Potential of video games for the promotion of neuroadaptation to multifocal intraocular lenses: a narrative review
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David P. Pi?ero. Department of Optics, Pharmacology and Anatomy, University of Alicante, Crta San Vicente del Raspeig s/n, 03690 San Vicente del Raspeig, Alicante 03690, Spain. david.pinyero@ua.es

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Coco-Martin MB, Maldonado-López MJ, Molina-Martín A and Pi?ero DP are supported by CDTI (Centro para el Desarrollo Tecnológico Industrial, Ministry of Economy and Competitiveness of Spain) by means of the program PID (“Proyectos de Investigación y Desarrollo”); The author Pi?ero DP has been also supported by the Ministry of Economy, Industry and Competitiveness of Spain within the program Ramón y Cajal (RYC-2016-20471); Valenzuela PL is supported by a contract granted by University of Alcalá (FPI2016).

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    Abstract:

    Multifocal intraocular lenses (IOLs) are currently usually implanted for the treatment of cataracts because they have been proved to be superior to monofocal IOLs with respect to spectacle independence. In turn, they are associated with a higher prevalence of dysphotopsia symptoms that is one of the most common causes of patient dissatisfaction. Neuroadaptation seems to play a major role in the optimal adaptation to multifocal IOLs. In this context, the development of strategies that facilitate the neuroadaptation process to multifocality might be an effective strategy to reduce patients’ dissatisfaction. Video games have been proved to be effective for the improvement of visual acuity and for the promotion of neuroplasticity in elderly subjects and other populations with cortical-related visual impairment. This narrative review highlights the physiological potential of video games as a perceptual strategy to improve visual acuity and promote neuroplasticity in patients using multifocal IOLs, although research is still needed to confirm these benefits in this specific population, with only one comparative study to this date providing evidence of them.

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Coco-Martín MB, Valenzuela PL, Maldonado-López MJ, Santos-Lozano A, Molina-Martín A, Piñero DP. Potential of video games for the promotion of neuroadaptation to multifocal intraocular lenses: a narrative review. Int J Ophthalmol 2019;12(11):1782-1787

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History
  • Received:February 15,2019
  • Revised:June 11,2019
  • Adopted:
  • Online: October 08,2019
  • Published: