role of gender in postoperative satisfaction in patients receiving multifocal iols
DESCRIPTION
Role of Gender in Postoperative Satisfaction in Patients Receiving Multifocal IOLs. Mohamed A Guenena, MD Helga P Sandoval, MD, MSCR Kerry D Solomon, MD Magill Research Center for Vision Correction, Storm Eye Institute Medical University of South Carolina, Charleston, SC - PowerPoint PPT PresentationTRANSCRIPT
Role of Gender in Postoperative Satisfaction in Patients Receiving Multifocal IOLs
Mohamed A Guenena, MD
Helga P Sandoval, MD, MSCRKerry D Solomon, MD
Magill Research Center for Vision Correction, Storm Eye Institute
Medical University of South Carolina, Charleston, SC
The authors have no financial interest in the subject matter of this poster.
Introduction
The use of presbyopia-correcting intraocular lenses (IOLs) has increased over the years
Peer-reviewed literature shows that patients are highly satisfied
Online health forums seem to show otherwise
Is there a difference in satisfaction rates among males and females?
Are satisfaction rates in males and females affected by type of multifocal IOL implanted?
Purpose
To evaluate the role of gender in patient satisfaction after routine cataract extraction and multifocal IOL (MIOL) implantation
Methods
Retrospective chart review
Patients who underwent bilateral cataract extraction and implantation of a multifocal IOL
Telephone survey
Overall satisfaction, distance, intermediate, near, and night vision satisfaction were assessed using a scale from 0 (very dissatisfied) to 10 (highly satisfied)
Subjects were divided based on gender
Further analysis was done according to the lens implanted
Results
A total of 112 subjects answered the survey
Females Males P value
n 76 (68%) 36 (32%)
Age (year) 66.3 ±6.8 68.2 ±7.8 .068
Post Operative UCDVA
0.14 ±0.14 0.14 ±0.14 .822
Post Operative UCNVA
0.10 ±0.14 0.08 ±0.13 .198
Postoperative SE
0.19 ±0.45 0.25 ±0.57 .628
UCDVA: uncorrected distance visual acuity UCNVA: uncorrected near visual acuity SE: spherical equivalent
Results
satisfied
dissatisfied
P < .044
P < .020
Results: Halos
P = .386, Chi-square test
Results: Glare
P = .665, Chi-square test
Results: Use of glasses
P = .127, Chi-square test
Vertical bars denote 0.95 confidence intervals
Rs/Rz Rs Bilat Rz Bilat Asph Rs Bilat
Group
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
Nig
ht T
ime
Vis
ion
Sa
tisfa
ctio
n S
core
Female Male
Vertical bars denote 0.95 confidence intervals
Rs/Rz Rs Bilat Rz Bilat Asph Rs Bilat
Group
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
Ne
ar V
isio
n S
atis
fact
ion
Sco
re
Female Male
Vertical bars denote 0.95 confidence intervals
Rs/Rz Rs Bilat Rz Bilat Asph Rs Bilat
Group
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
12.5
Inte
rmed
iate
Vis
ion
Sat
isfa
ctio
n S
core
Female Male
Vertical bars denote 0.95 confidence intervals
Rs/Rz Rs Bilat Rz Bilat Asph Rs Bilat
Group
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
Dis
tan
ce V
isio
n S
atis
fact
ion
Sco
re
Female Male
Rs: ReSTOR IOL Rz: ReZoom IOL Asph: aspheric Bilat: bilateral
Satisfaction at different distances among different combination of multifocal IOLs
Summary
Overall women are significantly more satisfied than men
Women are significantly more satisfied with their intermediate vision than men
Men tend to be more satisfied with the night time vision than women
No differences in distance or near vision
Summary
Mix and match women tend to be more satisfied than men while bilateral ReZoom men are more satisfied than women
No differences between gender in HalosGlareUse of glasses