J Korean Ophthalmol Soc.  2010 Jan;51(1):14-21.

Spheric, Aspheric ReSTOR Intraocular Lens: Three-month Results and Preoperative Clinical Factors Influencing Patient's Satisfaction

• Yun J
• Ahn K
• Lee DH
• Chung ES
• Chung TY

Abstract

PURPOSE
To evaluate results at three months postoperatively on patient satisfaction and preoperative clinical factors affecting patient satisfaction after implantation of an AcrySof ReSTOR intraocular lens (IOL).
METHODS
Thirty-three eyes of 33 patients who underwent implantation of spheric/aspheric AcrySof ReSTOR IOL at the Samsung Medical Center of Korea were enrolled in the present study. The uncorrected distance visual acuity (UCDVA), best corrected distance visual acuity (BCDVA), and refractive error were recorded preoperatively and three months after surgery. A questionnaire to assess patient satisfaction was created (score range: 1-5, 5 being the maximum score). Patient age, preoperative UCDVA, BCDVA, corneal astigmatism, and asphericity of IOL were selected as preoperative factors influencing patient satisfaction.
RESULTS
One hundred percent and 93.9% of the patients achieved UCDVA and BCDVA of 20/25 or better, respectively. The overall patient satisfaction score was 3.9+/-1.0/4.5+/-0.7 (p=0.073) and the score of intent to recommend ReSTOR IOL to others was 3.7+/-1.0/4.5+/-0.6 (p=0.013) with the spheric/aspheric IOL, respectively. The age of patients was negatively correlated with the score of overall satisfaction and the intent to recommend the procedure to others (p=0.024, 0.031). The overall patient satisfaction and intent to recommend of the patients who were less than 55 years old were significantly higher than those of the older patients (p=0.032, 0.039).
CONCLUSIONS
High UCDVA and BCDVA resulted from the implantation of ReSTOR IOL. The younger the patients were, the higher the resulting patient satisfaction. Implantation of ReSTOR IOL in young patients is recommended.

Keyword

Age; Intraocular lens; Patient's satisfaction; ReSTOR

MeSH Terms

Astigmatism
Eye
Humans
Korea
Lenses, Intraocular
Patient Satisfaction
Surveys and Questionnaires
Refractive Errors
Visual Acuity

Figure

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  Figure 1. Visual outcome after ReSTOR intraocular lensimplantation at postoperative 3 months. UCDVA=uncorrected distance visual acuity; BCDVA= best corrected distance visual acuity; UCNVA=uncorrected near visual acuity.

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  Figure 2. Scatterplot of association between patient age and overall satisfaction score after ReSTOR intraocular lens implantation. Continuous line represents the best linear trend equation (r=-0.436).

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  Figure 3. Multiple regression analysis with Spearman's partial correlation coefficients showing correlation between preoperative clinical factors and glare satisfaction after ReSTOR implantation. A: age (r=-0.384/p=0.040) B: preoperative UCDVA (logMAR) (r=-0.204/p=0.288) C: preoperative BCDVA (logMAR) (r=0.244/p=0.202) D: sphericity: (r=0.292/p=0.124) E: corneal astigmatism: (r=0.171/p=0.375)

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  Figure 4. Multiple regression analysis with Spearman's partial correlation coefficients showing correlation between preoperative clinical factors and recommending score after ReSTOR implantation. A: age (r=-0.401/p=0.031) B: preoperative UCDVA (logMAR) (r=-0.015/p=0.939) C: preoperative BCDVA (logMAR) (r=-0.021/p=0.914) D: sphericity: (r=0.470/p=0.010) E: corneal astigmatism: (r=-0.037/p=0.848)

Reference

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