Comparison of the Clinical Performance of Refractive Rotationally Asymmetric Multifocal IOLs with Other Types of IOLs: A Meta-Analysis
Joint Authors
Wu, Qiang
Xu, Zequan
Li, Wenzhe
Wu, Lianqun
Xue, Shuang
Chen, Xu
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-27
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Objective.
To compare the clinical performance of refractive rotationally asymmetric multifocal intraocular lens (IOLs) with spherical monofocal, accommodating, and bifocal IOLs.
Methods.
A comprehensive literature search of PubMed, EMBASE, Cochrane Controlled Trials Register, and Web of Science up to February 2017 was performed to identify randomized controlled trials (RCT) and comparative cohort studies.
Main outcomes were uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), higher-order aberrations (HOAs), MTF, Strehl ratio, and residual sphere and cylinder.
Results.
Mplus provided significantly worse UDVA than spherical monofocal IOLs (WMD: 0.13, P=0.008), but significantly better UIVA than high-add bifocal IOLs (WMD: −0.19, P<0.00001), spherical monofocal IOLs (WMD: −0.12, P<0.0001), and accommodating IOLs (WMD: −0.21, P<0.00001).
Mplus provided significantly worse UNVA than high-add bifocal IOLs (WMD: 0.07, P<0.00001), but significantly better UNVA than spherical monofocal IOLs (WMD: −0.19, P<0.00001).
Mplus resulted in significantly higher HOAs than high-add bifocal IOLs (WMD: 0.38, P<0.00001) and spherical monofocal IOLs (WMD: 0.51, P=0.0004).
Mplus provided a significantly lower MTF cut-off and Strehl ratio than other type of IOLs.
Conclusion.
The Mplus IOLs perform best regarding intermediate visual acuity whereas they lack in distance visual acuity compared to monofocal IOLs and near visual acuity compared to bifocal IOLs.
These results may be due to structure of Mplus IOLs resulting in higher-order aberrations.
American Psychological Association (APA)
Xu, Zequan& Li, Wenzhe& Wu, Lianqun& Xue, Shuang& Chen, Xu& Wu, Qiang. 2018. Comparison of the Clinical Performance of Refractive Rotationally Asymmetric Multifocal IOLs with Other Types of IOLs: A Meta-Analysis. Journal of Ophthalmology،Vol. 2018, no. 2018, pp.1-13.
https://search.emarefa.net/detail/BIM-1196613
Modern Language Association (MLA)
Xu, Zequan…[et al.]. Comparison of the Clinical Performance of Refractive Rotationally Asymmetric Multifocal IOLs with Other Types of IOLs: A Meta-Analysis. Journal of Ophthalmology No. 2018 (2018), pp.1-13.
https://search.emarefa.net/detail/BIM-1196613
American Medical Association (AMA)
Xu, Zequan& Li, Wenzhe& Wu, Lianqun& Xue, Shuang& Chen, Xu& Wu, Qiang. Comparison of the Clinical Performance of Refractive Rotationally Asymmetric Multifocal IOLs with Other Types of IOLs: A Meta-Analysis. Journal of Ophthalmology. 2018. Vol. 2018, no. 2018, pp.1-13.
https://search.emarefa.net/detail/BIM-1196613
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1196613