Abstract:
OBJECTIVE:To evaluate prospectively a diffractive (811E, Pharmacia; power add +4.0 D) versus a refractive (PA154N, Allergan; power add +3.5 D) designed multifocal lens. PARTICIPANTS:Eighty patients planned for cataract surgery without additional ocular pathologies were randomized into the diffractive or refractive group, respectively. INTERVENTION:A standardized no-stitch phacoemulsification with implantation of one of the two multifocal lenses was performed in each patient. MAIN OUTCOME MEASURES:Distance and near-visual acuity, contrast sensitivity, low contrast visual acuity, glare visual acuity, and depth of focus were measured after surgery. RESULTS:All treated patients had best-corrected visual acuities of 20/30 or better. Near-uncorrected vision was significantly better (P < 0.0001) with the diffractive lens (mean, J1) than with the refractive lens (mean, J4). Low contrast visual acuity (61 +/- 12% versus 59 +/- 9%), glare visual acuity (39 +/- 19% versus 38 +/- 14%), and contrast sensitivity (1.48 +/- 0.08 versus 1.50 +/- 0.12) were not significantly different between the groups. CONCLUSIONS:Both lens designs showed satisfactory functional results with advantages for the diffractive lens design.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Walkow T,Liekfeld A,Anders N,Pham DT,Hartmann C,Wollensak Jdoi
10.1016/s0161-6420(97)30127-4subject
Has Abstractpub_date
1997-09-01 00:00:00pages
1380-6issue
9eissn
0161-6420issn
1549-4713pii
S0161-6420(97)30127-4journal_volume
104pub_type
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