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Visual outcomes and patient satisfaction after cataract surgery with toric multifocal intraocular lens implantation.

Abstract：

PURPOSE:To evaluate visual outcomes and patient satisfaction after toric multifocal intraocular lens (IOL) implantation in patients with cataract and corneal astigmatism. SETTING:University Eye Clinic Maastricht, The Netherlands. DESIGN:Cohort study. METHODS:Patients with cataract, corneal astigmatism, and a motivation for spectacle independency had cataract surgery with implantation of a toric diffractive multifocal IOL (AT Lisa). Three months postoperatively, the uncorrected distance (UDVA), intermediate (UIVA), and near (UNVA) visual acuities; corrected distance, intermediate, and near visual acuities; residual refractive astigmatism; defocus curve; contrast sensitivity; and patient satisfaction were evaluated. RESULTS:Forty-five eyes of 25 patients were enrolled. Postoperatively, the mean UDVA was 0.04 logMAR ± 0.15 (SD) and 98% of eyes achieved a UDVA of 20/40 or better. The mean UNVA was 0.20 ± 0.16 logMAR and the mean UIVA (at 60 cm), 0.40 ± 0.16 logMAR. Residual refractive astigmatism of -1.00 diopter or less was achieved in approximately 90% of eyes. Contrast sensitivity levels were high. Approximately 50% of patients reported moderate glare, halos, and starburst symptoms. Spectacle independency for distance and near vision was achieved by 95% of patients and 79% of patients, respectively. CONCLUSIONS:Toric IOL implantation in patients with cataract and corneal astigmatism provided good distance and near visual outcomes and acceptable intermediate visual outcomes, allowing patients with considerable amounts of corneal astigmatism to achieve spectacle independence at distance and near. FINANCIAL DISCLOSURE:No author has a financial or proprietary interest in any material or method mentioned. Additional disclosures are found in the footnotes.

journal_name

J Cataract Refract Surg

journal_title

Journal of cataract and refractive surgery

authors

Visser N,Nuijts RM,de Vries NE,Bauer NJ

doi

10.1016/j.jcrs.2011.05.041

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

2034-42

issue

11

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(11)01321-6

journal_volume

37

pub_type

杂志文章

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