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Journal ArticleDOI

Visual function after implantation of an aspheric bifocal intraocular lens.

TLDR
The aspheric IOL provided good functional vision at far and near, with lower performance at intermediate distance; good photopic contrast sensitivity and lower mesopic performance; and a low incidence of visual disturbances.
Abstract
Purpose To evaluate distance, intermediate, and near vision after bifocal aspheric AcrySof ReSTOR SN6AD1 intraocular lens (IOL) implantation. Setting Fernandez-Vega Ophthalmological Institute, Oviedo, Spain. Methods Binocular distance best corrected visual acuity (BCVA) (4.0 m), best distance-corrected near (40.0 cm) and intermediate (70.0, 60.0, 50.0 cm) acuities, and contrast sensitivity under photopic (85.0 candelas [cd]/m 2 ) and mesopic (3.0 cd/m 2 ) conditions with and without glare were measured postoperatively. A patient-satisfaction and visual phenomena questionnaire was administered. Results Six months postoperatively, the mean acuities (logMAR) were binocular BCVA, −0.064 ± 0.049 (SD); best corrected near, −0.041 ± 0.061; best corrected intermediate, 0.147 ± 0.130 (70.0 cm), 0.036 ± 0.133 (60.0 cm), and −0.126 ± 0.077 (50.0 cm). The BCVA and best corrected near acuity were 20/25 or better in all patients. Through-focus binocular logMAR acuities had 2 peaks at the expected far focus and near focus (0.00 diopter [D] and −2.40 D, respectively), with somewhat reduced acuity (20/32) at intermediate distances. Photopic contrast sensitivity was within the standard normal range. Mesopic contrast sensitivity was lower than under photopic conditions, particularly at higher spatial frequencies. Patients reported good performance for distance, near, and intermediate visual tasks with no or minimal difficulty with specific tasks. No patient reported severe visual phenomena; halos and glare were rated as none to moderate. Conclusions The aspheric IOL provided good functional vision at far and near, with lower performance at intermediate distance; good photopic contrast sensitivity and lower mesopic performance; and a low incidence of visual disturbances.

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Journal ArticleDOI

Multifocal intraocular lenses in cataract surgery: literature review of benefits and side effects.

TL;DR: The results of implantation of multifocal IOLs of diffractive, refractive, and hybrid diffractive-refractive design are described with regard to uncorrected near and distance visual acuity and spectacle independence.
Journal ArticleDOI

Design and qualification of a diffractive trifocal optical profile for intraocular lenses

TL;DR: The combination of 2 diffractive profiles to achieve far, intermediate, and near correction is validated and the IOL theoretically allows improved intermediate vision without impairing near and far vision and favors distance vision in mesopic conditions without increasing halos or glare perception under dim light or large pupil conditions.
Journal ArticleDOI

Intermediate visual function with different multifocal intraocular lens models

TL;DR: Patients with bilateral multifocal aspheric IOLs with a lower add had better intermediate and distance near visual acuity than patients with bilateralMultifocal spherical Iols or bilateral aspheresis with a higher add.
Journal ArticleDOI

Visual function after bilateral implantation of apodized diffractive aspheric multifocal intraocular lenses with a +3.0 D addition.

TL;DR: Bilateral apodized diffractive aspheric multifocal intraocular lenses with a +3.0 D add provided a broad range of optimum near vision, good intermediate visual acuity, and low rates of visual disturbances.
Journal ArticleDOI

Initial results of trifocal diffractive IOL implantation

TL;DR: Diffractive trifocal intraocular lens MIOL-Record provided good uncorrected distance, intermediate and near vision, gave high rates of spectacle freedom and overall patient satisfaction.
References
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Journal ArticleDOI

European Multicenter Study of the AcrySof ReSTOR Apodized Diffractive Intraocular Lens

TL;DR: The AcrySof ReSTOR MA60D3 IOL demonstrated excellent near VA without compromising distance vision and Spectacle independence and patient satisfaction were high, whereas unwanted photic phenomena were clinically acceptable.
Journal ArticleDOI

History and development of the apodized diffractive intraocular lens.

TL;DR: The ReSTOR intraocular lens presents a unique apodized diffractive design within a refractive foldable acrylic optic, which makes an unprecedented level of mulifocal optical performance available.
Journal ArticleDOI

Cataract extraction with multifocal intraocular lens implantation: A multinational clinical trial evaluating clinical, functional, and quality-of-life outcomes

TL;DR: Cataract patients who received multifocal IOLs at time of surgery obtained better uncorrected and distance corrected near VA and reported better overall vision, less limitation in visual function, less spectacle dependency, and more glare or halo than those who received traditional monofocal I OLs.
Journal ArticleDOI

A prospective comparative study of the AMO ARRAY zonal-progressive multifocal silicone intraocular lens and a monofocal intraocular lens.

TL;DR: Although the perception of halos and glare increased in the multifocal eyes, good visual function remained, and nearly all subjects were satisfied with the results of their surgery, a large study that included a subset of subjects with paired eye compared with those with monofocal lenses concluded that this zonal-progressive multifocal lens provided a high level of uncorrected and corrected distance vision.
Journal ArticleDOI

Visual performance with multifocal intraocular lenses: Mesopic contrast sensitivity under distance and near conditions

TL;DR: In this paper, the authors evaluated distance and near visual performance under bright (photopic) and dim (mesopic) conditions in patients who had undergone uncomplicated cataract extraction with multifocal or monofocal intraocular lens (IOL) implantation.
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