Evaluation of long-term visual performance following AcrySof ReSTOR lens implantation.
BACKGROUND
Multifocal lens has become popular in cataract surgery. Short-term outcome after AcrySof ReSTOR Lens implantation had been reported by many studies, but long-term visual performance and the effect of posterior capsular opacification (PCO) on visual performance need further investigation.


METHODS
This retrospective study involved 54 eyes from 41 cataract patients implanted with ReSTOR lens, with a follow-up period of 12 to 31 months. Manifest refraction spherical equivalence (MRSE), monocular uncorrected and best-corrected distance visual acuity, uncorrected and distance-corrected near and intermediate visual acuity, contrast sensitivity were assessed. The effect of PCO on visual performance was evaluated by comparing visual parameters between pre and post-capsulotomy.


RESULTS
Uncorrected distance visual acuity of eyes with MRSE within +/-0.5 diopter (D) was better than those with MRSE greater than +/-0.5 D (P < 0.05). Uncorrected distance and near visual acuity (LogMAR) was 0.10 and 0.17 respectively. Best corrected distance visual acuity and best distance-corrected near visual acuity (LogMAR) was 0.00 and 0.16, a significant improvement was noted after correction (P = 0.000, P = 0.001, respectively). Contrast sensitivity logarithm was comparable with the normal value at difference spatial frequencies except at 12 cpd. In 5 eyes with mild PCO, post-capsulotomy visual parameters were better than pre-capsulotomy (P < 0.05).


CONCLUSIONS
ReSTOR lens provides a good long-term distance and near vision, functional intermediate vision and contrast sensitivity. Mild PCO significantly affects visual performance and needs early intervention.
Zhao
Yun-e
YE
School of Optometry and Ophthalmology, Eye Hospital, Wenzhou Medical College, Wenzhou, Zhejiang, China. zye@mail.eye
Li
Jun-hua
JH
Zhu
Jun
J
Wang
Dan-dan
DD
Wang
Qin-mei
QM
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D012029:Refraction, Ocular; D012189:Retrospective Studies; D014792:Visual Acuity