Dysfunctional lens syndrome

Mohammad Reza Sedaghat, Hamed Momeni-Moghaddam, Shehzad S. Naroo, Hossein Ghavamsaeedi, Alireza Vahedi

Research output: Contribution to journalArticle

Abstract

Purpose: To report the pre- and post-operative findings of a case with dysfunctional lens syndrome. Methods: An adult patient was evaluated using iTrace aberrometer, Tomey topographer and slitlamp biomicroscopy to confirm dysfunctional lens syndrome. Results: A 45-year-old male patient presented with the chief complaint of poor visual quality; uncorrected visual acuity 20/40 in the right eye, best spectacle corrected visual acuity 20/25 in the right eye with refraction Plano/−1.50 × 80 (SE = −0.75D). Pre- and post-operative root-mean-square (RMS) of total higherorder aberrations in the entire eye, the internal optics and the cornea were 0.350 & 0.257, 0.311 & 0.236 and 0.214 & 0.191 micron (μ), respectively. Also, the magnitude of preoperative total, internal and corneal coma was 0.254 μ × 222°, 0.274μ×242° and 0.097μ × 131° and postoperative values were 0.170 μ × 162°, 0.131 μ × 177°, 0.054 μ × 125°, respectively. Conclusion: These results show that sometime the HOAs of the internal optics, mainly crystalline lens, are not compensated by the cornea and this may cause visual discomfort in the absence of any significant cataract, this situation is known as dysfunctional lens syndrome (DLS).

Original languageEnglish
JournalInternational Ophthalmology
Volumein press
Early online date6 Jul 2017
DOIs
Publication statusE-pub ahead of print - 6 Jul 2017

Fingerprint

Lenses
Cornea
Visual Acuity
Crystalline Lens
Coma
Cataract
4-hexyloxyaniline

Bibliographical note

The final publication is available at Springer via http://dx.doi.org/10.1007/s10792-017-0622-3

Keywords

  • crystalline lens
  • dysfunctional lens syndrome
  • higher-order aberration
  • internal aberration

Cite this

Sedaghat, M. R., Momeni-Moghaddam, H., Naroo, S. S., Ghavamsaeedi, H., & Vahedi, A. (2017). Dysfunctional lens syndrome. International Ophthalmology, in press. https://doi.org/10.1007/s10792-017-0622-3
Sedaghat, Mohammad Reza ; Momeni-Moghaddam, Hamed ; Naroo, Shehzad S. ; Ghavamsaeedi, Hossein ; Vahedi, Alireza. / Dysfunctional lens syndrome. In: International Ophthalmology. 2017 ; Vol. in press.
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Sedaghat, MR, Momeni-Moghaddam, H, Naroo, SS, Ghavamsaeedi, H & Vahedi, A 2017, 'Dysfunctional lens syndrome', International Ophthalmology, vol. in press. https://doi.org/10.1007/s10792-017-0622-3

Dysfunctional lens syndrome. / Sedaghat, Mohammad Reza; Momeni-Moghaddam, Hamed; Naroo, Shehzad S.; Ghavamsaeedi, Hossein; Vahedi, Alireza.

In: International Ophthalmology, Vol. in press, 06.07.2017.

Research output: Contribution to journalArticle

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T1 - Dysfunctional lens syndrome

AU - Sedaghat, Mohammad Reza

AU - Momeni-Moghaddam, Hamed

AU - Naroo, Shehzad S.

AU - Ghavamsaeedi, Hossein

AU - Vahedi, Alireza

N1 - The final publication is available at Springer via http://dx.doi.org/10.1007/s10792-017-0622-3

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N2 - Purpose: To report the pre- and post-operative findings of a case with dysfunctional lens syndrome. Methods: An adult patient was evaluated using iTrace aberrometer, Tomey topographer and slitlamp biomicroscopy to confirm dysfunctional lens syndrome. Results: A 45-year-old male patient presented with the chief complaint of poor visual quality; uncorrected visual acuity 20/40 in the right eye, best spectacle corrected visual acuity 20/25 in the right eye with refraction Plano/−1.50 × 80 (SE = −0.75D). Pre- and post-operative root-mean-square (RMS) of total higherorder aberrations in the entire eye, the internal optics and the cornea were 0.350 & 0.257, 0.311 & 0.236 and 0.214 & 0.191 micron (μ), respectively. Also, the magnitude of preoperative total, internal and corneal coma was 0.254 μ × 222°, 0.274μ×242° and 0.097μ × 131° and postoperative values were 0.170 μ × 162°, 0.131 μ × 177°, 0.054 μ × 125°, respectively. Conclusion: These results show that sometime the HOAs of the internal optics, mainly crystalline lens, are not compensated by the cornea and this may cause visual discomfort in the absence of any significant cataract, this situation is known as dysfunctional lens syndrome (DLS).

AB - Purpose: To report the pre- and post-operative findings of a case with dysfunctional lens syndrome. Methods: An adult patient was evaluated using iTrace aberrometer, Tomey topographer and slitlamp biomicroscopy to confirm dysfunctional lens syndrome. Results: A 45-year-old male patient presented with the chief complaint of poor visual quality; uncorrected visual acuity 20/40 in the right eye, best spectacle corrected visual acuity 20/25 in the right eye with refraction Plano/−1.50 × 80 (SE = −0.75D). Pre- and post-operative root-mean-square (RMS) of total higherorder aberrations in the entire eye, the internal optics and the cornea were 0.350 & 0.257, 0.311 & 0.236 and 0.214 & 0.191 micron (μ), respectively. Also, the magnitude of preoperative total, internal and corneal coma was 0.254 μ × 222°, 0.274μ×242° and 0.097μ × 131° and postoperative values were 0.170 μ × 162°, 0.131 μ × 177°, 0.054 μ × 125°, respectively. Conclusion: These results show that sometime the HOAs of the internal optics, mainly crystalline lens, are not compensated by the cornea and this may cause visual discomfort in the absence of any significant cataract, this situation is known as dysfunctional lens syndrome (DLS).

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Sedaghat MR, Momeni-Moghaddam H, Naroo SS, Ghavamsaeedi H, Vahedi A. Dysfunctional lens syndrome. International Ophthalmology. 2017 Jul 6;in press. https://doi.org/10.1007/s10792-017-0622-3