ESCRS - PO884 - Improvements In Visual Function Early After Cataract Surgery In Eyes Implanted With Multifocal Intraocular Lenses

Improvements In Visual Function Early After Cataract Surgery In Eyes Implanted With Multifocal Intraocular Lenses

Published 2025 - 43rd Congress of the ESCRS

Reference: PO884 | Type: Poster | DOI: 10.82333/y04c-d212

Authors: Ryo Hayashi* 1 , Motoaki Yoshida 2 , Akira Hirata 2 , Ken Hayashi 2

1Ophthalmology,Kurume University Faculty of Medicine,Kurume,Japan;Ophthalmology,Hayashi Eye Hospital,Fukuoka,Japan, 2Ophthalmology,Hayashi Eye Hospital,Fukuoka,Japan

Purpose

To compare the improvements in uncorrected and distance-corrected visual acuity (VA) from fat to near distances and contrast sensitivity early after cataract surgery among eyes implanted with multifocal or monofocal intraocular lenses (IOLs).

Setting

Department of Ophthalmology, Kurume University Faculty of Medicine, Kurume, Japan, and Hayashi Eye Hospital, Fukuoka, Japan.

Methods

Forty-two eyes with a trifocal IOL (Alcon, PanOptix), 42 eyes with a combined bifocal and extended-depth-of-focus (EDOF) IOL (Johnson & Johnson, Synergy), and 84 eyes with a monofocal IOL were recruited.  Uncorrected or distance-corrected VA from far to near distances, and photopic and mesopic contrast VA were examined at 1 day and 3 months after surgery.  Improvements in these VAs were compared between time points and among groups.

Results

Mean uncorrected or distance-corrected VAs improved significantly from 1 day to 3 months postoperatively at almost all distances in the trifocal and bifocal + EDOF IOL groups (P ≤ 0.018), and at the intermediate distance of 1.0 m and far distances in the monofocal IOL group (P ≤ 0.031).  Mean improvements in near uncorrected VA at 0.3 m, intermediate VA at 0.5 m, and far VA at 2.0, 3.0, and 5.0 m were significantly greater in the multifocal IOL groups than in the monofocal IOL group (P ≤ 0.032).  Improvements in photopic and mesopic contrast VA at most contrasts were significantly greater in the multifocal IOL groups than in the monofocal IOL group (P ≤ 0.021).

Conclusions

Mean uncorrected or corrected VA at almost all distances and contrast sensitivity at most contrasts improved significantly during 3 months postoperatively in eyes implanted with multifocal IOLs, and the improvements in VA at most distances and contrast sensitivity were significantly greater with multifocal IOLs than with a monofocal IOL, suggesting that exchange of multifocal IOLs should be postponed until several months postoperatively when patients express dissatisfaction immediately postoperatively.