Visual outcomes and patient satisfaction 3 and 12 months after implantation of a refractive rotationally asymmetric multifocal intraocular lens. Issue 5 (May 2017)

• Record Type: Journal Article
• Authors: McNeely, Richard N.; Pazo, Eric; Spence, Andrew; Richoz, Olivier; Nesbit, Andrew M.; Moore, Tara C.B.; Moore, Jonathan E.
• Is Part Of: Journal of cataract and refractive surgery. Volume 43:Issue 5(2017)
• Publication Date: 2017-05
• Subjects: 617.7
• DOI: 10.1016/j.jcrs.2017.01.025
• Languages: English
• ISSNs: 0886-3350

Abstract

Abstract : Purpose : To assess the 3‐month and 12‐month postoperative visual performance and subjective patient satisfaction after refractive lens exchange (RLE) with implantation of a rotationally asymmetric multifocal intraocular lens (IOL). Setting : Cathedral Eye Clinic, Belfast, United Kingdom. Design : Prospective case series. Methods : The refraction, uncorrected (UDVA) and corrected distance visual acuities, uncorrected intermediate (UIVA) and near (UNVA) visual acuities, distance‐corrected intermediate and near visual acuities, and a quality of vision (QoV) questionnaire were evaluated 3 months and 12 months after implantation of an SBL‐3 IOL. Results : The study enrolled 100 eyes of 50 patients. The mean monocular UDVA was −0.02 logarithm of minimum angle of resolution (logMAR) ± 0.12 (SD) 3 months postoperatively and −0.01 ± 0.10 logMAR at 12 months ( P = .393). The mean monocular UIVA was 0.39 ± 0.11 logMAR and 0.41 ± 0.12 logMAR, respectively ( P = .06). The mean monocular UNVA was 0.12 ± 0.13 logMAR and 0.14 ± 0.12 logMAR, respectively ( P = .077). The mean QoV score was 8.26 ± 1.16 at 3 months with a significant improvement at 12 months, at which time the mean QoV score was 8.84 ± 1.08 ( P ≤ .001). Conclusions : This asymmetric multifocal IOL provided excellent unaided vision with no significant difference in near, intermediate, and distance vision 3 months and 12 months postoperatively. However, there was a significant improvement in subjective outcomes at the second postoperative assessment, during which patients reported a significantly better QoV score and less blurred vision.