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First Author: W.Lubinski POLAND
Co Author(s): K. Podbor?czy?ska-Jodko M. Cholewa J. Gronkowska-Serafin
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To compare visual function and patient satisfaction after bilateral cataract surgery with multifocal IOL implantation and monofocal implantation in monovision procedure 3 months follow-up
Department of Ophthalmology, Pomeranian Medical University, Szczecin, Poland
Three months after uneventful bilateral standard cataract surgery two groups of 20 patients (40 eyes) each were compared. First (I) group after bilateral cataract surgery with diffractive Acriva Reviol implantation and the second (II) after bilateral cataract surgery with monofocal lens implantation (Alcon SA60AT) in the monovision procedure (target refraction: dominant eye emmetropia, nondominant eye - -2.0D). Patients were evaluated for binocular UDVA, UNVA and UIVA (logMAR), spectacle independence, contrast sensitivity (CS) (CSV-1000) and patient satisfaction (VFQ-25).
Three months after surgery means binocular UDVA and UNVA were not significantly different in both groups (UDVA: I group -0.05ḟ0.07 versus II group -0.03ḟ0.09; p=NS; UNVA I group 0.08ḟ0.11 versus II group 0.10ḟ0.11; p=NS). In I group UIVA was significantly better than in II group (UIVA: I group 0.05ḟ0.08 versus II group 0.39ḟ0.16; p<0.05). All patients with Acriva Reviol had very good spectacle-free visual function at all distances and were totally spectacle independent. In monovision group all patients were spectacle free only for distance, but for intermediate and near in 90% and 80% of patients, respectively. CS in photopic and mesopic adaptations was within normal age-matched limits at both groups. General patient satisfaction was very high in both groups, however perception of glare and halo was detected in 55% of patients with Acriva Reviol and was significantly more frequent in comparison with monovision group (20%).
Comparison of visual function and patient satisfaction after bilateral cataract surgery with multifocal IOL implantation and monofocal implantation in monovision procedure provides comparable a very good visual outcome, a high level of patient satisfaction, albeit spectacle independence for intermediate and near vision were better in group. Monovision procedure should be considered in patients who want to be spectacle free and who cannot participate in costs of premium IOLs.