Many types of premium IOL are now available, including accommodating IOL and multifocal IOLs.
Low-add Mplus IOLs provided superior intermediate and near visual performance compared to accommodating IOLs. However, Mplus IOLs resulted in some residual higher-order aberrations that might affect the corrected visual acuity and quality of vision.
Mplus IOLs (312 MF30, 313 MF30, and 312 MF30) were used in the refractive rotationally asymmetric multifocal IOL group, and spherical monofocal (Acri.Smart 48S) IOLs, accommodating IOLs (Crystalens HD), and refractive-diffractive bifocal IOLs (Acri.Lisa 366 and ReSTOR SN6AD 1/3) were used in comparison groups.
Mplus resulted in significantly better UIVA than high-add refractive-diffractive bifocal IOLs (WMD: -0.19, 95% CI: -0.22 to -0.17, P < 0.00001), spherical monofocal IOLs (WMD: -0.12, 95% CI: -0.18 to -0.06, P < 0.0001), and accommodating IOLs (WMD: -0.21, 95% CI: -0.28 to -0.14, P < 0.00001).
Mplus resulted in significantly lower Strehl ratios than high-add refractive-diffractive bifocal IOLs (WMD: -0.02, 95% CI: -0.04 to -0.01, P = 0.004) and accommodating IOLs (WMD: -0.02, 95% CI: -0.04 to -0.00, P = 0.02).
Low-add Mplus IOLs resulted in significantly worse performance at 3, 6, 12, and 18c/d than accommodating IOLs. Under the low conditions, Mplus IOLs had a tendency to provide worse results than spherical monofocal IOLs and accommodating IOLs.
Uncorrected distance visual acuity (UDVA) following implantation of Mplus IOLs was good and not significantly different from those following the implantation of accommodating IOLs and refractive-diffractive bifocal IOLs.
Mplus IOLs exhibited better uncorrected intermediate visual acuity (UIVA) than spherical monofocal IOLs, accommodating IOLs, and high-add refractive-diffractive bifocal IOLs (+4 D, +3.75 D).
