Patient-Reported Outcomes/Satisfaction and Spectacle Independence with Blended or Bilateral Multifocal Intraocular Lenses in Cataract Surgery

John A Hovanesian,1 Stephen S Lane,2 Quentin B Allen,3 Michael Jones4 1Harvard Eye Associates, Laguna Hills, CA, USA; 2Associated Eye Care, Stillwater, MN, USA; 3Florida Vision Institute, Stuart, FL, USA; 4Quantum Vision Centers, Swansea, IL, USACorrespondence: John A HovanesianHarvard Eye Associate...

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Autores principales:	Hovanesian JA, Lane SS, Allen QB, Jones M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	mini-monovision acrysof restor cataract surgery spectacle independence glare multifocal intraocular lens Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/765fc0208a044ee48306452ecf0d6829
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spelling	oai:doaj.org-article:765fc0208a044ee48306452ecf0d68292021-12-02T04:14:45ZPatient-Reported Outcomes/Satisfaction and Spectacle Independence with Blended or Bilateral Multifocal Intraocular Lenses in Cataract Surgery1177-5483https://doaj.org/article/765fc0208a044ee48306452ecf0d68292019-12-01T00:00:00Zhttps://www.dovepress.com/patient-reported-outcomessatisfaction-and-spectacle-independence-with--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483John A Hovanesian,1 Stephen S Lane,2 Quentin B Allen,3 Michael Jones4 1Harvard Eye Associates, Laguna Hills, CA, USA; 2Associated Eye Care, Stillwater, MN, USA; 3Florida Vision Institute, Stuart, FL, USA; 4Quantum Vision Centers, Swansea, IL, USACorrespondence: John A HovanesianHarvard Eye Associates, 24401 Calle De La Louisa, Laguna Hills, CA 92653, USATel +1 949 951 2020Fax +1 949 951 9244Email jhovanesian@harvardeye.comPurpose: To compare patient-reported outcomes (PROs) and satisfaction results after multifocal intraocular lens (IOL) implantation in three groups: two receiving bilateral implantation of the same IOL and another undergoing blended vision with two different multifocal IOLs.Patients and methods: A questionnaire was administered to patients who had undergone uncomplicated cataract surgery and 2 months of follow-up: the first group underwent bilateral implantation with Alcon’s AcrySof ReSTOR 3.0 lens (“3.0/3.0,” n=78); the second group underwent implantation with the ReSTOR ActiveFocus 2.5 or the ReSTOR ActiveFocus 2.5 toric lens (“2.5 mini-monovision,” n=102); and the third group underwent implantation with the ReSTOR 2.5 lens in the dominant eye and the ReSTOR 3.0 lens in the non-dominant eye (“2.5/3.0,” n=89).Results: Overall PROs and satisfaction was similar among the groups. Refractive outcomes and accuracy were similar among the groups, but the 2.5 mini-monovision group reported better intermediate vision. Refractive outcome differences were not meaningful among the groups and were not a differentiating factor in PROs. Substantially fewer patients in the 2.5 mini-monovision group noticed glare and halo compared with the 3.0/3.0 group (P<0.0001, chi-square test). No new safety concerns were reported.Conclusion: The 2.5 mini-monovision results in a higher percentage of patients being satisfied with intermediate vision than bilateral ReSTOR 3.0 or blended vision with ReSTOR 2.5/3.0 implants, but overall PRO differences were not statistically significant.Keywords: mini-monovision, AcrySof ReSTOR, cataract surgery, spectacle independence, glare, multifocal intraocular lensHovanesian JALane SSAllen QBJones MDove Medical Pressarticlemini-monovisionacrysof restorcataract surgeryspectacle independenceglaremultifocal intraocular lensOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 2591-2598 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	mini-monovision acrysof restor cataract surgery spectacle independence glare multifocal intraocular lens Ophthalmology RE1-994
spellingShingle	mini-monovision acrysof restor cataract surgery spectacle independence glare multifocal intraocular lens Ophthalmology RE1-994 Hovanesian JA Lane SS Allen QB Jones M Patient-Reported Outcomes/Satisfaction and Spectacle Independence with Blended or Bilateral Multifocal Intraocular Lenses in Cataract Surgery
description	John A Hovanesian,1 Stephen S Lane,2 Quentin B Allen,3 Michael Jones4 1Harvard Eye Associates, Laguna Hills, CA, USA; 2Associated Eye Care, Stillwater, MN, USA; 3Florida Vision Institute, Stuart, FL, USA; 4Quantum Vision Centers, Swansea, IL, USACorrespondence: John A HovanesianHarvard Eye Associates, 24401 Calle De La Louisa, Laguna Hills, CA 92653, USATel +1 949 951 2020Fax +1 949 951 9244Email jhovanesian@harvardeye.comPurpose: To compare patient-reported outcomes (PROs) and satisfaction results after multifocal intraocular lens (IOL) implantation in three groups: two receiving bilateral implantation of the same IOL and another undergoing blended vision with two different multifocal IOLs.Patients and methods: A questionnaire was administered to patients who had undergone uncomplicated cataract surgery and 2 months of follow-up: the first group underwent bilateral implantation with Alcon’s AcrySof ReSTOR 3.0 lens (“3.0/3.0,” n=78); the second group underwent implantation with the ReSTOR ActiveFocus 2.5 or the ReSTOR ActiveFocus 2.5 toric lens (“2.5 mini-monovision,” n=102); and the third group underwent implantation with the ReSTOR 2.5 lens in the dominant eye and the ReSTOR 3.0 lens in the non-dominant eye (“2.5/3.0,” n=89).Results: Overall PROs and satisfaction was similar among the groups. Refractive outcomes and accuracy were similar among the groups, but the 2.5 mini-monovision group reported better intermediate vision. Refractive outcome differences were not meaningful among the groups and were not a differentiating factor in PROs. Substantially fewer patients in the 2.5 mini-monovision group noticed glare and halo compared with the 3.0/3.0 group (P<0.0001, chi-square test). No new safety concerns were reported.Conclusion: The 2.5 mini-monovision results in a higher percentage of patients being satisfied with intermediate vision than bilateral ReSTOR 3.0 or blended vision with ReSTOR 2.5/3.0 implants, but overall PRO differences were not statistically significant.Keywords: mini-monovision, AcrySof ReSTOR, cataract surgery, spectacle independence, glare, multifocal intraocular lens
format	article
author	Hovanesian JA Lane SS Allen QB Jones M
author_facet	Hovanesian JA Lane SS Allen QB Jones M
author_sort	Hovanesian JA
title	Patient-Reported Outcomes/Satisfaction and Spectacle Independence with Blended or Bilateral Multifocal Intraocular Lenses in Cataract Surgery
title_short	Patient-Reported Outcomes/Satisfaction and Spectacle Independence with Blended or Bilateral Multifocal Intraocular Lenses in Cataract Surgery
title_full	Patient-Reported Outcomes/Satisfaction and Spectacle Independence with Blended or Bilateral Multifocal Intraocular Lenses in Cataract Surgery
title_fullStr	Patient-Reported Outcomes/Satisfaction and Spectacle Independence with Blended or Bilateral Multifocal Intraocular Lenses in Cataract Surgery
title_full_unstemmed	Patient-Reported Outcomes/Satisfaction and Spectacle Independence with Blended or Bilateral Multifocal Intraocular Lenses in Cataract Surgery
title_sort	patient-reported outcomes/satisfaction and spectacle independence with blended or bilateral multifocal intraocular lenses in cataract surgery
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/765fc0208a044ee48306452ecf0d6829
work_keys_str_mv	AT hovanesianja patientreportedoutcomessatisfactionandspectacleindependencewithblendedorbilateralmultifocalintraocularlensesincataractsurgery AT laness patientreportedoutcomessatisfactionandspectacleindependencewithblendedorbilateralmultifocalintraocularlensesincataractsurgery AT allenqb patientreportedoutcomessatisfactionandspectacleindependencewithblendedorbilateralmultifocalintraocularlensesincataractsurgery AT jonesm patientreportedoutcomessatisfactionandspectacleindependencewithblendedorbilateralmultifocalintraocularlensesincataractsurgery
_version_	1718401379838459904

Patient-Reported Outcomes/Satisfaction and Spectacle Independence with Blended or Bilateral Multifocal Intraocular Lenses in Cataract Surgery

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