Comparative analysis of visual outcomes with 4 intraocular lenses: Monofocal, multifocal, and extended range of vision.
J Cataract Refract Surg
; 44(2): 156-167, 2018 Feb.
Article
em En
| MEDLINE
| ID: mdl-29587972
ABSTRACT
PURPOSE:
To compare the visual acuity, refractive outcomes, and quality of vision in patients with bilateral implantation of 4 intraocular lenses (IOLs). SETTINGS Department of Neurosciences, Biomedicine and Movement Sciences, Eye Clinic, University of Verona, Verona, and Carones Ophthalmology Center, Milano, Italy.DESIGN:
Prospective case series.METHODS:
The study included patients who had bilateral cataract surgery with the implantation of 1 of 4 IOLs as follows Tecnis 1-piece monofocal (monofocal IOL), Tecnis Symfony extended range of vision (extended-range-of-vision IOL), Restor +2.5 diopter (D) (+2.5 D multifocal IOL), and Restor +3.0 D (+3.0 D multifocal IOL). Visual acuity, refractive outcome, defocus curve, objective optical quality, contrast sensitivity, spectacle independence, and glare perception were evaluated 6 months after surgery.RESULTS:
The study comprised 185 patients. The extended-range-of-vision IOL (55 patients) showed better distance visual outcomes than the monofocal IOL (30 patients) and high-addition apodized diffractive-refractive multifocal IOLs (P ≤ .002). The +3.0 D multifocal IOL (50 patients) showed the best near visual outcomes (P < .001). The +2.5 D multifocal IOL (50 patients) and extended-range-of-vision IOL provided significantly better intermediate visual outcomes than the other 2 IOLs, with significantly better vision for a defocus level of -1.5 D (P < .001). Better spectacle independence was shown for the +2.5 D multifocal IOL and extended-range-of-vision IOL (P < .001).CONCLUSIONS:
The extended-range-of-vision IOL and +2.5 D multifocal IOL provided significantly better intermediate visual restoration after cataract surgery than the monofocal IOL and +3.0 D multifocal IOL, with significantly better quality of vision with the extended-range-of-vision IOL.
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Base de dados:
MEDLINE
Assunto principal:
Refração Ocular
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Acuidade Visual
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Facoemulsificação
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Pseudofacia
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Implante de Lente Intraocular
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Lentes Intraoculares Multifocais
/
Lentes Intraoculares
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article