Visual quality and performance comparison between 2 refractive rotationally asymmetric multifocal intraocular lenses

Richard N McNeely; Eric Pazo; Andrew Spence; Olivier Richoz; M Andrew Nesbit; Tara C B Moore; Jonathan E Moore

doi:10.1016/j.jcrs.2017.05.039

Visual quality and performance comparison between 2 refractive rotationally asymmetric multifocal intraocular lenses

J Cataract Refract Surg. 2017 Aug;43(8):1020-1026. doi: 10.1016/j.jcrs.2017.05.039.

Authors

Richard N McNeely¹, Eric Pazo¹, Andrew Spence¹, Olivier Richoz¹, M Andrew Nesbit¹, Tara C B Moore¹, Jonathan E Moore²

Affiliations

¹ From Cathedral Eye Clinic (McNeely, Pazo, Spence, Richoz, J.E. Moore), Belfast, and the Biomedical Sciences Research Institute (McNeely, Pazo, Nesbit, T.C.B. Moore, J.A. Moore), University of Ulster, Coleraine, Northern Ireland, United Kingdom.
² From Cathedral Eye Clinic (McNeely, Pazo, Spence, Richoz, J.E. Moore), Belfast, and the Biomedical Sciences Research Institute (McNeely, Pazo, Nesbit, T.C.B. Moore, J.A. Moore), University of Ulster, Coleraine, Northern Ireland, United Kingdom. Electronic address: johnny@cathedraleye.com.

PMID: 28917400
DOI: 10.1016/j.jcrs.2017.05.039

Abstract

Purpose: To compare the 12-month postoperative quality of vision and visual performance of 2 different refractive rotationally asymmetric multifocal intraocular lenses (IOLs).

Setting: Cathedral Eye Clinic, Belfast, Northern Ireland, United Kingdom.

Design: Retrospective case series.

Methods: Refractive lens exchange (RLE) patients were divided into 2 groups. Group A comprised eyes receiving a Lentis Mplus LS-312 MF30 IOL and Group B, eyes receiving a Lenstec SBL-3 IOL. Refraction, uncorrected (UDVA) and corrected distance visual acuities, uncorrected intermediate (UIVA) and near (UNVA) visual acuities, distance-corrected intermediate and near (DCNVA) visual acuities, and quality of vision were evaluated preoperatively and up to 12 months postoperatively.

Results: Each group comprised 90 eyes. Both groups had a high level of quality of vision 12 months postoperatively with no significant difference between the 2 groups (P = .919). There was no significant between-group difference in mean monocular and binocular UDVA, monocular UIVA, or monocular UNVA. Group B had statistically significantly better mean monocular DCNVA (P = .049), binocular UNVA (P = .011), and binocular DCNVA (P = .035). Group B had a higher percentage of complete spectacle independence.

Conclusions: Both refractive rotationally asymmetric multifocal IOLs provided an excellent level of quality of vision 12 months postoperatively. Both IOL models restored distance, intermediate, and near visual function; however the IOLs in Group B provided better near visual performance.

MeSH terms

Humans
Lens Implantation, Intraocular*
Lenses, Intraocular
Multifocal Intraocular Lenses*
Refraction, Ocular*
Visual Acuity*