Posters

A comparison using multiple regression analysis of predictors of patient satisfaction with an EDOF/+3.25 vs bilateral +3.25 vs bilateral +4.00 multifocal IOLs in cataract patients

Poster Details

First Author: F.Bucci USA

Co Author(s):                        

Abstract Details

Purpose:

To detect the predictors of overall patient satisfaction with an EDOF/+3.25 combination and compare the results to two previous cohorts (bilat.+3.25 and bilat.+4.00).

Setting:

Bucci Laser Vision Institute Wilkes-Barre, PA USA

Methods:

Fifty four (EDOF/+3.25) best case pts with 1) 4 month neuroadaptation 2) corrected residual refractive error. 3) necessary YAGs 4) aggressive ocular surface management, underwent regression analysis to identify predictors of overall patient satisfaction. Satisfaction was regressed against 40 independent variables, 31 clinical metrics, and 9 responses from a questionnaire evaluating the performance of everyday tasks.

Results:

82.5% EDOF/+3.25 were “very satisfied” and 17.5% (7/40) were “satisfied” compared to 82% very sat/18% sat (bilat.+3.25) and 64% very sat/36% sat (bilat.+4.00). Scores for glasses use at near trended (p=.057) in favor of the bilat.+3.25 (1.92/2.00) vs. EDOF/+3.25 (1.73/2.00). However, scores for working on a computer (intermed Va) were significantly better (p=.05) for EDOF/+3.25(3.63/5.00) vs. bilat.+3.25(3.32/5.00). Scores for dist Va also significantly (p=.047) favored the EDOF/+3.25 cohort (3.80/5.00) vs. bilat.+3.25(3.53/5.00). In the bilat.+3.25 cohort, regression revealed that variables related to intermed Va were responsible for outperforming the bilat.+4.00 cohort, and it also showed that smaller mesopic pupils (p=.005) again predicted better intermed Va as was observed in the bilat.+4.00 cohort. For the EDOF/+3.25 cohort, regression revealed 1) variables related to near vision were predictors of “overall pt. satisfaction” 2) smaller mesopic pupils (p=.04) in the +3.25 eye alone still predicted superior intermed Va for the EDOF/+3.25 combo. Within the EDOF/+3.25 cohort, the EDOF IOL had sig. better (p=.007) intermed Jaeger scores (1.45 vs. 2.13), and the +3.25 IOL had sig. better (p=.0001) near Jaeger scores (1.03 vs.1.88).

Conclusions:

1)the EDOF/+3.25 combo revealed equal pt satisfaction vs. bilat +3.25 and greater patient satisfaction vs bilat +4.00. 2)compared to the bilat +3.25, the EDOF/+3.25 combo scored less for reading very fine print and equal for reading the newspaper, while scores for uncorrected intermed Va and dist Va were sig. better for the EDOF/+3.25 combo. 3)smaller mesopic pupils in the +3.25 eye of the combo still results in sig. better intermed Va when the combo is tested bilaterally.

Financial Disclosure:

receives consulting fees, retainer, or contract payments from a competing company