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Presbyopia: Current Management and Future Trends

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Ophthalmology".

Deadline for manuscript submissions: closed (15 October 2023) | Viewed by 7762

Special Issue Editor


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Guest Editor
Department of Ophthalmology, University Hospital of Alexandroupolis, Dragana, 68100 Alexandroupolis, Greece
Interests: clinical ophthalmology; cataract surgery; glaucoma; optical coherence tomography; eyes; corneal diseases; crosslinking; phacoemulsification; astigmatism; refractive surgery; corneal topography; cornea; cataract; myopia; collagen; laser corneal surgery; refractive errors; keratoconus; ultraviolet; aberrometry; anterior eye segment; cornea banking; LASIK; refractive eye surgery; presbyopia; intraocular lens
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Special Issue Information

Dear Colleagues,

Presbyopia is a prevalent productivity-reducing, age-related visual disorder that affects billions of people worldwide and results in a progressive near vision impairment. Conventional treatment modalities (i.e., presbyopic spectacles or contact lenses) are associated with poor acceptance, productivity loss and a negative impact on quality of life. However, numerous strategies are available to address presbyopia, such as pharmacological therapy and corneal, scleral and lenticular procedures (e.g., monovision techniques, implantation of multifocal, extended depth of focus, phakic, accommodative and intraocular lenses (IOLs)). Although no single treatment is ideal for all presbyopes, the new medical and surgical strategies increase the number of available options to address presbyopia.

However, the appropriate management of presbyopia depends on coexisting factors including increased higher order aberrations, reduced contrast sensitivity, light scatter, lenticular opacification, etc. For the best possible refractive outcomes, the overall management of presbyopic patients is necessary. Specifically, patients who are candidates for surgical approaches should be selected according to their personality and daily activities. Topography, aberrometry, astigmatism, pupil and fundus assessment, and ophthalmic surface should be taken into consideration. Finally, the individualized selection of the most appropriate therapeutical method should be carried out to optimize the refractive outcome and increase patient satisfaction.

The primary objective of the present Special Issue is to illustrate the current medical and surgical management of presbyopia and the new trends in its treatment that could contribute to the easier, safer and more effective management of presbyopia.

Submissions are welcome primarily for original research articles showing innovative approaches for presbyopia treatment, from glasses/contact lenses to pharmacological therapy and surgical options. Secondarily, we will consider review articles and case series of high interest and exceptional value.

Prof. Dr. Georgios Labiris
Guest Editor

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Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • presbyopia
  • medical treatment
  • surgical treatment
  • intraocular lenses
  • corneal procedures
  • scleral procedures

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Published Papers (3 papers)

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Research

28 pages, 3227 KiB  
Article
Impact of Light Conditions on Visual Performance following Premium Pseudophakic Presbyopia Corrections
by Eirini-Kanella Panagiotopoulou, Kostas Boboridis, Ioannis Seimenis and Georgios Labiris
J. Clin. Med. 2023, 12(13), 4324; https://doi.org/10.3390/jcm12134324 - 27 Jun 2023
Cited by 1 | Viewed by 1301
Abstract
The primary objective of this study was to objectively compare the visual performance of patients following premium pseudophakic presbyopia corrections in different light combinations for near- and intermediate-vision activities of daily living (ADLs). This is a prospective, comparative study. A total of 75 [...] Read more.
The primary objective of this study was to objectively compare the visual performance of patients following premium pseudophakic presbyopia corrections in different light combinations for near- and intermediate-vision activities of daily living (ADLs). This is a prospective, comparative study. A total of 75 patients populated three study groups: G1-patients with bilateral trifocal implantation, G2-patients with bilateral bifocal implantation, and G3-patients with bilateral monofocal implantation. All participants addressed 10 ADLs in nine combinations of light temperature (3000 K, 4000 K, and 6000 K) and light intensity (25 fc, 50 fc, and 75 fc) and declared their subjectively optimal light combination while reading. G2 and G3 had the best total ADL scores in 6000 K/75 fc, while G1 had the best total ADL score in 4000 K/75 fc. Total ADL, easy ADL, and moderate difficulty ADL scores were significantly better in G2, while difficult ADL score was significantly better in G1. The majority of all groups selected 6000 K/75 fc as the most comfortable light combination, and no group selected 3000 K and 25 fc. In conclusion, trifocal patients benefit from intense daylight, while bifocal and monofocal patients benefit from intense, cold lighting. Trifocal patients present superior near-vision capacity in difficult near-vision daily tasks, while bifocal patients present superiority in easy and moderate-difficulty ADLs. Full article
(This article belongs to the Special Issue Presbyopia: Current Management and Future Trends)
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12 pages, 1355 KiB  
Article
Visual Performance, Satisfaction, and Spectacle Independence after Implantation of a New Hydrophobic Trifocal Intraocular Lens
by Antonio Cano-Ortiz, Álvaro Sánchez-Ventosa, Timoteo González-Cruces, David Cerdán-Palacios, Vanesa Díaz-Mesa, Rubén Gallego-Ordóñez, Teresa Gálvez-Gómez, Jose A. García Parrizas, Javier Zurera Baena and Alberto Villarrubia-Cuadrado
J. Clin. Med. 2022, 11(19), 5931; https://doi.org/10.3390/jcm11195931 - 8 Oct 2022
Cited by 6 | Viewed by 2841
Abstract
The main objective was to evaluate distance, intermediate, and near vision in patients who have undergone cataract extraction with bilateral implantation of a new trifocal diffractive intraocular lens (IOL), along with patient-reported outcomes (PRO). A total of 50 eyes from 25 patients after [...] Read more.
The main objective was to evaluate distance, intermediate, and near vision in patients who have undergone cataract extraction with bilateral implantation of a new trifocal diffractive intraocular lens (IOL), along with patient-reported outcomes (PRO). A total of 50 eyes from 25 patients after AsqelioTM Trifocal IOL (AST Products, Inc., Billerica MA, USA) implantation were assessed in this study. At 3 months after surgery, the photopic visual acuity (VA) at distance, intermediate, and near distances was measured. Binocular photopic defocus curves were also obtained. Three questionnaires to assess patients’ visual satisfaction and spectacle dependence, among other items, were completed: the Catquest-9SF, the patient-reported spectacle independence questionnaire (PRSIQ), and the patient-reported visual symptoms questionnaire (PRVSQ). The average spherical equivalent was 0.21 ± 0.37 D at 3 months post-operation, and the average absolute tolerance to defocus was 3.64 ± 0.70 D. The mean binocular uncorrected VAs for distance, intermediate, and near vision were −0.02 ± 0.09, 0.06 ± 0.08, and 0.11 ± 0.07 logMAR, respectively. The best-corrected VA was better than 0.1 logMAR for the whole range from distance to near. PROs revealed spectacle independence and general satisfaction with vision, and the incidence of photic phenomena were low. This study shows that the new bi-aspheric diffractive trifocal IOL provides a good visual performance at different distances under photopic conditions, accompanied by patient satisfaction and spectacle independence. Full article
(This article belongs to the Special Issue Presbyopia: Current Management and Future Trends)
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12 pages, 2854 KiB  
Article
Simultaneous Presbyopia and Astigmatism Correction with a Novel Trifocal Toric Intraocular Lens—A One-Year Follow-Up
by Ladislav Viktor Nováček, Marie Němcová, Kristýna Sičová, Kateřina Tyx, Pavel Rozsíval, Jan Němčanský and Pavel Studený
J. Clin. Med. 2022, 11(14), 4194; https://doi.org/10.3390/jcm11144194 - 19 Jul 2022
Cited by 1 | Viewed by 2288
Abstract
The current investigation evaluates the efficiency of the trifocal toric Liberty 677MTY intraocular lens (IOL) in correcting preoperative corneal astigmatism in cataract patients demanding spectacle independence. The retrospective evaluation included 28 eyes of 15 patients with preoperative corneal astigmatism of at least 1.0 [...] Read more.
The current investigation evaluates the efficiency of the trifocal toric Liberty 677MTY intraocular lens (IOL) in correcting preoperative corneal astigmatism in cataract patients demanding spectacle independence. The retrospective evaluation included 28 eyes of 15 patients with preoperative corneal astigmatism of at least 1.0 Dioptre (D). All patients were followed up for one year postoperatively. Residual refractive errors and visual acuities at multiple distances were measured. Binocular visual acuity and contrast sensitivity defocus curves were plotted. Visual functions and patient satisfaction were assessed. The efficiency of astigmatism correction was determined using the vector analysis method. The mean spherical equivalent refraction (SEQ) improved from 2.72 ± 1.62 D to 0.10 ± 0.48 D. The cylindric refraction decreased from 1.18 ± 0.45 D to 0.16 ± 0.31 D. Vector analysis proved efficient astigmatism correction with a centroid of 0.10 ± 0.34 D at 161°. Ninety-two percent of eyes resulted within 0.5 D from the target refraction. Visual acuities were 0.1 logMAR or better from +1.0 to −3.5 D defocus values. Visual tasks could be performed without major difficulties. Our patients were highly satisfied. Refractive and visual outcomes with the investigated presbyopia-correcting toric IOL are predictable and the lens provides excellent trifocal vision. Full article
(This article belongs to the Special Issue Presbyopia: Current Management and Future Trends)
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