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• W2893978173 abstract "Objective . To compare the clinical performance of refractive rotationally asymmetric multifocal intraocular lens (IOLs) with spherical monofocal, accommodating, and bifocal IOLs. Methods . A comprehensive literature search of PubMed, EMBASE, Cochrane Controlled Trials Register, and Web of Science up to February 2017 was performed to identify randomized controlled trials (RCT) and comparative cohort studies. Main outcomes were uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), higher-order aberrations (HOAs), MTF, Strehl ratio, and residual sphere and cylinder. Results . Mplus provided significantly worse UDVA than spherical monofocal IOLs (WMD: 0.13, <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M1><mml:mrow><mml:mi>P</mml:mi><mml:mo>=</mml:mo><mml:mn>0.008</mml:mn></mml:mrow></mml:math>), but significantly better UIVA than high-add bifocal IOLs (WMD: −0.19, <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M2><mml:mrow><mml:mi>P</mml:mi><mml:mo><</mml:mo><mml:mn>0.00001</mml:mn></mml:mrow></mml:math>), spherical monofocal IOLs (WMD: −0.12, <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M3><mml:mrow><mml:mi>P</mml:mi><mml:mo><</mml:mo><mml:mn>0.0001</mml:mn></mml:mrow></mml:math>), and accommodating IOLs (WMD: −0.21, <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M4><mml:mrow><mml:mi>P</mml:mi><mml:mo><</mml:mo><mml:mn>0.00001</mml:mn></mml:mrow></mml:math>). Mplus provided significantly worse UNVA than high-add bifocal IOLs (WMD: 0.07, <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M5><mml:mrow><mml:mi>P</mml:mi><mml:mo><</mml:mo><mml:mn>0.00001</mml:mn></mml:mrow></mml:math>), but significantly better UNVA than spherical monofocal IOLs (WMD: −0.19, <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M6><mml:mrow><mml:mi>P</mml:mi><mml:mo><</mml:mo><mml:mn>0.00001</mml:mn></mml:mrow></mml:math>). Mplus resulted in significantly higher HOAs than high-add bifocal IOLs (WMD: 0.38, <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M7><mml:mrow><mml:mi>P</mml:mi><mml:mo><</mml:mo><mml:mn>0.00001</mml:mn></mml:mrow></mml:math>) and spherical monofocal IOLs (WMD: 0.51, <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M8><mml:mrow><mml:mi>P</mml:mi><mml:mo>=</mml:mo><mml:mn>0.0004</mml:mn></mml:mrow></mml:math>). Mplus provided a significantly lower MTF cut-off and Strehl ratio than other type of IOLs. Conclusion . The Mplus IOLs perform best regarding intermediate visual acuity whereas they lack in distance visual acuity compared to monofocal IOLs and near visual acuity compared to bifocal IOLs. These results may be due to structure of Mplus IOLs resulting in higher-order aberrations." @default.
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• W2893978173 date "2018-09-27" @default.
• W2893978173 modified "2023-10-16" @default.
• W2893978173 title "Comparison of the Clinical Performance of Refractive Rotationally Asymmetric Multifocal IOLs with Other Types of IOLs: A Meta-Analysis" @default.
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• W2893978173 doi "https://doi.org/10.1155/2018/4728258" @default.
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