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Visual performance during night driving after intraocular refractive surgery procedures.

Sonia Puente-Bustillo1, Alfredo Holgueras1,2, Alberto López-Miguel1,2,3

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Summary

New intraocular lens (IOL) designs improve vision after cataract surgery, but night driving can remain challenging. Further research is needed to fully understand IOL effects on night driving performance and safety.

Keywords:
Crystalline lens surgerydisturbanceintraocular lensneuroadaptationnight drivingquestionnaires

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Area of Science:

  • Ophthalmology
  • Vision Science
  • Road Safety

Background:

  • Cataracts impair vision, reducing visual acuity and contrast sensitivity.
  • Modern intraocular lens (IOL) designs, including monofocal, multifocal, and extended depth-of-focus, aim to restore vision but can cause visual disturbances.
  • These visual disturbances, such as reduced contrast sensitivity and photic phenomena, can negatively impact night driving.

Purpose of the Study:

  • To review existing studies on night driving performance in patients with different types of IOLs.
  • To evaluate the impact of various IOLs on visual function relevant to night driving.
  • To identify research gaps and recommend future study directions for improving road safety and quality of life for patients undergoing cataract surgery.

Main Methods:

  • Systematic review of studies comparing night driving performance after implantation of monofocal, multifocal, and extended depth-of-focus IOLs.
  • Searches conducted in major scientific databases: PubMed, Scopus, and Web of Science.
  • Grading of scientific evidence using the Scottish Intercollegiate Guidelines Network (SIGN) methodology.

Main Results:

  • Multifocal IOLs enhance quality of life but may present challenges for night driving, particularly during the neuroadaptation period.
  • Validated questionnaires are crucial for assessing night driving capabilities before and after IOL implantation.
  • Objective assessment of visual function during night driving requires further investigation.

Conclusions:

  • While IOL advancements improve overall vision, night driving performance remains an area of concern for some patients.
  • Standardized assessment tools and further research, including randomized clinical trials and simulator studies, are essential.
  • Understanding and mitigating the impact of IOLs on night driving is vital for patient safety and well-being.