Abstract
Purpose: :
To compare the postoperative visual outcomes after cataract surgery in patients implanted with Lentis Mplus multifocal intraocluar lens (IOL) versus patients with Crystalens HD accommodating IOL.
Methods: :
30 eyes from 15 patients implanted with Crystalens HD (Bausch&Lomb, Rochester, NY, USA) and 30 eyes from 15 patients with Lentis MPlus (Oculentis GmbH, Berlin, Germany) were evaluated in a cross-sectional study. Each patient underwent standardized phacoemulsification with in-the-bag implantation of IOL. Uncorrected distance visual acuity (UCDVA) was measured using a Snellen table. Uncorrected intermediate visual acuity (UCIVA) was assessed at 80 cm with a Snellen chart. Uncorrected near visual acuity (UCNVA) was obtained at 40 cm using a Jaeger chart.
Results: :
After a mean follow-up period of 85 ± 25.4 days, the mean UCDVA for the Mplus group improved significantly after surgery changing from 0.57 ± 0.12 to 0.91 ± 0.08 (30% of the eyes achieved 1.0) (p<0.001), the mean UCIVA was of 0.94 ± 0.21 and the mean UCNVA was 1.65 ± 0.67 J (with 53,3% of the eyes attaining J1 and 40% J2). The Crystalens HD group obtained a changing of the mean UCDVA from 0.28 ± 0.06 to 0.91 ± 0.12 (34% of the eyes achieved 1.0) (p<0.001), a mean UCIVA of 1.01 ± 0.12 (with 46.2% of the eyes achieving 1.25) and a mean UCNVA of 1.94 ± 0.78 J (with 30.8% of the eyes attaining J1 and 40.2% J2).
Conclusions: :
UCDVA improved significantly after surgery in all patients. The Lentis MPlus provided a better near visual outcome than Crystalens HD, with 100% of the eyes achieving J3 or better without spectacle correction, while Crystalens HD allowed a better UCIVA.
Keywords: intraocular lens • accommodation • visual acuity