J Korean Ophthalmol Soc.  2015 Dec;56(12):1867-1873. 10.3341/jkos.2015.56.12.1867.

Clinical Results and Optical Quality of Diffractive Multifocal Intraocular Lens

• Oh JJ
• Choi JS

• KMID: 2148747
• DOI: http://doi.org/10.3341/jkos.2015.56.12.1867

Abstract

PURPOSE
To compare postoperative clinical outcomes, optical quality, and patient satisfaction between two types of diffractive multifocal intraocular lens (IOL, Acri Lisa 366D and Acrysof ReSTOR +3.00 D).
METHODS
In a total of 68 eyes, one of two diffractive multifocal IOL (Acri Lisa 366D and Acrysof ReSTOR +3.00 D) was implanted after cataract extraction. Visual acuity was measured postoperatively at one week, 1 month, and 6 months. Contrast sensitivity, wavefront aberration, and visual function were determined via questionnaire at postoperative 1 month.
RESULTS
Intermediate visual acuity of Acri Lisa 366D and Acrysof ReSTOR at 6 months were 0.31 +/- 0.14, and 0.24 +/- 0.11 (log MAR), respectively. At 6 months, near and distant visual acuity results showed no significant differences between the two groups. The photopic contrast sensitivity of Acri Lisa 366D at 6 cycles/degree was 55.36 +/- 7.40 and showed significant differences with Acrysof ReSTOR (47.25 +/- 9.67). The mesopic contrast sensitivity values of Acri Lisa 366D and Acrysof ReSTOR were 40.26 +/- 11.38 and 28.97 +/- 10.45, respectively, and the spherical aberration values were 0.037 +/- 0.039 microm and 0.105 +/- 0.066 microm. The spherical aberration of Acri Lisa 366D was significantly lower than that of Acrysof ReSTOR. Total and high order aberration, coma, and trefoil show no significant differences between the two groups.
CONCLUSIONS
The Acri Lisa 366D multifocal IOL showed better contrast sensitivity and spherical aberration compared to Acrysof ReSTOR multifocal IOL, which had an effective intermediate visual acuity.

Keyword

Contrast sensitivity; Multifocal intraocular lens; Patient satisfaction; Spherical aberration

MeSH Terms

Cataract Extraction
Coma
Contrast Sensitivity
Lenses, Intraocular*
Lotus
Patient Satisfaction
Visual Acuity

Figure

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  Figure 1. Mean log contrast sensitivity functions in patients implanted with the Acri Lisa 366D and AcrylSof ReSTOR intraocular lenses for different lighting conditions (85 cd/m2 and 3 cd/m2) at 1 month. (A) Photopic contrast sensitivity. (B) Mesopic contrast sensitivity. CPD = cycle per degree.

Reference

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