Clinical Ophthalmology (Dec 2018)

Impact of light conditions on reading ability following multifocal pseudophakic corrections

  • Labiris G,
  • Ntonti P,
  • Panagiotopoulou EK,
  • Konstantinidis A,
  • Gkika M,
  • Dardabounis D,
  • Perente I,
  • Sideroudi H

Journal volume & issue
Vol. Volume 12
pp. 2639 – 2646

Abstract

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Georgios Labiris, Panagiota Ntonti, Eirini-Kanella Panagiotopoulou, Aristeidis Konstantinidis, Maria Gkika, Doukas Dardabounis, Irfan Perente, Haris Sideroudi Department of Ophthalmology, University Hospital of Alexandroupolis, Alexandroupolis, Greece Purpose: To examine the impact of light intensity and temperature on reading performance following bilateral pseudophakic multifocal presbyopic correction.Patients and methods: This is a prospective clinic-based trial conducted at the Department of Ophthalmology in the University Hospital of Alexandroupolis, Greece. Three groups of patients were formed (G1: patients with bilateral bifocal implantation, G2: patients with bilateral trifocal implantation, and control group: patients with bilateral pseudophakic monofocal implantation). Reading ability was quantified with the Greek version of MNREAD chart with minimal reading speed at 80 words/min for the following light intensities (25, 50, and 75 Foot-Candles [FC]) and temperatures (3,000, 4,000, and 6,000 K). Preferred light conditions for reading were assessed, as well. ClinicalTrials.gov Identifier: NCT03226561.Results: Control group demonstrated significantly lower reading ability at all light combinations with maximal ability at 75 FC and 6,000 K (0.58±0.18 logMAR). Bifocal group presented a light-dependent reading ability that ranged from 0.45±0.08 logMAR (25 FC and 3,000 K) to 0.40±0.11 logMAR (75 FC and 4,000 or 6,000 K). Trifocal participants presented the best reading ability that was light intensity-independent; however, their performance was reduced at 6,000 K. G1 and G2 preferred primarily intermediate light temperature, while control participants preferred cold light temperature.Conclusion: Multifocal pseudophakic corrections improve reading ability; however, they present variable efficacy according to the light conditions. Keywords: presbyopia, light intensity, Kelvin, Foot-Candles, trifocal, bifocal

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