Stock Ricardo Alexandre, Thumé Thaís, Paese Luan Gabriel, Bonamigo Elcio Luiz
Universidade do Oeste de Santa Catarina, Rua Getúlio Vargas, Joaçaba, Santa Catarina, Brazil.
Clin Ophthalmol. 2017 Jul 11;11:1285-1290. doi: 10.2147/OPTH.S134541. eCollection 2017.
To analyze patient satisfaction and difficulties with bilateral multifocal intraocular lenses (IOLs) implantation and aspheric monofocal IOLs implantation using monovision, after cataract surgery.
A total of 61 participants were included in the study, 29 with monovision and 32 with multifocal lenses. The inclusion criteria were patients undergoing phacoemulsification for bilateral visual impairment due to cataracts and presenting with postoperative visual acuity of 20/30 or better for distance and line J3 or better for near vision.
The 2 groups had similar results regarding difficulties with daily activities such as distance vision, near vision, watching television, reading, cooking, using a computer or cellphone, shaving/putting on makeup and shopping. There were differences in responses between the groups regarding difficulty with night vision (=0.0565) and night driving (=0.0291). Degree of satisfaction in terms of distance vision without glasses was statistically significantly better in monovision group (=0.0332), but not for near (=0.9101).
Both techniques yielded satisfactory results regarding visual acuity for different activities without the need to use glasses. Multifocal lenses are a good option for patients with the exception of night driving, and who desire independence from glasses.
分析白内障手术后采用双眼单视法植入双焦点人工晶状体（IOL）和非球面单焦点IOL患者的满意度及困难之处。
共有61名参与者纳入研究，其中29名采用双眼单视法，32名采用多焦点人工晶状体。纳入标准为因白内障导致双眼视力受损且接受超声乳化手术，术后远视力为20/30或更好、近视力为J3或更好的患者。
两组在诸如远视力、近视力、看电视、阅读、烹饪、使用电脑或手机、剃须/化妆和购物等日常活动的困难程度方面结果相似。两组在夜间视力困难程度（P = 0.0565）和夜间驾驶困难程度（P = 0.0291）的反应上存在差异。在不戴眼镜的情况下，双眼单视组的远视力满意度在统计学上显著更高（P = 0.0332），但近视力方面则不然（P = 0.9101）。
两种技术在不同活动的视力方面均产生了令人满意的结果，无需佩戴眼镜。除夜间驾驶外，对于希望不依赖眼镜的患者而言，多焦点人工晶状体是一个不错的选择。
