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Piero Ceruti, Gabriele Vizzari, Marco Toscani, Giorgio Marchini; Comparison Of Visual Outcomes Following Cataract Surgery With Impantation Of Lentis Mplus Multifocal Intraocular Lens And Crystalens HD Accomodating Intraocular Lens. Invest. Ophthalmol. Vis. Sci. 2011;52(14):853.
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© ARVO (1962-2015); The Authors (2016-present)
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.
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.
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).
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.
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