Richard N McNeely1, Eric Pazo1, Andrew Spence1, Olivier Richoz1, M Andrew Nesbit1, Tara C B Moore1, Jonathan E Moore2. 1. From the Cathedral Eye Clinic (McNeely, Pazo, Spence, Richoz, J.E. Moore), Belfast, and Biomedical Sciences Research Institute (McNeely, Pazo, Nesbit, T.C.B. Moore, J.E. Moore), University of Ulster, Coleraine, Northern Ireland, United Kingdom. 2. From the Cathedral Eye Clinic (McNeely, Pazo, Spence, Richoz, J.E. Moore), Belfast, and Biomedical Sciences Research Institute (McNeely, Pazo, Nesbit, T.C.B. Moore, J.E. Moore), University of Ulster, Coleraine, Northern Ireland, United Kingdom. Electronic address: jmoorecathedral@gmail.com.
Abstract
PURPOSE: To assess the 3-month and 12-month postoperative visual performance and subjective patient satisfaction after refractive lens exchange (RLE) with implantation of a rotationally asymmetric multifocal intraocular lens (IOL). SETTING: Cathedral Eye Clinic, Belfast, United Kingdom. DESIGN: Prospective case series. METHODS: The refraction, uncorrected (UDVA) and corrected distance visual acuities, uncorrected intermediate (UIVA) and near (UNVA) visual acuities, distance-corrected intermediate and near visual acuities, and a quality of vision (QoV) questionnaire were evaluated 3 months and 12 months after implantation of an SBL-3 IOL. RESULTS: The study enrolled 100 eyes of 50 patients. The mean monocular UDVA was -0.02 logarithm of minimum angle of resolution (logMAR) ± 0.12 (SD) 3 months postoperatively and -0.01 ± 0.10 logMAR at 12 months (P = .393). The mean monocular UIVA was 0.39 ± 0.11 logMAR and 0.41 ± 0.12 logMAR, respectively (P = .06). The mean monocular UNVA was 0.12 ± 0.13 logMAR and 0.14 ± 0.12 logMAR, respectively (P = .077). The mean QoV score was 8.26 ± 1.16 at 3 months with a significant improvement at 12 months, at which time the mean QoV score was 8.84 ± 1.08 (P ≤ .001). CONCLUSIONS: This asymmetric multifocal IOL provided excellent unaided vision with no significant difference in near, intermediate, and distance vision 3 months and 12 months postoperatively. However, there was a significant improvement in subjective outcomes at the second postoperative assessment, during which patients reported a significantly better QoV score and less blurred vision.
PURPOSE: To assess the 3-month and 12-month postoperative visual performance and subjective patient satisfaction after refractive lens exchange (RLE) with implantation of a rotationally asymmetric multifocal intraocular lens (IOL). SETTING: Cathedral Eye Clinic, Belfast, United Kingdom. DESIGN: Prospective case series. METHODS: The refraction, uncorrected (UDVA) and corrected distance visual acuities, uncorrected intermediate (UIVA) and near (UNVA) visual acuities, distance-corrected intermediate and near visual acuities, and a quality of vision (QoV) questionnaire were evaluated 3 months and 12 months after implantation of an SBL-3 IOL. RESULTS: The study enrolled 100 eyes of 50 patients. The mean monocular UDVA was -0.02 logarithm of minimum angle of resolution (logMAR) ± 0.12 (SD) 3 months postoperatively and -0.01 ± 0.10 logMAR at 12 months (P = .393). The mean monocular UIVA was 0.39 ± 0.11 logMAR and 0.41 ± 0.12 logMAR, respectively (P = .06). The mean monocular UNVA was 0.12 ± 0.13 logMAR and 0.14 ± 0.12 logMAR, respectively (P = .077). The mean QoV score was 8.26 ± 1.16 at 3 months with a significant improvement at 12 months, at which time the mean QoV score was 8.84 ± 1.08 (P ≤ .001). CONCLUSIONS: This asymmetric multifocal IOL provided excellent unaided vision with no significant difference in near, intermediate, and distance vision 3 months and 12 months postoperatively. However, there was a significant improvement in subjective outcomes at the second postoperative assessment, during which patients reported a significantly better QoV score and less blurred vision.