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Spotlight on Evidence Synthesis Program

Comparative Effectiveness of Multifocal, Accommodative, and Monofocal Intraocular Lenses for Cataract Surgery and Lens Replacement


by Amy Chomsky, MD ; Jason Jun, MD ; Sumitra Khandelwal, MD ; Murugavel Manimegalai, DNP, NE-BC, CSSGB, RN ; Paul Shekelle, MD, PhD
Seminar date: 6/13/2018

Description: The comparative effectiveness of multifocal, accommodative, and monofocal intraocular lenses for cataract surgery and lens replacement remains unclear. This review was requested to assess the evidence. Key Questions 1. What is the effectiveness of multifocal or accommodative versus monofocal lenses with spectacle correction for distance vision in the setting of cataract surgery? 2. What is the effectiveness of multifocal or accommodative versus monofocal lenses with spectacle correction for near vision in the setting of cataract surgery? 3. What are the harms associated with multifocal or accommodative lenses versus monofocal replacement in the setting of cataract surgery? 4. If feasible, what resources are required to best care for patients who choose multifocal or accommodative lens implants in the setting of cataract surgery?



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