Vision-related Quality of Life after Bilateral Implantation of Monofocal and Multifocal Intraocular Lenses

PURPOSE: To evaluate vision-related quality of life in two sets of patients after routine cataract surgery implanting with traditional versus multifocal intraocular lens (IOLs). METHODS: In a cross-sectional prospective study, 58 and 33 candidates for cataract surgery were divided into traditional (Acrysof SN60WF, Alcon Laboratories, Inc) and multifocal IOL (AcrySof IQ PanOptix IOL TFNT00, Alcon Laboratories, Inc.) groups, respectively. The primary outcome was VFQ-25 scores. The secondary outcomes were making comparisons between the two IOL types in the near vision and the driving items. RESULTS: mean patients' age in traditional and multifocal IOL groups was 60.85 [Formula: see text] 7.40 (55% female) and 59.85 [Formula: see text] 8.95 (36% female) years, respectively. The mean VFQ-25 total scores in traditional and multifocal IOL groups before and after surgery were 63.69 [Formula: see text] 4.95 and 72.15 [Formula: see text] 9.66, and 98.08 [Formula: see text] 0.70 and 95.70 [Formula: see text] 1.30, respectively (P = 0.001 & 0.001). The mean scores of night driving in traditional and multifocal IOL groups were 38.79 [Formula: see text] 20.50 and 44.35 [Formula: see text] 21.12 (P = 0.1) before surgery which improved to 97.41 [Formula: see text] 7.68 and 56.45 [Formula: see text] 11.12 after surgery, respectively (P = 0.001). The mean scores of near vision in traditional and multifocal IOL groups were 46.83 [Formula: see text] 10.56 and 50.53 [Formula: see text] 8.58 (P = 0.2) before surgery which improved to 89.94 [Formula: see text] 4.87 and 100.00 [Formula: see text] 0.00 after surgery, respectively (P = 0.001). CONCLUSION: Vision-related quality of life after cataract surgery with either type of traditional or multifocal (PanOptix) IOLs improved to an excellent level. Traditional IOLs provided more satisfaction in nighttime driving while multifocal IOLs provided increased satisfaction in near and intermediate vision.