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

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

Prepared by:
Evidence-based Synthesis Program (ESP) Center, West Los Angeles VA Medical Center, Los Angeles, CA
Paul G. Shekelle, MD, PhD, Director

Recommended citation:
Khandelwal SS*, Jun J*, Mak S, Shanman R, Booth M, Beroes JM, Shekelle PG. Comparative effectiveness of multifocal, accommodative, and monofocal intraocular lenses for cataract surgery and lens replacement. VA ESP Project #05-226; 2017. (*These two authors contributed equally to this report)



Download PDF: Complete Report, Abstract, Report, Appendices



Introduction

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?

See also

Comparing Effectiveness of Intraocular Lenses for Cataract Surgery and Lens Replacement (Management Brief)

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