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Visual function after monocular implantation of apodized diffractive multifocal or single-piece monofocal intraocular lens Randomized prospective comparison.
J Cataract Refract Surg. 2010 Feb; 36(2):282-5.JC

Abstract

PURPOSE

To compare visual function after phacoemulsification with implantation of a multifocal intraocular lens (IOL) or a monofocal IOL.

SETTING

Department of Ophthalmology, Affiliated Hospital of Qingdao University Medical College, Qingdao, Shandong, China.

METHODS

This study comprised patients with unilateral cataract who had phacoemulsification with implantation of an AcrySof ReSTOR SA60D3 multifocal IOL (multifocal group) or an AcrySof SA60AT single-piece monofocal IOL (monofocal group). Postoperative visual function, including uncorrected (UDVA) and corrected (CDVA) distance visual acuity; uncorrected (UNVA), corrected (CNVA), and distance-corrected near visual acuity; and contrast sensitivity were evaluated 1 week, 1 month, and 6 months postoperatively. Patient-reported vision and spectacle independence in the 2 groups were also compared.

RESULTS

Of the 161 eyes, 72 were in the multifocal group and 89 were in the monofocal group. The multifocal group had statistically significant better UNVA than the monofocal group from 1 week postoperatively to the final follow-up and statistically significant better CNVA at 6 months (both P<.05). There were no statistically significant differences in UDVA or CDVA between the 2 groups over the 6-month follow-up. The multifocal group had statistically significantly better pseudoaccommodation than the monofocal group; the monofocal group had significantly better contrast sensitivity (both P<.05). Patients with the multifocal IOL reported being more satisfied than those with the monofocal IOL.

CONCLUSIONS

The multifocal IOL provided better near visual acuity and more spectacle independence than the monofocal IOL.

Authors+Show Affiliations

Department of Ophthalmology, Affiliated Hospital of Qingdao University Medical College, Qingdao 266003, China. zhaoguiqin-good@126.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

20152611

Citation

Zhao, Guiqiu, et al. "Visual Function After Monocular Implantation of Apodized Diffractive Multifocal or Single-piece Monofocal Intraocular Lens Randomized Prospective Comparison." Journal of Cataract and Refractive Surgery, vol. 36, no. 2, 2010, pp. 282-5.
Zhao G, Zhang J, Zhou Y, et al. Visual function after monocular implantation of apodized diffractive multifocal or single-piece monofocal intraocular lens Randomized prospective comparison. J Cataract Refract Surg. 2010;36(2):282-5.
Zhao, G., Zhang, J., Zhou, Y., Hu, L., Che, C., & Jiang, N. (2010). Visual function after monocular implantation of apodized diffractive multifocal or single-piece monofocal intraocular lens Randomized prospective comparison. Journal of Cataract and Refractive Surgery, 36(2), 282-5. https://doi.org/10.1016/j.jcrs.2009.08.037
Zhao G, et al. Visual Function After Monocular Implantation of Apodized Diffractive Multifocal or Single-piece Monofocal Intraocular Lens Randomized Prospective Comparison. J Cataract Refract Surg. 2010;36(2):282-5. PubMed PMID: 20152611.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Visual function after monocular implantation of apodized diffractive multifocal or single-piece monofocal intraocular lens Randomized prospective comparison. AU - Zhao,Guiqiu, AU - Zhang,Jing, AU - Zhou,Yang, AU - Hu,Liting, AU - Che,Chengye, AU - Jiang,Nan, PY - 2009/03/24/received PY - 2009/08/08/revised PY - 2009/08/11/accepted PY - 2010/2/16/entrez PY - 2010/2/16/pubmed PY - 2010/4/23/medline SP - 282 EP - 5 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 36 IS - 2 N2 - PURPOSE: To compare visual function after phacoemulsification with implantation of a multifocal intraocular lens (IOL) or a monofocal IOL. SETTING: Department of Ophthalmology, Affiliated Hospital of Qingdao University Medical College, Qingdao, Shandong, China. METHODS: This study comprised patients with unilateral cataract who had phacoemulsification with implantation of an AcrySof ReSTOR SA60D3 multifocal IOL (multifocal group) or an AcrySof SA60AT single-piece monofocal IOL (monofocal group). Postoperative visual function, including uncorrected (UDVA) and corrected (CDVA) distance visual acuity; uncorrected (UNVA), corrected (CNVA), and distance-corrected near visual acuity; and contrast sensitivity were evaluated 1 week, 1 month, and 6 months postoperatively. Patient-reported vision and spectacle independence in the 2 groups were also compared. RESULTS: Of the 161 eyes, 72 were in the multifocal group and 89 were in the monofocal group. The multifocal group had statistically significant better UNVA than the monofocal group from 1 week postoperatively to the final follow-up and statistically significant better CNVA at 6 months (both P<.05). There were no statistically significant differences in UDVA or CDVA between the 2 groups over the 6-month follow-up. The multifocal group had statistically significantly better pseudoaccommodation than the monofocal group; the monofocal group had significantly better contrast sensitivity (both P<.05). Patients with the multifocal IOL reported being more satisfied than those with the monofocal IOL. CONCLUSIONS: The multifocal IOL provided better near visual acuity and more spectacle independence than the monofocal IOL. SN - 1873-4502 UR - https://www.unboundmedicine.com/medline/citation/20152611/Visual_function_after_monocular_implantation_of_apodized_diffractive_multifocal_or_single_piece_monofocal_intraocular_lens_Randomized_prospective_comparison_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(09)01077-3 DB - PRIME DP - Unbound Medicine ER -