Comparison of visual function and patient satisfaction with AcrySof ReSTORSN6AD1 multifocal intraocular compared to monofocal intraocular lenses 5

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Abstract


Purpose. To compare the visual function and patient satisfaction in patients after implantation of the AcrySof ReSTOR SN6AD1 multifocal intraocular lens (IOL) and after implantation of the AcrySof SA60AТ spherical monofocal IOL and Akreos АО aspheric monofocal IOL in cataract surgery.

Materials. 34 patients had SN6AD1 multifocal (group 1, 48 eyes), 19 patients had Akreos АО monofocal aspheric (group 2, 30 eyes) and 13 patients had AcrySof SA60AТ monofocal spherical (group 3, 18 eyes) IOL implantations. Patients with multifocal IOL were closely paired in age, sex, and ocular findings with patients who had monofocal IOL implantation. Six months postoperatively uncorrected/corrected distance visual acuity (UDVA/CDVA), uncorrected intermediate (60 cm) and near (35 cm) visual acuity (UNVA), the defocus curve, contrast sensitivity and a quality-of-life questionnaire were evaluated. Furthermore, independence from glasses and the presence of optical phenomena were assessed.

Results. Patients in group 2 had statistically better UDVA than in group 1 (p = 0,037). There was no significant difference in the mean uncorrected intermediate and best corrected distance visual acuities between the groups. UNVA was better in group 1 than in groups 2, 3 (p < 0,0001). Photopic contrast sensitivity for high spatial frequencies was better for the groups 2 and 3. Glare was reported by 5,9% in the multifocal group. Halos occurred in 32,4% of patients in group 1. No one reported unwanted visual symptoms in monofocal groups.

Conclusion. Multifocal IOLs provided higher spectacle independence and satisfactory functional vision over a broad range of distances but were associated with increased subjective visual symptoms, reduced photopic contrast sensitivity for high spatial frequencies and distance visual quality compared with the monofocal IOLs.


Aisa S Alchinova

aalchinova@mail.ru
FSBEI HE I.P. Pavlov SPbSMU MOH Russia
Russian Federation

resident, Department of Ophthalmology

Ksenia Yu Morina

ksushka.90@mail.ru
FSBEI HE I.P. Pavlov SPbSMU MOH Russia
Russian Federation

resident, Department of Ophthalmology

Vyacheslav V Rakhmanov

rakhmanoveyes@yandex.ru
FSBEI HE I.P. Pavlov SPbSMU MOH Russia
Russian Federation

PhD, assistant, Department of Ophthalmology

Vitaly V Potemkin

potem@inbox.ru
FSBEI HE I.P. Pavlov SPbSMU MOH Russia
Russian Federation

PhD, professor assistant, Department of Ophthalmology

Kirill V Khripun

kirdoc@mail.ru
Ophthalmologic Center of City hospital No 2
Russian Federation

PhD, ophthalmologist

Elena V Meshveliani

lena_vm@inbox.ru
FSBEI HE I.P. Pavlov SPbSMU MOH Russia
Russian Federation

resident, Department of Ophthalmology

Elena V Ageeva

ageeva_elena@inbox.ru
FSBEI HE I.P. Pavlov SPbSMU MOH Russia
Russian Federation

resident, Department of Ophthalmology

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