Patient-Reported Outcomes/Satisfaction and Spectacle Independence with Blended or Bilateral Multifocal Intraocular Lenses in Cataract Surgery

• Main Authors: Hovanesian JA, Lane SS, Allen QB, Jones M
• Format: Article
• Language: English
• Published: Dove Medical Press 2019-12-01
• Series: Clinical Ophthalmology
• Subjects: mini-monovision; acrysof restor; cataract surgery; spectacle independence; glare; multifocal intraocular lens
• Online Access: https://www.dovepress.com/patient-reported-outcomessatisfaction-and-spectacle-independence-with--peer-reviewed-article-OPTH

John A Hovanesian,1 Stephen S Lane,2 Quentin B Allen,3 Michael Jones4 1Harvard Eye Associates, Laguna Hills, CA, USA; 2Associated Eye Care, Stillwater, MN, USA; 3Florida Vision Institute, Stuart, FL, USA; 4Quantum Vision Centers, Swansea, IL, USACorrespondence: John A HovanesianHarvard Eye Associates, 24401 Calle De La Louisa, Laguna Hills, CA 92653, USATel [phone]Fax [phone]Email [e-mail]: To compare patient-reported outcomes (PROs) and satisfaction results after multifocal intraocular lens (IOL) implantation in three groups: two receiving bilateral implantation of the same IOL and another undergoing blended vision with two different multifocal IOLs.Patients and methods: A questionnaire was administered to patients who had undergone uncomplicated cataract surgery and 2 months of follow-up: the first group underwent bilateral implantation with Alcon’s AcrySof ReSTOR 3.0 lens (“3.0/3.0,” n=78); the second group underwent implantation with the ReSTOR ActiveFocus 2.5 or the ReSTOR ActiveFocus 2.5 toric lens (“2.5 mini-monovision,” n=102); and the third group underwent implantation with the ReSTOR 2.5 lens in the dominant eye and the ReSTOR 3.0 lens in the non-dominant eye (“2.5/3.0,” n=89).Results: Overall PROs and satisfaction was similar among the groups. Refractive outcomes and accuracy were similar among the groups, but the 2.5 mini-monovision group reported better intermediate vision. Refractive outcome differences were not meaningful among the groups and were not a differentiating factor in PROs. Substantially fewer patients in the 2.5 mini-monovision group noticed glare and halo compared with the 3.0/3.0 group (P<0.0001, chi-square test). No new safety concerns were reported.Conclusion: The 2.5 mini-monovision results in a higher percentage of patients being satisfied with intermediate vision than bilateral ReSTOR 3.0 or blended vision with ReSTOR 2.5/3.0 implants, but overall PRO differences were not statistically significant.Keywords: mini-monovision, AcrySof ReSTOR, cataract surgery, spectacle independence, glare, multifocal intraocular lens