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Quality of vision, patient satisfaction and long-term visual function after bilateral implantation of a low addition multifocal intraocular lens

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Abstract

Purpose

The aim of the current study was to compare the quality of vision, contrast sensitivity and patient satisfaction with a biaspheric, segmented, rotationally asymmetric IOL (Lentis Comfort LS-313 MF 15-Oculentis GmbH, Berlin, Germany) as opposed to those of a monofocal IOL.

Methods

This prospective single-blind comparative study included two groups of patients affected by bilateral senile cataract who underwent lens extraction and IOL implantation. The first group received a bilateral implantation of a monofocal IOL, and the second group received a bilateral implantation of the Comfort IOL. Twelve months after surgery uncorrected and corrected visual acuity at different distances (30, 50, 70 cm and 4 m), defocus curve and contrast sensitivity were assessed. Patient’s satisfaction and spectacle independence were evaluated by mean of the NEI RQL-42 questionnaire.

Results

No significant differences were found between the groups in terms of near vision. The group of patients implanted with a Comfort IOL obtained the best results at intermediate distances (50 and 70 cm P < .001). Both groups showed an excellent uncorrected distance visual acuity (4 m). No statistically significant differences were found in terms of corrected near, intermediate and distance visual acuity. Concerning contrast sensitivity, no statistically significant differences between the groups were observed at any cycles per degree. The NEI RQL-42 questionnaire showed statistically significant differences between the group for “near vision” (P = .015), “dependence on correction” (P = .048) and “suboptimal correction” (P < .001) subscales.

Conclusion

Our findings indicated that the Comfort IOL +1.5 D provides a good intermediate spectacle independence together with a high quality of vision, with a low amount of subjective symptoms and a contrast sensitivity similar to those obtained with a monofocal IOL.

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Author information

Authors and Affiliations

  1. Department of Neuroscience, Biomedicine and Movement Sciences, Eye Clinic, University of Verona, Piazzale A. Stefani 1, 37126, Verona, VR, Italy

    Emilio Pedrotti, Rodolfo Mastropasqua, Jacopo Bonetto, Christian Demasi & Giorgio Marchini

  2. Eye Clinic, Polytechnic University of Marche, Ancona, Italy

    Rodolfo Mastropasqua & Cesare Mariotti

  3. Ophthalmology Unit, Department of Experimental Medicine and Surgery, University of Rome Tor Vergata, Rome, Italy

    Francesco Aiello & Carlo Nucci

Authors
  1. Emilio Pedrotti
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  2. Rodolfo Mastropasqua
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  3. Jacopo Bonetto
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  4. Christian Demasi
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  5. Francesco Aiello
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  6. Carlo Nucci
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  7. Cesare Mariotti
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  8. Giorgio Marchini
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Corresponding author

Correspondence to Jacopo Bonetto.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Cite this article

Pedrotti, E., Mastropasqua, R., Bonetto, J. et al. Quality of vision, patient satisfaction and long-term visual function after bilateral implantation of a low addition multifocal intraocular lens. Int Ophthalmol 38, 1709–1716 (2018). https://doi.org/10.1007/s10792-017-0652-x

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  • DOI: https://doi.org/10.1007/s10792-017-0652-x

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