Introduction
Methods
Search methods for identifying studies
Study selection
Data collection and risk of bias assessment
Data synthesis and analysis
Results
Description of the evidence
Effectiveness outcomes
Multifocal IOLs compared to monofocal IOLs—corrected and uncorrected distance vision
Newer diffractive lenses compared to refractive lenses
Multifocal IOLs compared to monofocal IOLs—uncorrected near vision
Newer diffractive lenses compared to refractive lenses
Multifocal IOLs compared to monofocal IOLs—spectacle independence
Newer diffractive lenses compared to older lenses or refractive lenses
Multifocal IOLs compared to monofocal IOLs—visual function/quality of life
Newer diffractive lenses compared to refractive lenses
Multifocal IOLs compared to monofocal IOL as monovision
Harms
Surgical complications
Study | Intraoperative Complications | Postoperative Complications | Additional detail |
---|---|---|---|
El-Maghraby 1992 [37] | None | Yes | Decentered MF-IOL without vision issues (3) Posterior capsule haze (1) High surgically induced astigmatism (1) |
Percival 1993 [29] | None | Yes | Decentered MF-IOL (3) |
Allen 1996 [18] | None | None | None |
Javitt 2000 [19] | Yes | Yes | Zonular dehiscence requiring IOL exchange (1) Posterior capsule rupture (PCR) (1) Cystoid macular edema (CME) (2) |
Leyland 2002 [31] | Yes | Yes | Iris prolapse (2) Bent haptics (2) Damaged optic (2) Posterior capsule opacification requiring YAG capsulotomy during study period (1) |
Sen 2004 [35] | None | Yes | Late decentration of MF-IOL requiring IOL exchange (1) |
Zeng 2007 [22] | None | Not mentioned | None |
Alio 2011 [27] | None | None | Posterior capsule clear at 3 months |
Cillino 2008 [26] | None | None | Specifically stated no CME, corneal edema, increased IOP, infection, IOL decentration, PCO |
Zhao 2010 [25] | None | None | Specifically stated no PCR, high IOP, endophthalmitis, corneal decompensation, CME, IOL decentration, PCO |
Peng 2012 [24] | None | None | None |
Wilkins 2013 [13] | Yes | Yes | MF-IOL damaged on insertion (13) Post-operative LASIK to correct residual refractive error (2) IOL exchange due to dissatisfaction with MF-IOL (6) |