Comparison of Post-Cataract Surgery Visual Outcomes and Quality of Life in Patients Bilaterally Implanted with Multifoca
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ORIGINAL RESEARCH
Comparison of Post-Cataract Surgery Visual Outcomes and Quality of Life in Patients Bilaterally Implanted with Multifocal Intraocular Lenses Suhas S. Haldipurkar . Vijay Shetty . Dhruven Shah . Tanvi Haldipurkar . Priyanka Kashelkar . Zain Khatib . Prachi Sankhe . Aalapi Mane . Paresh Mhatre . Maninder Singh Setia
Received: October 13, 2020 / Accepted: November 7, 2020 Ó The Author(s) 2020
ABSTRACT Introduction: The present study compared visual outcomes in eyes with bilateral implantation of two multifocal intraocular lenses (MFIOLs)—the EyecrylTM ACTV diffractive multifocal IOL (group 1) and AcrySofÒ IQ ReSTORÒ multifocal IOL (group 2). Methods: This was a prospective, two-group observational longitudinal study of 118 eyes from 59 patients conducted at Laxmi Eye Institute, Panvel, India. We evaluated the patients at 1, 3, and 6 months. We assessed visual acuity, contrast sensitivity, higher-order aberrations, reading speed, defocus curve, stereopsis, quality of life (QOL), and adverse events in these participants. Results: The median (interquartile range) bestcorrected distance visual acuity was 0.18 (0, 0.18) in group 1 and 0.18 (0, 0.18) in group 2 at 1, 3, and 6 months; the difference was not statistically significant (p = 0.48). The binocular defocus curve in both groups showed two peaks at 0.0 to -0.5 D and at -2.5 D. The mean (95% confidence interval) critical print size was significantly different between groups 1 and 2 at low illumination (0.918 [0.905, 0.931] vs 1.154 S. S. Haldipurkar V. Shetty D. Shah T. Haldipurkar P. Kashelkar Z. Khatib P. Sankhe A. Mane P. Mhatre M. S. Setia (&) Laxmi Eye Institute, Panvel, Maharashtra, India e-mail: [email protected]
[1.128, 1.180]; p = 0.004). Contrast sensitivity was significantly better in group 1 under mesopic conditions but not under scotopic conditions. Though total QOL did not differ significantly between groups, the psychosocial quality of life was significantly better in group 1. About 23% of patients in group 2 reported unwanted images, compared with 0% in group 1 (p = 0.01). Conclusion: We found that the Eyecryl and AcrySof groups were comparable for best-corrected visual acuity, photopic contrast sensitivity, defocus curve, reading parameters, stereopsis, and quality of vision. However, the Eyecryl group had better mesopic contrast and a lower proportion of unwanted images. Psychosocial quality of life was significantly better in the Eyecryl group; however, satisfaction was similar between groups. The cost of one of the lenses is less than the other. Thus, individuals with limited resources may opt for the EyecrylTM ACTV, with similar visual outcomes. Keywords: Multifocal IOLs; Quality of life; Reading ability; Visual acuity; Visual satisfaction
Ophthalmol Ther
DIGITAL FEATURES Key Summary Points AcrySofÒ IQ ReSTORÒ Multifocal IOL (Alcon Laboratories, Inc.) with low add power has a balanced design without prioritizing any foci.
This article is published with digital features, including a sum
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