Visual Effects of Additional Short-Wave Filtering in Patients With Clear Intraocular Lenses

Friday, April 25, 2014
KIOSKS (Boston Convention and Exhibition Center)
Bret L. Fisher, MD, Eye Center of North Florida, Panama City, FL, USA
Manoj Venkiteshwar, PhD, Alcon, Philadelphia, PA, USA

Narrative Responses:

Purpose
To evaluate the effects of filtering short wavelength light on visual performance under intense light conditions among pseudophakes previously implanted with a clear intraocular lens (IOL).

Methods
Prospective, subject masked study at 4 US sites recruited subjects previously implanted with an IOL  largely transparent to visible light. Photostress recovery time and disability glare thresholds were measured on all subjects with a clip-on blue light filter and placebo (no blue light filtration) filter. Photostress recovery time was quantified as the time necessary to regain sight after exposure to a10-deg circular broad-band white at ~4.5 logTrolands.  Disability glare threshold was the intensity of a white-light annulus (10-deg diameter) that obscured a central target. The order of filter used and test eye was randomized across the subjects.

Results
Up to 154 subjects were enrolled at the 4 sites. The difference in photostress recovery time and disability glare threshold with and without the blue light filter will be reported. Calculation will be performed using the 2-sided t-test at 0.05 level of significance. The sample size is designed to provide adequate power to detect a 20% difference.

Conclusion
The effect of a clip-on blue wavelength filter among pseudophakes without any short wavelength filter will be evaluated and discussed.