[Clinical application of AcrySof ReStor multifocal intraocular lens].
OBJECTIVE
To study the results of using AcrySof ReStor multifocal intraocular lens (MIOL) after the cataract operation.


METHODS
It was a non-random comparative clinical study. After the small incision phacoemulsification, AcrySof ReStor MIOL was inserted into the eye in 22 cases (30 eyes, observed group); single focal intraocular lens (SIOL) was inserted in 20 cases (30 eyes, control group). Visual acuity, corneal astigmatism, operative complications, spectacles independence, patient satisfaction and untoward visual symptoms were observed. The follow up period was 3-14 months.


RESULTS
Patients with uncorrected near visual acuity 0.5 or better accounted for 86.7% (26/30) in the observed group and 33.3% (10/30) in the control group, respectively. There was a significantly statistical difference between these two groups 3 months postoperatively ( X2 = 17.78, P < 0.05). Patients with uncorrected near visual acuity 1.0 or better accounted for 66.7 % (20/30) in the observed group and 0% (0/30) in the control group. There was a significantly statistical difference between these two groups 3 months postoperatively (X2 = 21.82, P < 0.05). There was no statistically significant difference in the corrected near and distant visual acuities and uncorrected distant visual acuity between these two groups (X2 = 0.13, 0.35, 0.35; P > 0.05). There was no statistically significant difference in preoperative corneal astigmatism and corneal astigmatism 1 week, 1 month and 3 months after the operation between these two groups (t = -0.46, -0.47, -0.44, -0.48; P > 0.05). Spectacles were not necessary in 86.7% (26/30) and 13.3% (4/30) cases in observed and control groups, respectively. In the observed group, glucocorticoid-induced high ocular pressure occurred in two eyes. One eye required Nd: YAG laser posterior capsulotomy in the control group.


CONCLUSIONS
AcrySof ReStor MIOL implantation provides a better distant and near vision, spectacles are not required in 86.7% cases and the life quality is improved.
Department of Ophthalmology, Research Institute of Surgery, Daping Hospital of the Third Military Medical University, Chongqing 400042, China. yejian1979@163.com
Jian
J
Ye
Xiao-fan
XF
Chen
Chun-lin
CL
Chen
D000368:Aged; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects / Q000379:methods; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged