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Distance and near visual acuity improvement after implantation of multifocal intraocular lenses in cataract patients with presbyopia: a systematic review.

Agresta, B, Knorz, MC, Kohnen, T, Donatti, C and Jackson, D (2012) Distance and near visual acuity improvement after implantation of multifocal intraocular lenses in cataract patients with presbyopia: a systematic review. J Refract Surg, 28 (6). pp. 426-435.

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Abstract

PURPOSE: To evaluate uncorrected distance visual acuity (UDVA) as well as uncorrected near visual acuity (UNVA) as outcomes in treating presbyopic cataract patients to assist clinicians and ophthalmologists in their decision-making process regarding available interventions. METHODS: Medline, Embase, and Evidence Based Medicine Reviews were systematically reviewed to identify studies reporting changes in UDVA and UNVA after cataract surgery in presbyopic patients. Strict inclusion/exclusion criteria were used to exclude any studies not reporting uncorrected visual acuity in a presbyopic population with cataracts implanted with multifocal intraocular lenses (IOLs). Relevant outcomes (UDVA and UNVA) were identified from the studies retrieved through the systematic review process. RESULTS: Twenty-nine studies were identified that reported uncorrected visual acuities, including one study that reported uncorrected intermediate visual acuity. Nine brands of multifocal IOLs were identified in the search. All studies identified in the literature search reported improvements in UDVA and UNVA following multifocal IOL implantation. The largest improvements in visual acuity were reported using the Rayner M-Flex lens (Rayner Intraocular Lenses Ltd) (UDVA, binocular: 1.05 logMAR, monocular: 0.92 logMAR; UNVA, binocular and monocular: 0.83 logMAR) and the smallest improvements were reported using the Acri.LISA lens (Carl Zeiss Meditec) (UDVA, 0.21 decimal; UNVA, 0.51 decimal). CONCLUSIONS: The results of this systematic review show the aggregate of studies reporting a beneficial increase in UDVA and UNVA with the use of multifocal IOLs in cataract patients with presbyopia, hence providing evidence to support the hypothesis that multifocal IOLs increase UDVA and UNVA in cataract patients.

Item Type: Article
Authors :
NameEmailORCID
Agresta, BUNSPECIFIEDUNSPECIFIED
Knorz, MCUNSPECIFIEDUNSPECIFIED
Kohnen, TUNSPECIFIEDUNSPECIFIED
Donatti, CUNSPECIFIEDUNSPECIFIED
Jackson, Dd.jackson@surrey.ac.ukUNSPECIFIED
Date : June 2012
Identification Number : https://doi.org/10.3928/1081597X-20120518-06
Uncontrolled Keywords : Cataract Extraction, Distance Perception, Humans, Lens Implantation, Intraocular, Presbyopia, Visual Acuity
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 16 May 2017 15:15
Last Modified : 17 May 2017 14:33
URI: http://epubs.surrey.ac.uk/id/eprint/818375

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