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KMID : 0360220120530030396
Journal of the Korean Ophthalmological Society
2012 Volume.53 No. 3 p.396 ~ p.402
Visual and Optical Functions after Diffractive Multifocal Intraocular Lens
Gwak Jun-Young

Choi Jin-Seok
Pak Kyu-Hong
Baek Nam-Ho
Abstract
Purpose: To evaluate near, intermediate, and distant vision, optical quality, and patient satisfaction with Acri.LISA aspheric diffractive multifocal IOL.

Methods: Forty eyes of 20 patients received phacoemulsification and implantation of Acri.LISA IOL. Visual acuity was measured postoperatively at 1 week, 1 month, and 6 months. Contrast sensitivity, wavefront aberration, and visual function via questionnaire were measured at postoperative 1 month.

Results: Uncorrected near, intermediate, and distanct visual acuity at 1 month were 0.09 ¡¾ 0.14, 0.29 ¡¾ 0.17 and 0.11 ¡¾ 0.12, respectively. At 6 months, similar visual acuity results were measured. Total and higher-order wavefront aberration values were 0.66 ¡¾ 0.29 and 0.24 ¡¾ 0.08, respectively. Photopic contrast sensitivity at 1.5, 3, 6, 12, and 18 cycles/degree were 1.38 ¡¾ 0.32, 1.73 ¡¾ 0.24, 1.75 ¡¾ 0.21, 1.33 ¡¾ 0.18, and 0.77 ¡¾ 23, respectively, and mesopic contrast sensitivity values were 1.37 ¡¾ 0.27, 1.72 ¡¾ 0.16, 1.63 ¡¾ 0.14, 1.01 ¡¾ 0.19, and 0.50 ¡¾ 0.22. Total subjective visual function score was 3,127 ¡¾ 354, near work was 244 ¡¾ 36, distance work was 256 ¡¾ 21, and night driving was 221 ¡¾ 42.

Conclusions: The Acri.LISA 366D multifocal IOL can be effective for improving patient satisfaction after cataract surgery as well as for presbyopia correction.
KEYWORD
Intermediate vision, Multifocal intraocular lens, Presbyopia
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