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Clinical Outcomes Following Implantation of Diffractive Multifocal Intraocular Lenses With Varying Add Powers

Authors
 Jin Sun Kim  ;  Ji Won Jung  ;  Ji Min Lee  ;  Kyoung Yul Seo  ;  Eung Kweon Kim  ;  Tae-im Kim 
Citation
 American Journal of Ophthalmology, Vol.160(4) : 702-709, 2015 
Journal Title
 American Journal of Ophthalmology 
ISSN
 0002-9394 
Issue Date
2015
Abstract
PURPOSE: To compare clinical outcomes after implantation of TECNIS diffractive multifocal intraocular lenses (IOLs) with different add powers. DESIGN: Prospective, comparative, interventional case series. METHODS: Subjects underwent cataract extraction and diffractive multifocal IOL implant. Subjects had an additional add power of +2.75 diopters (D) (Group 1, 23 eyes), +3.25 D (Group 2, 21 eyes), or +4.00 D (Group 3, 21 eyes). Evaluations were performed 1 and 3 months following cataract surgery, including measurement of monocular uncorrected distance visual acuity (UDVA), refractive error (manifest refraction [MR]), and monocular uncorrected near visual acuity (UNVA) at 33, 40, and 50 cm. At 3 months, internal aberrations and contrast sensitivity were evaluated and subjects completed a questionnaire on outcomes satisfaction, visual symptoms, and spectacle use. RESULTS: Sixty-five eyes (43 subjects) were included. After surgery, no significant differences between groups were observed in UDVA and MR values. UNVA at 33 cm was best in Group 3 (1 month: P = .032; 3 months: P = .031). Three months after surgery, UNVA was best in Group 1 at 50 cm (P = .017). No significant differences in internal aberration and contrast sensitivity were observed between groups and surgical satisfaction was worst in Group 3 (P = .001). A total of 87.0%, 85.7%, and 76.9% had spectacle independence in Groups 1, 2, and 3, respectively (P = .080). CONCLUSIONS: TECNIS diffractive multifocal IOLs with lower add powers provide good vision over longer working distances and excellent distant vision. Subjects with lower add power had greater satisfaction, more spectacle independence, and fewer visual symptoms than those with +4.00 D add.
Full Text
http://www.sciencedirect.com/science/article/pii/S0002939415004456
DOI
10.1016/j.ajo.2015.07.021
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
김응권(Kim, Eung Kweon) ORCID logo https://orcid.org/0000-0002-1453-8042
김태임(Kim, Tae Im) ORCID logo https://orcid.org/0000-0001-6414-3842
서경률(Seo, Kyuong Yul) ORCID logo https://orcid.org/0000-0002-9855-1980
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141476
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