A comparison of quality of life and patient satisfaction with customized monovision pseudophakia in relation to bilateral diffractive multifocal intraocular lenses in Indian patients

Session Details

Session Title: Pseudophakic IOLs: Multifocal II

Session Date/Time: Tuesday 13/09/2016 | 08:00-10:30

Paper Time: 08:24

Venue: Auditorium C6

First Author: : T.Grover INDIA

Co Author(s): :    A. Braganza   R. Shetty   V. Kharbanda              

Abstract Details

Purpose:

The purpose of the study was to compare and report the quality of life and patient satisfaction levels between 2 groups of patients. First group with customized monovision (CM) pseudophakia( -1.5D myopia for mild monovision in patients requiring more intermediate vision , -2.5D myopia for moderate monovision in patients requiring more near work) and second group with bilateral aspheric diffractive multifocal intraocular lenses(MFIOL)

Setting:

A Tertiary eye care Hospital and Postgraduate Training Centre in Bangalore, India

Methods:

35 patients with CM and 24 with bilateral MFIOLs were evaluated 6 weeks after bilateral uncomplicated cataract surgery. Unaided visual acuity for near and distance, final refraction for monovision group and residual refractive error for MFIOL group was measured. The patients were also given a questionnaire, VF-14- QOL and were asked to rate 14 daily activities depending upon degree of difficulty they faced in performing it. Answers were rated from 0 for not being able to do a task, to 100 for performing it without any difficulty. Average scores for all 14 questions were calculated for both groups and analyzed

Results:

The mean myopia in monovision eye in CM group was -1.97 D. The mean distance Spherical Equivalents in MFIOL were -0.17 D in the right and 0.075 D left eyes, respectively. When asked about difficulty level in reading small print, news paper and large prints the scores for CM and MFIOL were 86.02, 92.85, 97.85 and 84.37, 90.62, 98.95 respectively. About being able to recognize faces, difficulty in climbing stairs and seeing traffic signs the scores were 98.57, 97.85, 91.91 and 98.95, 100, 95.83 respectively. On difficulty while driving during the day and night CM scored 97.22, 94.44 and MFIOL 96.87, 68.75. Total score was 94.29 for CM and 94.58 for MFIOL.

Conclusions:

Quality of life and satisfaction levels in patients with customized monovision pseudophakia and bilateral multifocal IOLs are comparable in the Indian scenario. Moreover the fact that majority of patients in India don’t have adequate financial resources, customized monovision which is tailored to the patients visual needs may be a cheaper and effective alternative to multifocal lenses.

Financial Disclosure:

NONE