title: Postoperative bilateral reading performance with 4 intraocular lens models: six-month results.
abstract: OBJECTIVE
  To compare bilateral reading performance within the first 6 months after implantation of 4 intraocular lens (IOL) models.
  
  
  METHODS
  Vissum-Instituto de Oftalmológico de Alicante, Alicante, Spain, and University Eye Clinic, Paracelsus Medical University, Salzburg, Austria.
  
  
  METHODS
  Comparative case series.
  
  
  METHODS
  Patients had bilateral phacoemulsification and implantation of Acri.Smart 48S monofocal, Acrysof Restor SN6AD3 apodized multifocal, Acri.LISA 366D diffractive multifocal, or Rezoom refractive multifocal IOLs. Bilateral reading performance with and without near correction was evaluated preoperatively and postoperatively using the Salzburg Reading Desk.
  
  
  RESULTS
  The study comprised 304 eyes of 152 patients 51 to 90 years old. All groups had a significant improvement in uncorrected and corrected distance visual acuities postoperatively (P≤.01). The apodized multifocal and diffractive multifocal groups had significantly better uncorrected reading acuity than the monofocal and refractive multifocal groups 1 month and 6 months postoperatively (P<.01). Uncorrected reading speed was significantly worse in the refractive multifocal group than in the monofocal group at 1 month (P<.01). The monofocal group had the greatest uncorrected reading distance at 1 month and 6 months (P<.01).
  
  
  CONCLUSIONS
  Multifocal IOLs with a diffractive component provided a comparable reading performance that was significantly better than the one obtained with refractive multifocal and monofocal IOLs.
authors.affiliation: Research, Development and Innovation, Vissum-Instituto de Oftalmológico de Alicante, Avenida de Denia s/n, Edificio Vissum, 03016 Alicante, Spain. lalio@vissum.com
authors.forename: Jorge L
authors.initials: JL
authors.lastname: Alió
authors.forename: Günther
authors.initials: G
authors.lastname: Grabner
authors.forename: Ana B
authors.initials: AB
authors.lastname: Plaza-Puche
authors.forename: Max
authors.initials: M
authors.lastname: Rasp
authors.forename: David P
authors.initials: DP
authors.lastname: Piñero
authors.forename: Orang
authors.initials: O
authors.lastname: Seyeddain
authors.forename: Jose L
authors.initials: JL
authors.lastname: Rodríguez-Prats
authors.forename: María José
authors.initials: MJ
authors.lastname: Ayala
authors.forename: Rocío
authors.initials: R
authors.lastname: Moreu
authors.forename: Melchior
authors.initials: M
authors.lastname: Hohensinn
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Riha
authors.forename: Alois
authors.initials: A
authors.lastname: Dexl
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004215:Distance Perception / Q000502:physiology; D007839:Functional Laterality; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008875:Middle Aged; D018918:Phacoemulsification; D011184:Postoperative Period; D011446:Prospective Studies; D011474:Prosthesis Design; D019591:Pseudophakia / Q000503:physiopathology*; D011932:Reading; D012029:Refraction, Ocular / Q000502:physiology; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology