A Serious Refractive Multifocal Intraocular Lens Complication in Meniere's Disease

作者：Gatzioufas Zisis^*; Osvald Attila; Schroeder Andreas C; Kozeis Nikos; Seitz Berthold

来源：Optometry and Vision Science, 2010, 87(6): 448-449.

DOI：10.1097/OPX.0b013e3181d9f645

• Meniere's disease
• peripheral vestibular disorders
• cataract surgery
• multifocal lenses
• retinocortical processing

Purpose. To report an unfortunate case of patient selection for multifocal intraocular lens (MIOL) implantation.
Methods. Interventional case report.
Results. A 69-year-old woman with bilateral corticonuclear cataract underwent uneventful phacoemulsification with diffractive MIOL implantation within 1 week. She reported no previous medical history. A few days later she had persisting dizziness and experienced extreme photic phenomena, which progressively deteriorated. After intensive conversation, we discovered that our patient had a medical history of Meniere's disease. Bilateral intraocular lens exchange surgery was performed. One week after monofocal intraocular lens implantation, the patient was satisfied with the final visual outcome and did not report any visual complaints.
Conclusions. Retinocortical processing of visual information is impaired in patients with peripheral vestibular disorders such as Meniere's disease. Therefore, these patients are probably not good candidates for MIOL implantation, which requires an intact sensory system with rigorous visuovestibular interaction. (Optom Vis Sci 2010; 87: 448-449)

• 出版日期2010-6