Comparison of visual function after implantation of inferior sector-shaped intraocular lenses: low-add +1.5 D vs +3.0 D

Eur J Ophthalmol. 2016 Nov 4;26(6):607-611. doi: 10.5301/ejo.5000771. Epub 2016 Sep 7.

Abstract

Purpose: To compare visual function after implantation of multifocal Lentis comfort LS-313 MF 15 (group 1) or Lentis M plus LS-313 MF 30 (group 2) intraocular lenses (IOLs).

Methods: Patients between 49 and 76 years of age who received monocular cataract surgery with multifocal IOL implantation were analyzed. Patients were evaluated preoperatively and for 5 months postoperatively for distance, intermediate, and near visual acuities, and static photopic and mesopic contrast sensitivity. A satisfaction questionnaire was administered 5 months after surgery.

Results: Group 1 comprised 21 eyes and group 2 contained 34 eyes. Both groups had a statistically significant improvement in uncorrected and corrected distance visual acuities postoperatively (p<0.01). Uncorrected visual near acuity at 40 cm was better in group 2 (1 month: p = 0.013; 5 months: p = 0.051). Uncorrected intermediate visual acuity at 70 cm was better in group 1 (1 month: p = 0.060; 5 months: p = 0.044). No significant differences in contrast sensitivity were observed between the groups. Glare and halo symptoms were better in group 1 (glare: p = 0.044; halo: p = 0.029).

Conclusions: Inferior sector-shaped, near-addition IOLs with lower add powers (+1.5 D) provide good vision over longer working distances and show fewer glare and halo symptoms.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Contrast Sensitivity / physiology*
  • Female
  • Glare
  • Humans
  • Lens Implantation, Intraocular*
  • Lenses, Intraocular*
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Phacoemulsification*
  • Prospective Studies
  • Prosthesis Design
  • Pseudophakia / physiopathology*
  • Surveys and Questionnaires
  • Visual Acuity / physiology*