Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Cataract surgery with the implantation of intraocular lenses (IOLs) is a transformative procedure that significantly improves visual acuity. However, the choice between monofocal and multifocal intraocular lenses can influence postoperative visual outcomes and patient satisfaction. To compare the visual outcomes and patient satisfaction following phacoemulsification using monofocal versus multifocal intraocular lenses. This retrospective cohort study analyzed 200 patients who underwent phacoemulsification at a tertiary care center. Patients were divided equally into two groups based on the type of IOL received: monofocal or multifocal. The primary outcomes measured were postoperative visual acuity at near, intermediate and far distances, patient satisfaction with visual quality, dependence on corrective eye wear and the incidence of visual disturbances such as glare and halos. Statistical analysis included chi‐square tests and confidence intervals to compare the outcomes between the two groups. Our exhibited significantly better visual acuity at near (85% vs. 64%, p=0.004) and intermediate distances (80% vs. 68%, p=0.009) compared to the monofocal group. However, visual acuity at far distances was superior in the monofocal group (90% vs. 72%, p=0.013). Patient satisfaction was higher in the multifocal group (94% vs. 89%, p=0.037) and these patients were less likely to require corrective eyewear postoperatively (40% vs. 77%, p=0.001). However, multifocal lenses were associated with higher incidences of glare (55% vs. 22%, p=0.0003) and halos (50% vs. 18%, p=0.0005). Multifocal IOLs provide significant advantages in near and intermediate visual acuity and reduce the need for corrective eyewear, making them suitable for patients desiring a glasses‐free lifestyle. However, they also lead to more frequent visual disturbances. Monofocal IOLs, while requiring more frequent use of corrective eyewear, offer better distance vision and fewer visual disturbances. The choice of IOL should be individualized based on the patient's lifestyle needs and visual preferences.
How to cite this article:
Arun Bajarang Kolap and Sagar Deepak Patil. Comparative Analysis of Visual Outcomes After Phacoemulsification Using Monofocal Versus Multifocal Intraocular Lenses.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.603.607
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.603.607