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- DOI 10.18231/j.ijceo.v.11.i.3.20
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A hospital based retrospective comparative study of near vision following cataract surgery by phacoemulsification using hydrophilic monofocal intraocular lens and hydrophobic monofocal yellow intraocular lens
Background: Cataract surgery with intraocular lens (IOL) implantation is the standard treatment for restoring vision. The choice between hydrophilic and hydrophobic monofocal yellow IOLs may influence postoperative near vision outcomes.
Aim and Objectives: To study the efficacy and benefits of hydrophobic yellow IOL over hydrophilic IOL to improve the quality of near vision outcome following cataract surgery by Phacoemulsification.
Materials and Methods: In this retrospective study from Vinayaka Mission’s Kirupananda Variyar Medical College and Hospitals, Salem during the time period of January 2024 to June 2024, 100 eyes between 40 -55 years of age were with visually significant uncomplicated cataract were taken and divided into two groups that were evenly distributed . 50 eyes with implantation of hydrophilic monofocal IOL (Acryfold) and the other group of 50 eyes with implantation of hydrophobic monofocal yellow IOL (AcrySof IQ). After complete pre-op evaluation, Phacoemulsification surgery was done by the same surgeon and with the implantation of same company monofocal IOLs under topical anaesthesia with 0.5% proparacaine. Post operatively, both the two groups of patients were examined with the same snellen near vision chart with same illumination, same distance (33cm) and in same refraction room during 1st week, 3rd week and 6th week respectively.
Results: There is no difference between the hydrophilic and hydrophobic yellow IOL groups with respect to the dependent variable distant vision at 6th week post operatively. Logistic regression analysis shows that the model as a whole is not significant (Chi square = 2.74, p .254, n = 100). There is a difference between the hydrophilic and hydrophobic yellow IOL groups with respect to the dependent variable of postoperative near vision at 6th week. Logistic regression analysis shows that the model as a whole is significant for near vision (Chi-square = 11.8, p .001, n = 100).
Conclusion: The acrylic hydrophobic material with UV‑blocking chromophore-yellow lenses are shown to have better visual outcomes due to dual advantage of blocking blue light at bright illumination, as well as allowing blue light in dim illumination which is required for resetting the biological clock and night vision. Thus, it may show improved near vision status after cataract surgery.
References
- Memon MS, Mahmood T, Qidwai U, Ahsan S, Arslan M, Fahim MF. A comparative analysis of postoperative visual outcomes following cataract surgery with different brands of monofocal intraocular lenses. Pak J Med Sci. 2024;40(1Part-I):195–9.
- Harrisberg BP, Chua AW, Chua MJ, Taher A. Comparison of Primary Duet Lens Procedures: In-The-Bag Monofocal with Sulcus Multifocal, and Standard Single Multifocal Lens for Cataract Surgery. Clinical Ophthalmology 2023;17:273-282. 492 Rajagopal et al. / Indian Journal of Clinical and Experimental Ophthalmology 2025;11(3):487–492
- Khoramnia R, Auffarth G, Łabuz G, Pettit G, Suryakumar R. Refractive outcomes after cataract surgery. Diagnostics. 2022;12(2):243.
- Mayer-Xanthaki C, Pregartner G, Hirnschall N, Falb T, Sommer M, Findl O, et al. Impact of intraocular lens characteristics on intraocular lens dislocation after cataract surgery. Br J Ophthalmol. 2021 11;105(11):1510–4.
- Dhariwal M, Bouchet C, Jawla S. Comparing the long-term impact on health care resources utilization and costs due to various single- piece acrylic monofocal intraocular lens implantation during cataract surgery: a cost-consequence analysis for the United Kingdom, Italy, and Denmark. Clinical Ophthalmology 2019;13:169–176.
- Thom H, Ender F, Samavedam S, Perez Vivez C, Gupta S, Dhariwal M, et al. Effect of AcrySof versus other intraocular lens properties on the risk of Nd:YAG capsulotomy after cataract surgery: a systematic literature review and network meta-analysis. PLoS One. 2019;14(8):e0220498.
- Logothetis HD, Feder RS. Which intraocular lens would ophthalmologists choose for themselves? Eye (Lond). 2019;33(10):1635–41.
- Fricke TR, Tahhan N, Resnikoff S, Papas E, Burnett A, Ho SM, et al Global prevalence of presbyopia and vision impairment from uncorrected presbyopia: Systematic review, meta-analysis, and modelling. Ophthalmology. 2018;125(10):1492–9.
- Reddy PA, Congdon N, MacKenzie G, Gogate P, Wen Q, Jan C, et al. Effect of providing near glasses on productivity among rural Indian tea workers with presbyopia (PROSPER): A randomised trial Lancet Glob Health. 2018;6:e1019–27.
- Flaxman SR, Bourne RR, Resnikoff S, Ackland P, Braithwaite T, Cicinelli MV, et al. Global causes of blindness and distance vision impairment 1990–2020: A systematic review and meta-analysis. Lancet Glob Health. 2017;5(12):e1221–34.
- de Silva SR, Evans JR, Kirthi V, Ziaei M, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction. Cochrane Database Syst Rev. 2016;12:CD003169.
- Goertz AD, Stewart WC, Burns WR, Stewart JA, Nelson LA. Review of the impact of presbyopia on quality of life in the developing and developed world. Acta Ophthalmol. 2014;92(6):497–500.
- Alió JL, Piñero DP, Plaza-Puche AB, Rodriguez Chan MJ. Visual outcomes and optical performance of a monofocal intraocular lens and a new-generation multifocal intraocular lens. J Cataract Refract Surg. 2011;37(2):241–50.
- Ahmed R, Ghayoor I, Malik MM, Tabssum G, Ahmed F. Comparison between acrylic hydrophilic and acrylic hydrophobic intraocular lens after phacoemulsification. Pak J Ophthalmol. 2011;27(4):195–9.
- Alió JL, Piñero DP, Plaza-Puche AB, Amparo F, Jiménez R, Rodríguez-Prats JL, et al. Visual and optical performance with two different diffractive multifocal intraocular lenses compared to a monofocal lens. J Refract Surg. 2011;27(8):570–81.
- Jusufović V, Jusufović V, Sarajlić D, Zvorničanin J, Mušanović Z, Halilbašić M. Comparison of the binocular vision quality after implantation of monofocal and multifocal intraocular lenses. Acta Med Salin. 2011;40:63–8.
- Riaz Y, Mehta JS, Wormald R, Evans JR, Foster A, Ravilla T, et al. Surgical interventions for age-related cataract. Cochrane Database Syst Rev. 2006(4):CD001323.
- Thom H, Ender F, Samavedam S, Perez Vivez C, Gupta S, Dhariwal M, et al. Effect of AcrySof versus other intraocular lens properties on the risk of Nd:YAG capsulotomy after cataract surgery: a systematic literature review and network meta-analysis. PLoS One. 2019;14(8):e0220498.
- Pallikaris IG, Kontadakis GA, Portaliou DM. Real and pseudoaccommodation in accommodative lenses. J Ophthalmol. 2011:284961.
- Gray R, Perkins SA, Suryakumar R, Neuman B, Maxwell WA. Reduced effect of glare disability on driving performance in patients with blue light-filtering intraocular lenses. J Cataract Refract Surg. 2011;37(1):38–44.
- Clarkson D. Spectral transmission characteristics of intraocular lenses. Optician. 2009:20–2.
- Wang H, Wang J, Fan W, Wang W. Comparison of photochromic, yellow, and clear intraocular lenses in human eyes under photopic and mesopic lighting conditions. J Cataract Refract Surg. 2010;36(12):2080–6.
- Mester U, Holz F, Kohnen T, Lohmann C, Tetz M. Intraindividual comparison of a blue-light filter on visual function: AF-1 (UY) versus AF-1 (UV) intraocular lens. J Cataract Refract Surg. 2008;34(4):608–15.
- Shentu X, Tang X, Yao K. Spherical aberration, visual performance and pseudoaccommodation of eyes implanted with different aspheric intraocular lens. Clin Experiment Ophthalmol. 2008;36(7):620–4.
- Mainster MA. Violet and blue light blocking intraocular lenses: photoprotection versus photoreception. Br J Ophthalmol. 2006;90(6):784–92.
- Mainster MA. Intraocular lenses should block UV radiation and violet but not blue light. Arch Ophthalmol. 2005;123(4):550–5.
- Hayashi K, Hayashi H, Nakao F, Hayashi F. Aging changes in apparent accommodation in eyes with a monofocal intraocular lens. Am J Ophthalmol. 2003;135(4):432–6.
- Nawa Y, Ueda T, Nakatsuka M, Tsuji H, Marutani H, Hara Y, et al. Accommodation obtained per 1.0 mm forward movement of a posterior chamber intraocular lens. J Cataract Refract Surg. 2003;29(11):2069–72.
- Oshika T, Mimura T, Tanaka S, Amano S, Fukuyama M, Yoshitomi F, et al. Apparent accommodation and corneal wavefront aberration in pseudophakic eyes. Invest Ophthalmol Vis Sci. 2002;43(9):2882–
- Lesiewska-Junk H, Kałuzny J. Intraocular lens movement and accommodation in eyes of young patients. J Cataract Refract Surg. 2000;26(4):562–5.
- Chung ST, Pease PL. Effect of yellow filters on pupil size. Optom Vis Sci. 1999;76(1):59–62.
- Trindade F, Oliveira A, Frasson M. Benefit of against-the-rule astigmatism to uncorrected near acuity. J Cataract Refract Surg. 1997;23(1):82–5.
How to Cite This Article
Vancouver
Rajagopal R, Marimuthu B, Natarajan SGS, Ashokan S. A hospital based retrospective comparative study of near vision following cataract surgery by phacoemulsification using hydrophilic monofocal intraocular lens and hydrophobic monofocal yellow intraocular lens [Internet]. Indian J Clin Exp Ophthalmol. 2025 [cited 2025 Oct 02];11(3):487-492. Available from: https://doi.org/10.18231/j.ijceo.v.11.i.3.20
APA
Rajagopal, R., Marimuthu, B., Natarajan, S. G. S., Ashokan, S. (2025). A hospital based retrospective comparative study of near vision following cataract surgery by phacoemulsification using hydrophilic monofocal intraocular lens and hydrophobic monofocal yellow intraocular lens. Indian J Clin Exp Ophthalmol, 11(3), 487-492. https://doi.org/10.18231/j.ijceo.v.11.i.3.20
MLA
Rajagopal, Rajeshkannan, Marimuthu, Balasubramaniam, Natarajan, Sakthi Gnana Sundaram, Ashokan, Subappratha. "A hospital based retrospective comparative study of near vision following cataract surgery by phacoemulsification using hydrophilic monofocal intraocular lens and hydrophobic monofocal yellow intraocular lens." Indian J Clin Exp Ophthalmol, vol. 11, no. 3, 2025, pp. 487-492. https://doi.org/10.18231/j.ijceo.v.11.i.3.20
Chicago
Rajagopal, R., Marimuthu, B., Natarajan, S. G. S., Ashokan, S.. "A hospital based retrospective comparative study of near vision following cataract surgery by phacoemulsification using hydrophilic monofocal intraocular lens and hydrophobic monofocal yellow intraocular lens." Indian J Clin Exp Ophthalmol 11, no. 3 (2025): 487-492. https://doi.org/10.18231/j.ijceo.v.11.i.3.20