Miháltz K, Szegedi S, Steininger J, Vécsei-Marlovits PV. The relationship between patient satisfaction and visual and optical outcome after bilateral implantation of an extended depth of focus multifocal intraocular lens.
ADVANCES IN OPHTHALMOLOGY PRACTICE AND RESEARCH 2022;
2:100043. [PMID:
37846221 PMCID:
PMC10577816 DOI:
10.1016/j.aopr.2022.100043]
[Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 02/24/2022] [Accepted: 02/28/2022] [Indexed: 10/18/2023]
Abstract
Purpose
To evaluate patient satisfaction after implantation of the Tecnis Symfony multifocal intraocular lens (MIOL).
Methods
120 eyes of 60 subjects with senile cataract were bilaterally implanted with the Tecnis Symfony IOL. Follow-up examination was performed 6 months postoperatively. Main outcome measures included uncorrected and corrected distance and near visual acuity, manifest refraction, and visual quality metrics. According to their subjective symptoms patient were divided in two groups: satisfied and unsatisfied.
Results
Uncorrected intermediate (0.15 ± 0.11 vs 0.18 ± 0.01, P = 0.04) and near (0.26 ± 0.12 vs 0.31 ± 0.11, P = 0.04) (UIVA, UNVA) log MAR visual acuity was significantly better, cylindrical error less (0.31 ± 0.36 vs 0.67 ± 0.29, P = 0.05), axial length (AL) smaller (23.68 ± 1.3 vs 24.22 ± 1.6, P = 0.05), Strehl ratio higher (0.08 ± 0.08 vs 0.05 ± 0.04, P = 0.03) and mesopic pupil larger (4.3 ± 1.1 vs 3.7 ± 1.05, P = 0.01) among satisfied patients.Residual cylinder, Strehl ratio, halos, mesopic pupil diameter and UNVA were significant predictors of patient satisfaction. Uncorrected distance visual acuity, higher order Strehl ratio and pupil diameter were significant predictors of halos. Near visual acuity significantly correlated (P = 0.018, R = 0.22) with axial length.
Conclusions
Uncorrected cylindrical error, poor reading quality, larger pupil and halos seem to be the most disturbing factors for patients implanted with the Tecnis Symfony IOL.
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