J Korean Ophthalmol Soc.  2010 Jun;51(6):822-828. 10.3341/jkos.2010.51.6.822.

One-year Outcome of Monocular Implant of Aspheric Multifocal IOL

• Cheon MH
• Lee JE
• Kim JH
• Kim KH
• Lee HG
• Kim JY
• Kim MJ
• Tchah HW

• KMID: 2213608
• DOI: http://doi.org/10.3341/jkos.2010.51.6.822

Abstract

PURPOSE
To evaluate near and far visual acuity, subjective visual symptoms, and patient satisfaction with a monocular implant of aspheric multifocal IOL (AMO Tecnis ZM900(R)).
METHODS
Thirty eyes of 30 patients received phacoemulsifications and monocular implantation of Tecnis ZM900 IOL. The main outcome measures at postoperative 1 week, 1 month, 3 months, and 1 year were uncorrected and corrected near and distant visual acuity, refractory errors, contrast sensitivity, subjective visual symptoms (glare and halo), spectacle independency, and satisfaction.
RESULTS
At a 3 month postoperative visit, the mean uncorrected near and distant visual acuities were 0.29+/-0.17 (logMAR) and 0.16+/-0.12 (logMAR),respectively. At 1 year, the mean uncorrected near and distant visual acuities were 0.25+/-0.17 (logMAR) and 0.11+/-0.08 (logMAR). Glare and halo decreased, and contrast sensitivity increased upon 1-year follow-up after monocular implantation of ZM900. Most patients (87%) were satisfied with their visual outcome.
CONCLUSIONS
Monocular implantation of multifocal IOL Tecnis ZM900 shows stable surgical outcomes with a high satisfaction rate and enables a high rate of spectacle independency. Postoperative glare and halo, youth, and residual refractive error could be risk factors for dissatisfaction with monocular implantation of multifocal IOL Tecnis ZM900. Proper patient selection can lead to satisfying outcomes.

Keyword

Contrast sensitivity; Glare; Halo; Monocular multifocal intraocular lens; Patient satisfaction

MeSH Terms

Adolescent
Contrast Sensitivity
Eye
Follow-Up Studies
Glare
Humans
Outcome Assessment (Health Care)
Patient Satisfaction
Patient Selection
Phacoemulsification
Refractive Errors
Risk Factors
Visual Acuity

Figure

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  Figure 1. Change in contrast sensitivity test at photopic condition (A) and mesopic condition (B) (*p<0.05).

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  Figure 2. Spectacle independency, patient satisfaction, whether recommend or not.

Reference

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