Outcomes of cataract extraction with multifocal intraocular lens implantation

Functional status and quality of life

J. C. Javitt, F. Wang, D. J. Trentacost, M. Rowe, N. Tarantino

Research output: Contribution to journalArticle

Abstract

Objective: The authors measured functional status after bilateral implantation of a multifocal versus a monofocal intraocular lens (IOL). Methods: A retrospective, case-control study was done on 100 subjects implanted bilaterally with a silicone-optic foldable zonal progressive IOL under United States Food and Drug Administration Investigational Device Exemption protocol and 103 control subjects implanted bilaterally with a monofocal IOL of similar design who were matched on age and postoperative corrected distance acuity. The Cataract TyPE specification, a 17-item functional status instrument, was modified, validated, and administered via telephone interview. The measures of vision, functional status, and quality of life were compared between patients and controls. Results: The instrument was valid (Cronbach's α = 0.94) and correlated moderately (Pearson's r = 0.34) with Snellen acuity. Multifocal subjects were more likely than monofocal controls to never wear spectacles (41% vs. 11.7%; P <0.001). Multifocal subjects rated their vision without spectacles significantly better than those with monofocal IOLs (9.0 vs. 7.9; P <0.001). The difference was most significant in rating of near vision without spectacles (7.8 vs. 5.0; P <0.001). Multifocal subjects reported less limitation in specific visual tasks without spectacles (0.3 vs. 0.8; P <0.001, where 1.0 represents 'slightly' limited). This difference was consistently observed in subscales related to distance vision activities (0.1 vs. 0.4; P <0.001), near vision activities (0.6 vs. 1.4; P <0.001), and social activities (0.1 vs. 0.6; P <0.001). Conclusions: In this study, subjects with bilateral multifocal IOLs reported better overall vision, less limitation in visual function, and less spectacle usage than monofocal controls.

Original languageEnglish (US)
Pages (from-to)589-599
Number of pages11
JournalOphthalmology
Volume104
Issue number4
StatePublished - 1997
Externally publishedYes

Fingerprint

Intraocular Lens Implantation
Cataract Extraction
Quality of Life
Intraocular Lenses
Silicones
United States Food and Drug Administration
Cataract
Case-Control Studies
Interviews
Equipment and Supplies

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Javitt, J. C., Wang, F., Trentacost, D. J., Rowe, M., & Tarantino, N. (1997). Outcomes of cataract extraction with multifocal intraocular lens implantation: Functional status and quality of life. Ophthalmology, 104(4), 589-599.

Outcomes of cataract extraction with multifocal intraocular lens implantation : Functional status and quality of life. / Javitt, J. C.; Wang, F.; Trentacost, D. J.; Rowe, M.; Tarantino, N.

In: Ophthalmology, Vol. 104, No. 4, 1997, p. 589-599.

Research output: Contribution to journalArticle

Javitt, JC, Wang, F, Trentacost, DJ, Rowe, M & Tarantino, N 1997, 'Outcomes of cataract extraction with multifocal intraocular lens implantation: Functional status and quality of life', Ophthalmology, vol. 104, no. 4, pp. 589-599.
Javitt, J. C. ; Wang, F. ; Trentacost, D. J. ; Rowe, M. ; Tarantino, N. / Outcomes of cataract extraction with multifocal intraocular lens implantation : Functional status and quality of life. In: Ophthalmology. 1997 ; Vol. 104, No. 4. pp. 589-599.
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