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Use a patient questionnaire and multivariate regression analysis to compare functional visual outcomes and patient satisfaction of post LASIK patients having received multifocal, EDOF, and monofocal intraocular lenses.
All pts were either very sat or sat, but a sig greater % were very sat in the MULTI & EDOF cohorts: (MULTI 28/4, EDOF 9/2, MONO 4/9). Regression revealed that near visual function variables explained greater pt sat in the MULTI (+3.25) vs EDOF & MONO cohorts including UCNVA p=.001, UCIVA p=.04, reading acuity p=.014, reading speed-WPM p=.05, glasses use-near p=.0014, reading newspaper p=.002. EDOF outperformed MONO for working on a computer p=.039. Contrast sens was sig less for MULTI vs both EDOF p=.05 and MONO p=.009. All 61 post LASIK eyes revealed sig greater HOAs vs a cohort of 350 nonpost LASIK presbyopic IOL eyes: RMS p=.009, coma p=.038, trefoil p=.049, and sph aberration p=.011.
1)Multifocal IOLs achieved high levels of pt satisfaction in post LASIK patients despite lower scores for contrast sens and HOAs 2) Regression revealed that numerous variables related to uncorrected near visual function explained the high levels of pt satisfaction 3) Halo, glare, and starburst did not contribute sig to scores for pt satisfaction