Clinical Results of Diffractive, Refractive, Hybrid Multifocal, and Monofocal Intraocular Lenses

Purpose. To present the outcomes of hybrid multifocal and monofocal intraocular lenses (IOLs) and to compare with refractive and diffractive multifocal IOLs (MFIOLs). Methods. Three hundred twenty eyes (160 patients) underwent cataract surgery with randomized IOLs bilateral implantation. Changes in...

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Main Authors: Agnieszka Dyrda, Ana Martínez-Palmer, Daniel Martín-Moral, Amanda Rey, Antonio Morilla, Miguel Castilla-Martí, Janny Aronés-Santivañez
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2018/8285637
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author Agnieszka Dyrda
Ana Martínez-Palmer
Daniel Martín-Moral
Amanda Rey
Antonio Morilla
Miguel Castilla-Martí
Janny Aronés-Santivañez
author_facet Agnieszka Dyrda
Ana Martínez-Palmer
Daniel Martín-Moral
Amanda Rey
Antonio Morilla
Miguel Castilla-Martí
Janny Aronés-Santivañez
author_sort Agnieszka Dyrda
collection DOAJ
description Purpose. To present the outcomes of hybrid multifocal and monofocal intraocular lenses (IOLs) and to compare with refractive and diffractive multifocal IOLs (MFIOLs). Methods. Three hundred twenty eyes (160 patients) underwent cataract surgery with randomized IOLs bilateral implantation. Changes in uncorrected and distance-corrected logMAR distance, intermediate and near (UNVA and DCNVA) visual acuity (VA), contrast sensitivity (CS), presence of dysphotopsia, spectacle independence, and patient satisfaction were analyzed. Results. Postoperative VA in the hybrid (OptiVis) group was improved in all distances (p<0.001). OptiVis acted superiorly to monofocal IOLs in UNVA and DCNVA (p<0.001 for both) and to refractive ones in DCNVA (p<0.005). Distance, mesopic, without glare CS in OptiVis was lower than in the monofocal group and similar to other MFIOLs. No differences in dysphotopsia pre- and postoperatively and spectacle independence in near for OptiVis and refractive MFIOLs were detected. OptiVis patients were more satisfied than those with monofocal IOLs (p=0.015). Conclusions. After cataract surgery, patients with OptiVis improved VA in all distances. Near and intermediate VA was better than monofocal, and DCNVA was better than the refractive group. CS was lower in OptiVis than in the monofocal group, but there was no difference between MFIOLs. Patient satisfaction was higher in OptiVis than in the monofocal group. This trial is registered with NCT03512626.
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spelling doaj-art-61219d0e55a64f18bea8ac80be86743b2025-02-03T01:29:23ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/82856378285637Clinical Results of Diffractive, Refractive, Hybrid Multifocal, and Monofocal Intraocular LensesAgnieszka Dyrda0Ana Martínez-Palmer1Daniel Martín-Moral2Amanda Rey3Antonio Morilla4Miguel Castilla-Martí5Janny Aronés-Santivañez6Department of Ophthalmology, Hospital Universitario del Mar and Hospital de la Esperanza, Pompeu and Fabra University, Barcelona, SpainDepartment of Ophthalmology, Hospital Universitario del Mar and Hospital de la Esperanza, Pompeu and Fabra University, Barcelona, SpainDepartment of Ophthalmology, Hospital Universitario del Mar and Hospital de la Esperanza, Pompeu and Fabra University, Barcelona, SpainInstitut Català de Retina, Barcelona, SpainInstitut Català de Retina, Barcelona, SpainValles Ophthalmology Research, Hospital General de Catalunya, Barcelona, SpainDepartment of Ophthalmology, Hospital Universitario del Mar and Hospital de la Esperanza, Pompeu and Fabra University, Barcelona, SpainPurpose. To present the outcomes of hybrid multifocal and monofocal intraocular lenses (IOLs) and to compare with refractive and diffractive multifocal IOLs (MFIOLs). Methods. Three hundred twenty eyes (160 patients) underwent cataract surgery with randomized IOLs bilateral implantation. Changes in uncorrected and distance-corrected logMAR distance, intermediate and near (UNVA and DCNVA) visual acuity (VA), contrast sensitivity (CS), presence of dysphotopsia, spectacle independence, and patient satisfaction were analyzed. Results. Postoperative VA in the hybrid (OptiVis) group was improved in all distances (p<0.001). OptiVis acted superiorly to monofocal IOLs in UNVA and DCNVA (p<0.001 for both) and to refractive ones in DCNVA (p<0.005). Distance, mesopic, without glare CS in OptiVis was lower than in the monofocal group and similar to other MFIOLs. No differences in dysphotopsia pre- and postoperatively and spectacle independence in near for OptiVis and refractive MFIOLs were detected. OptiVis patients were more satisfied than those with monofocal IOLs (p=0.015). Conclusions. After cataract surgery, patients with OptiVis improved VA in all distances. Near and intermediate VA was better than monofocal, and DCNVA was better than the refractive group. CS was lower in OptiVis than in the monofocal group, but there was no difference between MFIOLs. Patient satisfaction was higher in OptiVis than in the monofocal group. This trial is registered with NCT03512626.http://dx.doi.org/10.1155/2018/8285637
spellingShingle Agnieszka Dyrda
Ana Martínez-Palmer
Daniel Martín-Moral
Amanda Rey
Antonio Morilla
Miguel Castilla-Martí
Janny Aronés-Santivañez
Clinical Results of Diffractive, Refractive, Hybrid Multifocal, and Monofocal Intraocular Lenses
Journal of Ophthalmology
title Clinical Results of Diffractive, Refractive, Hybrid Multifocal, and Monofocal Intraocular Lenses
title_full Clinical Results of Diffractive, Refractive, Hybrid Multifocal, and Monofocal Intraocular Lenses
title_fullStr Clinical Results of Diffractive, Refractive, Hybrid Multifocal, and Monofocal Intraocular Lenses
title_full_unstemmed Clinical Results of Diffractive, Refractive, Hybrid Multifocal, and Monofocal Intraocular Lenses
title_short Clinical Results of Diffractive, Refractive, Hybrid Multifocal, and Monofocal Intraocular Lenses
title_sort clinical results of diffractive refractive hybrid multifocal and monofocal intraocular lenses
url http://dx.doi.org/10.1155/2018/8285637
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