Volume 3 No. 3, July 2008

Patients' Satisfaction and Functional Visual Outcome with ReSTOR Multifocal Intraocular Lenses after Cataract Surgery Using Visual Function Questionnaire (VF-14)

Tarek M. Eid1,2,  Wael el-Menawy2, Motaz Sabry1 & Ihab el-Hawary2

1Ophthhalmology Department, Tanta University, Tanta, Egypt. 2Glaucoma & Cataract Unit, Magrabi Eye & Ear Center, Jeddah, Saudi Arabia
Tanta Med. Sc. J 2008; 3(3):148-156
Article type: Original article

Aim: To assess the subjective visual function and patients' satisfaction as well as visual outcome after cataract surgery with implantation of ReSTOR multifocal intraocular lenses (IOLs). Patients and methods: Patients subjectively assessed their visual activity by answering the items in the VF-14 questionnaire after cataract surgery and ReSTOR IOL implantation. Patients were also asked to rate their overall trouble with vision and satisfaction with visual outcome. Objective outcome measures included uncorrected distance and near visual acuity (UCDVA & UCNVA) and reported visual symptoms. Results: Fifty two eyes of 26 patients were evaluated, with mean age of 55 years. Posterior subcapsular cataract was seen in 34 eyes. Postoperative UCDVA was 20/40 or better in 92.6% of eyes and UCNVA of J2 or better was seen in 88.9%. Five patients had transient visual symptoms; one had persistent halos around light. The overall score of VF-14 was 83.9. The average score for items testing activities related to “near” visual tasks was 82.6 compared to a score of 85.8 for “intermediate” visual activities and 86.4 for “distance” visual activities. Some patients were less satisfied with intermediate activity, in particular computer work. Conclusion: Most patients having cataract surgery with ReSTOR multifocal IOL were generally satisfied with their visual function for both distance and near but not so with intermediate vision. The ReSTOR lens is more likely to benefit patients in which intermediate visual activities, like computer work, play a lesser role.

ICID 885219