Multivariate Regression Analysis Identifying Predictors of Patient Satisfaction with Multifocal IOLs: +4.00/+4.00 vs +3.25/+3.25 vs +3.25/EDOF

Frank A Bucci Jr Bucci Laser Vision, Institute Wilkes-Barre, Wilkes-Barre, PA, USACorrespondence: Frank A Bucci JrBucci Laser Vision Institute, 158 Wilkes-Barre Township Blvd., Wilkes-Barre, PA 18702, USAEmail buccivision@aol.comPurpose: To detect and compare the predictors of “overall pat...

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Autor principal:	Bucci FA Jr
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	presbyopia multifocal extended depth of focus patient satisfaction cataract regression analysis Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/2e263b2991d346d4bd127e9f12261620
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spelling	oai:doaj.org-article:2e263b2991d346d4bd127e9f122616202021-12-02T12:00:43ZMultivariate Regression Analysis Identifying Predictors of Patient Satisfaction with Multifocal IOLs: +4.00/+4.00 vs +3.25/+3.25 vs +3.25/EDOF1177-5483https://doaj.org/article/2e263b2991d346d4bd127e9f122616202020-09-01T00:00:00Zhttps://www.dovepress.com/multivariate-regression-analysis-identifying-predictors-of-patient-sat-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Frank A Bucci Jr Bucci Laser Vision, Institute Wilkes-Barre, Wilkes-Barre, PA, USACorrespondence: Frank A Bucci JrBucci Laser Vision Institute, 158 Wilkes-Barre Township Blvd., Wilkes-Barre, PA 18702, USAEmail buccivision@aol.comPurpose: To detect and compare the predictors of “overall patient satisfaction” with an EDOF/+3.25 versus +3.25/+3.25 versus +4.00/+4.00 diffractive multifocal IOLs.Setting: Bucci Laser Vision Institute, Wilkes-Barre, PA, USA.Design: Non-interventional, observational, retrospective-prospective.Patients and Methods: A total of 55 (EDOF/+3.25) “best case patients” with 1) 4 months neuroadaptation 2) corrected residual refractive error 3) necessary YAGs performed and 4) aggressive ocular surface management underwent regression analysis to identify predictors of “overall patient satisfaction”. Satisfaction was regressed against 40 independent variables – 31 clinical metrics such as reading speed and acuity, angle kappa, aberrations, mesopic pupil size, residual spherical equivalent and astigmatism, near, intermediate vision at fixed and preferred focal distances, etc., and 9 responses from a questionnaire evaluating the performance of everyday tasks. Results were compared to two prior cohorts (67 bilateral +3.25 and 55 bilateral +4.00) with identical methods.Results: Eighty percent (44/55) of the EDOF/+3.25 patients were “very satisfied” and 20% (11/55) were “satisfied” compared to 82% “very satisfied”/18% “satisfied” (+3.25/+3.25) and 64% “very satisfied”/36% “satisfied” (+4.00/+4.00). Subjective scores for near VA (p=0.02) were in favor of the +3.25/+3.25 (1.92/2.00) vs EDOF/3.25 (1.76/2.00). However, EDOF/+3.25 scores for intermediate VA (4.65/5.00 vs 4.32/5.00; p=0.02) and distance VA (4.76/5.00 vs 4.53/5.00; p=0.047) were significantly better than bilateral +3.25 and bilateral +4.00. In the bilateral +3.25 cohort, regression revealed that variables related to intermediate vision were responsible for outperforming the bilateral +4.00 cohort, and it also showed that smaller mesopic pupils (p=0.005) again predicted better intermediate vision as was observed in the bilateral +4.00 patients.Conclusion: The EDOF/+3.25 patients had equal patient satisfaction vs the bilateral +3.25, and greater satisfaction vs the bilateral +4.00 patients because of significantly better intermediate and distance vision, despite scoring less for near vision with fine print and no difference with moderate print. Regression predicted better intermediate vision with smaller mesopic pupils with the +3.25 and +4.00 IOLs.Keywords: presbyopia, multifocal, extended depth of focus, patient satisfaction, cataract, regression analysisBucci FA JrDove Medical Pressarticlepresbyopiamultifocalextended depth of focuspatient satisfactioncataractregression analysisOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2913-2923 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	presbyopia multifocal extended depth of focus patient satisfaction cataract regression analysis Ophthalmology RE1-994
spellingShingle	presbyopia multifocal extended depth of focus patient satisfaction cataract regression analysis Ophthalmology RE1-994 Bucci FA Jr Multivariate Regression Analysis Identifying Predictors of Patient Satisfaction with Multifocal IOLs: +4.00/+4.00 vs +3.25/+3.25 vs +3.25/EDOF
description	Frank A Bucci Jr Bucci Laser Vision, Institute Wilkes-Barre, Wilkes-Barre, PA, USACorrespondence: Frank A Bucci JrBucci Laser Vision Institute, 158 Wilkes-Barre Township Blvd., Wilkes-Barre, PA 18702, USAEmail buccivision@aol.comPurpose: To detect and compare the predictors of “overall patient satisfaction” with an EDOF/+3.25 versus +3.25/+3.25 versus +4.00/+4.00 diffractive multifocal IOLs.Setting: Bucci Laser Vision Institute, Wilkes-Barre, PA, USA.Design: Non-interventional, observational, retrospective-prospective.Patients and Methods: A total of 55 (EDOF/+3.25) “best case patients” with 1) 4 months neuroadaptation 2) corrected residual refractive error 3) necessary YAGs performed and 4) aggressive ocular surface management underwent regression analysis to identify predictors of “overall patient satisfaction”. Satisfaction was regressed against 40 independent variables – 31 clinical metrics such as reading speed and acuity, angle kappa, aberrations, mesopic pupil size, residual spherical equivalent and astigmatism, near, intermediate vision at fixed and preferred focal distances, etc., and 9 responses from a questionnaire evaluating the performance of everyday tasks. Results were compared to two prior cohorts (67 bilateral +3.25 and 55 bilateral +4.00) with identical methods.Results: Eighty percent (44/55) of the EDOF/+3.25 patients were “very satisfied” and 20% (11/55) were “satisfied” compared to 82% “very satisfied”/18% “satisfied” (+3.25/+3.25) and 64% “very satisfied”/36% “satisfied” (+4.00/+4.00). Subjective scores for near VA (p=0.02) were in favor of the +3.25/+3.25 (1.92/2.00) vs EDOF/3.25 (1.76/2.00). However, EDOF/+3.25 scores for intermediate VA (4.65/5.00 vs 4.32/5.00; p=0.02) and distance VA (4.76/5.00 vs 4.53/5.00; p=0.047) were significantly better than bilateral +3.25 and bilateral +4.00. In the bilateral +3.25 cohort, regression revealed that variables related to intermediate vision were responsible for outperforming the bilateral +4.00 cohort, and it also showed that smaller mesopic pupils (p=0.005) again predicted better intermediate vision as was observed in the bilateral +4.00 patients.Conclusion: The EDOF/+3.25 patients had equal patient satisfaction vs the bilateral +3.25, and greater satisfaction vs the bilateral +4.00 patients because of significantly better intermediate and distance vision, despite scoring less for near vision with fine print and no difference with moderate print. Regression predicted better intermediate vision with smaller mesopic pupils with the +3.25 and +4.00 IOLs.Keywords: presbyopia, multifocal, extended depth of focus, patient satisfaction, cataract, regression analysis
format	article
author	Bucci FA Jr
author_facet	Bucci FA Jr
author_sort	Bucci FA Jr
title	Multivariate Regression Analysis Identifying Predictors of Patient Satisfaction with Multifocal IOLs: +4.00/+4.00 vs +3.25/+3.25 vs +3.25/EDOF
title_short	Multivariate Regression Analysis Identifying Predictors of Patient Satisfaction with Multifocal IOLs: +4.00/+4.00 vs +3.25/+3.25 vs +3.25/EDOF
title_full	Multivariate Regression Analysis Identifying Predictors of Patient Satisfaction with Multifocal IOLs: +4.00/+4.00 vs +3.25/+3.25 vs +3.25/EDOF
title_fullStr	Multivariate Regression Analysis Identifying Predictors of Patient Satisfaction with Multifocal IOLs: +4.00/+4.00 vs +3.25/+3.25 vs +3.25/EDOF
title_full_unstemmed	Multivariate Regression Analysis Identifying Predictors of Patient Satisfaction with Multifocal IOLs: +4.00/+4.00 vs +3.25/+3.25 vs +3.25/EDOF
title_sort	multivariate regression analysis identifying predictors of patient satisfaction with multifocal iols: +4.00/+4.00 vs +3.25/+3.25 vs +3.25/edof
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/2e263b2991d346d4bd127e9f12261620
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Multivariate Regression Analysis Identifying Predictors of Patient Satisfaction with Multifocal IOLs: +4.00/+4.00 vs +3.25/+3.25 vs +3.25/EDOF

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