Binocular function of the patient with the refractive multifocal intraocular lens.
OBJECTIVE
To investigate binocular function in bilateral and unilateral implantation of the refractive multifocal intraocular lens (IOL).


METHODS
Department of Ophthalmology, Musashino Red Cross Hospital, Tokyo, Japan.


METHODS
Sixty-six eyes of 40 patients were enrolled in this retrospective study. Twenty-six were implanted bilaterally and 14 were implanted unilaterally with the 3-zone refractive multifocal IOL. Distance visual acuity, near visual acuity, and contrast sensitivity were measured monocularly and binocularly. Stereopsis, aniseikonia, and the use of spectacles were also evaluated.


RESULTS
There were no significant between-group differences in monocular and binocular visual acuity. In the bilateral group, 85% had 60 seconds or more of stereopsis; in the unilateral group, 43% had the same level of stereopsis (P =.009). Ninety-two percent and 21%, respectively, had no aniseikonia (P =.001), and 89% and 50%, respectively, did not use spectacles (P =.012). In the unilateral group, in 4 of 5 cases in which surgery was performed in the dominant eye, spectacles were not required; in 9 cases in which surgery was performed in the nondominant eye, 78% used spectacles for reading (P =.063).


CONCLUSIONS
Bilateral implantation of the multifocal IOL appeared to lead to better results than unilateral implantation. However, our results suggest that the patient may be satisfied with unilateral implantation when it is performed in the dominant eye.
Shoji
Nobuyuki
N
Department of Orthoptics and Visual Science, Kitasato University, School of Allied Health Science, Kanagawa, Japan. nshoji@ahs.kitasato-u.ac.jp
Shimizu
Kimiya
K
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001672:Biocompatible Materials; D002387:Cataract Extraction; D015350:Contrast Sensitivity / Q000502:physiology; D003867:Depth Perception / Q000502:physiology; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015348:Vision, Binocular / Q000502:physiology*; D014792:Visual Acuity / Q000502:physiology
D001672:Biocompatible Materials