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Journal of Ophthalmology
Volume 2018, Article ID 8285637, 12 pages
Research Article

Clinical Results of Diffractive, Refractive, Hybrid Multifocal, and Monofocal Intraocular Lenses

1Department of Ophthalmology, Hospital Universitario del Mar and Hospital de la Esperanza, Pompeu and Fabra University, Barcelona, Spain
2Institut Català de Retina, Barcelona, Spain
3Valles Ophthalmology Research, Hospital General de Catalunya, Barcelona, Spain

Correspondence should be addressed to Agnieszka Dyrda;

Received 1 December 2017; Revised 7 March 2018; Accepted 11 March 2018; Published 25 June 2018

Academic Editor: David P. Piñero

Copyright © 2018 Agnieszka Dyrda et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To present the outcomes of hybrid multifocal and monofocal intraocular lenses (IOLs) and to compare with refractive and diffractive multifocal IOLs (MFIOLs). Methods. Three hundred twenty eyes (160 patients) underwent cataract surgery with randomized IOLs bilateral implantation. Changes in uncorrected and distance-corrected logMAR distance, intermediate and near (UNVA and DCNVA) visual acuity (VA), contrast sensitivity (CS), presence of dysphotopsia, spectacle independence, and patient satisfaction were analyzed. Results. Postoperative VA in the hybrid (OptiVis) group was improved in all distances (). OptiVis acted superiorly to monofocal IOLs in UNVA and DCNVA ( for both) and to refractive ones in DCNVA (). Distance, mesopic, without glare CS in OptiVis was lower than in the monofocal group and similar to other MFIOLs. No differences in dysphotopsia pre- and postoperatively and spectacle independence in near for OptiVis and refractive MFIOLs were detected. OptiVis patients were more satisfied than those with monofocal IOLs (). Conclusions. After cataract surgery, patients with OptiVis improved VA in all distances. Near and intermediate VA was better than monofocal, and DCNVA was better than the refractive group. CS was lower in OptiVis than in the monofocal group, but there was no difference between MFIOLs. Patient satisfaction was higher in OptiVis than in the monofocal group. This trial is registered with NCT03512626.