of monofocal and multifocal IOLs: a randomized controlled trial[J]. J Cataract Refract Surg, 2020, 46(7): 1020-1029. DOI: 10.1097/j.jcrs.0000000000000210.
8. Hayashi K, Sato T, Igarashi C, et al. Comparison of visual outcomes between bilateral trifocal intraocular lenses and combined bifocal intraocular lenses with different near addition[J]. Jpn J Ophthalmol, 2019, 63(6): 429-436. DOI: 10.1007/s10384-019-00693-4.
9. Breyer DRH, Kaymak H, Ax T, et al. Multifocal intraocular lenses and extended depth of focus intraocular lenses[J]. Asia Pac J Ophthalmol (Phila), 2017, 6(4): 339-349. DOI: 10.22608/APO.2017186.
10. 劉敏銳, 彭稚喜, 吳崢崢, 等. 連續視程人工晶狀體與雙焦點、單焦點人工晶狀體植入手術后患者視力、視覺質量及滿意度對比分析[J]. 眼科新進展, 2023, 43(2): 127-130. DOI: 10.13389/j.cnki.rao.2023.0025.Liu MR, Peng ZX, Wu ZZ, et al. Comparative analysis of visual acuity, visual quality and satisfaction after ex-tended depth, bifocal and monofocal intraocular lens implantation[J]. Rec Adv Ophthalmol, 2023, 43(2): 127-130. DOI: 10.13389/j.cnki.rao.2023.0025.
11. Sun T, Liu Y, Gao Y, et al. Comparison of visual outcomes of a diffractive trifocal intraocular lens and a refractive bifocal intraocular lens in eyes with axial myopia: a prospective cohort study[J]. BMC Ophthalmol, 2022, 22(1): 407. DOI: 10.1186/s12886-022-02626-1.
12. Braga-Mele R, Chang D, Dewey S, et al. Multifocal intraocular lenses: relative indications and contraindications for implantation[J]. J Cataract Refract Surg, 2014, 40(2): 313-322. DOI: 10.1016/j.jcrs.2013.12.011.
13. Kamath GG, Prasad S, Danson A, et al. Visual outcome with the array multifocal intraocular lens in patients with concurrent eye disease[J]. J Cataract Refract Surg, 2000, 26(4): 576-581. DOI: 10.1016/s0886-3350(99)00457-5.
14. 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/OL]. J Ophthalmol, 2021, 2021: 9935983[2021-06-10]. https://pubmed.ncbi.nlm.nih.gov/34221497/. DOI: 10.1155/2021/9935983.
15. Auffarth GU, Reiter J, Leitritz M, et al. High-addition segmented refractive bifocal intraocular lens in inactive age-related macular degeneration: a multicenter pilot study[J/OL]. PLoS One, 2021, 16(9): e0256985[2021-09-02]. https://pubmed.ncbi.nlm.nih.gov/34473779/. DOI: 10.1371/journal.pone.0256985.
16. Meng J, Fang Y, Lian J, et al. Visual and patient-reported outcomes of a diffractive trifocal intraocular lens in highly myopic eyes: a prospective multicenter study[J]. Eye Vis (Lond), 2023, 10(1): 19. DOI: 10.1186/s40662-023-00336-3.
17. 賴婕, 張穎, 占敏艷, 等. 白內障合并高度近視眼植入三焦點人工晶體的視覺觀察[J]. 江西醫藥, 2021, 56(9): 1362-1366. DOI: 10.3969/j.issn.1006-2238.2021.09.014.Lai J, Zhang Y, Zhan MY, et al. Visual observation of trifocal intraocular lens implantation in cataract with high myopia[J]. Jiangxi Medical Journal, 2021, 56(9): 1362-1366. DOI: 10.3969/j.issn.1006-2238.2021.09.014.
18. Lee JH, Kong M, Sohn JH, et al. Analysis of Korean retinal specialists' opinions on implanting diffractive multifocal intraocular lenses in eyes with underlying retinal diseases[J/OL]. J Clin Med, 2022, 11(7): 1836[2022-03-26]. https://pubmed.ncbi.nlm.nih.gov/35407444/. DOI: 10.3390/jcm11071836.
19. Patel SB, Snyder ME, Riemann CD, et al. Short-term outcomes of combined pars plana vitrectomy for epiretinal membrane and phacoemulsification surgery with multifocal intraocular lens implantation[J]. Clin Ophthalmol, 2019, 13: 723-730. DOI: 10.2147/OPTH.S195928.
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Chinese Journal of Ocular Fundus Diseases

Research progress of influencing factors of pars plana vitrectomy combined with primary implantation of multifocal intraocular lenses in patients with retinopathy complicated by cataract

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