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Patient-Reported Outcomes/Satisfaction and Spectacle Independence with Blended or Bilateral Multifocal Intraocular Lenses in Cataract Surgery

Authors Hovanesian JA, Lane SS, Allen QB, Jones M

Received 17 August 2019

Accepted for publication 13 December 2019

Published 27 December 2019 Volume 2019:13 Pages 2591—2598

DOI https://doi.org/10.2147/OPTH.S227629

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


John A Hovanesian,1 Stephen S Lane,2 Quentin B Allen,3 Michael Jones4

1Harvard Eye Associates, Laguna Hills, CA, USA; 2Associated Eye Care, Stillwater, MN, USA; 3Florida Vision Institute, Stuart, FL, USA; 4Quantum Vision Centers, Swansea, IL, USA

Correspondence: John A Hovanesian
Harvard Eye Associates, 24401 Calle De La Louisa, Laguna Hills, CA 92653, USA
Tel +1 949 951 2020
Fax +1 949 951 9244
Email jhovanesian@harvardeye.com

Purpose: To compare patient-reported outcomes (PROs) and satisfaction results after multifocal intraocular lens (IOL) implantation in three groups: two receiving bilateral implantation of the same IOL and another undergoing blended vision with two different multifocal IOLs.
Patients and methods: A questionnaire was administered to patients who had undergone uncomplicated cataract surgery and 2 months of follow-up: the first group underwent bilateral implantation with Alcon’s AcrySof ReSTOR 3.0 lens (“3.0/3.0,” n=78); the second group underwent implantation with the ReSTOR ActiveFocus 2.5 or the ReSTOR ActiveFocus 2.5 toric lens (“2.5 mini-monovision,” n=102); and the third group underwent implantation with the ReSTOR 2.5 lens in the dominant eye and the ReSTOR 3.0 lens in the non-dominant eye (“2.5/3.0,” n=89).
Results: Overall PROs and satisfaction was similar among the groups. Refractive outcomes and accuracy were similar among the groups, but the 2.5 mini-monovision group reported better intermediate vision. Refractive outcome differences were not meaningful among the groups and were not a differentiating factor in PROs. Substantially fewer patients in the 2.5 mini-monovision group noticed glare and halo compared with the 3.0/3.0 group (P<0.0001, chi-square test). No new safety concerns were reported.
Conclusion: The 2.5 mini-monovision results in a higher percentage of patients being satisfied with intermediate vision than bilateral ReSTOR 3.0 or blended vision with ReSTOR 2.5/3.0 implants, but overall PRO differences were not statistically significant.

Keywords: mini-monovision, AcrySof ReSTOR, cataract surgery, spectacle independence, glare, multifocal intraocular lens


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