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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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. 中华医学会眼科学分会白内障及人工晶状体学组. 中国人工晶状体分类专家共识(2021年)[J]. 中华眼科杂志, 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. 刘敏锐, 彭稚喜, 吴峥峥, 等. 连续视程人工晶状体与双焦点、单焦点人工晶状体植入手术后患者视力、视觉质量及满意度对比分析[J]. 眼科新进展, 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. 赖婕, 张颖, 占敏艳, 等. 白内障合并高度近视眼植入三焦点人工晶体的视觉观察[J]. 江西医药, 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.
20. 高小明, 戚雪敏, 李小萍, 等. 特发性黄斑裂孔痊愈患者白内障摘除联合多焦点人工晶体植入的视功能和视觉生存质量分析[J]. 现代实用医学, 2024, 36(4): 447-450. DOI: 10.3969/j.issn.1671-0800.2024.04.007.Gao XM, Qi XM, Li XP, et al. Analysis of visual function and quality of life in patients with idiopathic macular hole recovery after cataract extraction combined with multi-focal intraocular lens implantation[J]. Modern Practical Medicine, 2024, 36(4): 447-450. DOI: 10.3969/j.issn.1671-0800.2024.04.007.
21. Freissinger S, Vounotrypidis E, Stetzer E, et al. Visual outcome after rhegmatogenous retinal detachment repair surgery in patients with multifocal vs monofocal intraocular lenses[J]. J Cataract Refract Surg, 2021, 47(12): 1561-1567. DOI: 10.1097/j.jcrs.0000000000000684.
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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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