Postoperative bilateral reading performance with 4 intraocular lens models: Six-month results

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• 作者：Jorge L. Ali&#xf3 ; MD ; PhD ; ^a ; ^{jlalio@vissum.com"" rel=""nofollow} ; G&#xfc ; nther Grabner MD^a ; Ana B. Plaza-Puche MSc^a ; Max Rasp MD^a ; David P. Pi&#xf1 ; ero PhD^a ; Orang Seyeddain MD^a ; Jose L. Rodrí ; guez-Prats MD ; PhD^a ; Marí ; a José ; Ayala MD ; PhD^a ; Rocí ; o Moreu PhD^a ; Melchior Hohensinn MD^a ; Wolfgang Riha MD^a ; Alois Dexl MD ; MSc^a [Author vitae]
• 刊名：Journal of Cataract and Refractive Surgery
• 出版年：2011
• 出版时间：May 2011
• 年：2011
• 卷：37
• 期：5
• 页码：842-852
• 全文大小：383 K

文摘

Purpose

To compare bilateral reading performance within the first 6 months after implantation of 4 intraocular lens (IOL) models.

Setting

Vissum-Instituto de Oftalmológico de Alicante, Alicante, Spain, and University Eye Clinic, Paracelsus Medical University, Salzburg, Austria.

Design

Comparative case series.

Methods

Patients had bilateral phacoemulsification and implantation of Acri.Smart 48S monofocal, Acrysof Restor SN6AD3 apodized multifocal, Acri.LISA 366D diffractive multifocal, or Rezoom refractive multifocal IOLs. Bilateral reading performance with and without near correction was evaluated preoperatively and postoperatively using the Salzburg Reading Desk.

Results

The study comprised 304 eyes of 152 patients 51 to 90 years old. All groups had a significant improvement in uncorrected and corrected distance visual acuities postoperatively (P≤.01). The apodized multifocal and diffractive multifocal groups had significantly better uncorrected reading acuity than the monofocal and refractive multifocal groups 1 month and 6 months postoperatively (P<.01). Uncorrected reading speed was significantly worse in the refractive multifocal group than in the monofocal group at 1 month (P<.01). The monofocal group had the greatest uncorrected reading distance at 1 month and 6 months (P<.01).

Conclusion

Multifocal IOLs with a diffractive component provided a comparable reading performance that was significantly better than the one obtained with refractive multifocal and monofocal IOLs.

Financial Disclosure

Drs. Ali&#xf3;, Plaza-Puche, Rasp, Pi&#xf1;ero, Seyeddain, Rodríguez-Prats, Ayala, Moreu, Hohensinn, and Riha have no financial or proprietary interest in any material or method mentioned. Additional disclosures are found in the footnotes.