Visual and refractive outcomes in hyperopic pseudophakic patients implanted with the Acri.LISA 366D multifocal intraocular lens.
OBJECTIVE
To assess the visual quality after bilateral implantation of the Acri.LISA 366D intraocular lens (IOL; Carl Zeiss Meditec, Jena, Germany) in patients with hyperopia.


METHODS
Prospective, nonrandomized study.


METHODS
One hundred and seventy eyes of 85 patients had bilateral implantation of the Acri.LISA 366D IOL. The patients were divided into 2 groups: low to moderate hyperopia (IOL power, 21 to 24.5 diopters [D]) and high hyperopia (IOL power, 25 to 36 D). Monocular and binocular best spectacle-corrected visual acuity (BSCVA), best distance-corrected near visual acuity (BCNVA), binocular best distance-corrected intermediate visual acuity (VA), and distance contrast sensitivity (CSF) under photopic (85 cd/m(2)) and mesopic (5 cd/m2) conditions were determined.


RESULTS
At the 6-month postoperative visit, there were no statistically significant differences in monocular and binocular BSCVA (P = .06 and P = .09, respectively). Monocular and binocular BCNVA were comparable between both groups (P = .24 and P = .42, respectively). The mean binocular best distance-corrected intermediate VA changed significantly as a function of the distance of the test (P < .01) in both groups, and there were no statistically significant differences between groups at any distance. Differences were not found between groups in binocular CSF under mesopic and photopic conditions.


CONCLUSIONS
Bilateral implantation of the Acri.LISA 366D in patients with high hyperopia provided a satisfactory full-range of vision comparable with that obtained in patients with low to moderate hyperopia.
Fernández-Vega Ophthalmological Institute, School of Medicine, University of Oviedo, Oviedo, Spain.
Luis
L
Fernández-Vega
José F
JF
Alfonso
Begoña
B
Baamonde
David
D
Madrid-Costa
Robert
R
Montés-Micó
Javier
J
Lozano
D000180:Acrylic Resins; D015350:Contrast Sensitivity / Q000502:physiology*; D005260:Female; D006801:Humans; D006956:Hyperopia / Q000503:physiopathology / Q000601:surgery*; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D009887:Ophthalmoscopy; D018918:Phacoemulsification; D011305:Presbyopia / Q000601:surgery; D011446:Prospective Studies; D019591:Pseudophakia / Q000503:physiopathology*; D014065:Tonometry, Ocular; D016896:Treatment Outcome; D015348:Vision, Binocular / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology*
D000180:Acrylic Resins