J Korean Ophthalmol Soc.  2014 Jul;55(7):991-1000.

Clinical Outcomes of Patients with Refractive Aspheric Multifocal IOL Implantation

• Yu S
• Kim JH
• Lee GJ
• Lee KW
• Park YJ

Abstract

PURPOSE
To evaluate the clinical outcomes of patients with refractive aspheric multifocal intraocular lens (IOL) (Lentis Mplus(R) LS-313) implantation.
METHODS
Sixty-eight eyes of 53 patients received refractive aspheric multifocal IOL implantation. Uncorrected visual acuity (UCVA) at a long distanc, as well as intermediate and near distances were measured on the first day, after two weeks, and during the first, third and sixth months postoperatively. Optical quality was evaluated using the Optical Quality Analysis System II (OQAS II). High-order aberrations (HOA) and patient satisfaction questionnaires were evaluated at three months post-operation.
RESULTS
At the six-month postoperative visit, the mean UCVA at a long, two intermediate (63 cm, 100 cm) and a near distance were 0.06 +/- 0.07, 0.18 +/- 0.14, 0.15 +/- 0.13 and 0.11 +/- 0.10 log MAR, respectively. The means of the objective scatter index, modulation transfer function (MTF) cut off value, Strehl ratio and pseudo-accommodation range measured by OQAS II were 1.20 +/- 0.69, 34.15 +/- 9.53 cdp, 0.17 +/- 0.05 and 3.09 +/- 0.25 D, respectively. HOA of 5 mm and 6 mm were each 0.61 +/- 0.14 and 1.07 +/- 0.20, respectively. Eighty-two percent of patients were satisfied with the postoperative results, and 71% of the patients reported that they would recommend the procedure to others, while 24% of patients reported moderate or severe visual disturbance at night.
CONCLUSIONS
Implantation of the refractive aspheric multifocal IOLs in patients with cataracts provided excellent distant, intermediate, and near visual outcomes and high patient satisfaction as well as presbyopia correction.

Keyword

Cataract; Lentis Mplus; Multifocal intraocular lens; Satisfaction

MeSH Terms

Cataract
Cytidine Diphosphate
Humans
Lenses, Intraocular
Patient Satisfaction
Presbyopia
Surveys and Questionnaires
Visual Acuity
Cytidine Diphosphate

Figure

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  Figure 1. The aspheric refractive multifocal intraocular lens (IOL) (Lentis Mplus® LS-313).

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  Figure 2. An example of a patient's image quality with accommodation measured by optical quality analysis system II at post-operative 3 months. The graph shows a wider range of optical quality (0.0-2.0 D). At the 3-month postoperative visit, the mean pseudo-accommodation range of total enrolled patients was 3.09 ± 0.25 D.

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  Figure 3. Satisfaction of the patients with the refractive multifocal intraocular lens (IOL) (%)

Reference

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