McCormack Perkins (radiouganda0)

2%) patients met the study criteria. The mean CCI score was 1.7; 42.0% (528/1257) had heart disease. The prevalence of preoperative testing was 0.08% (1/1257). The prevalence of preoperative consultation was 4.2% (53/1257); 86.8% (46/53) of patients received cardiology consultation; 17.0% (9/53) pulmonology; and 15.1% (8/53) primary care. Of the patients who received cardiac consultation, 63.0% (29/46) had heart disease; the remaining had an electrocardiogram abnormality. CONCLUSIONS There was a low prevalence of preoperative testing and consultation for cataract surgery at this teaching hospital. Further studies using medical record data are needed to assess the current rates and role of preoperative testing and consultation for cataract surgery patients.PURPOSE To compare the clinical outcomes obtained after implantation of 1 of 3 models of trifocal diffractive intraocular lenses (IOLs). SETTING Hospital da Luz, Lisbon, Portugal. DESIGN Prospective randomized comparative study. METHODS Ninety eyes of 45 patients undergoing cataract surgery with bilateral implantation of 1 of 3 models of trifocal diffractive IOLs were enrolled. The IOL models implanted were the FineVision POD F, RayOne Trifocal, or the Acrysof IQ PanOptix (30 eyes of 15 patients in each group). Visual acuity (VA), refraction, defocus curve, and contrast sensitivity outcomes were evaluated during a 3-month follow-up. Furthermore, the quality-of-vision (QoV) questionnaire (McAlinden et al.) was used to evaluate the frequency, severity, and discomfort of different visual symptoms. RESULTS No statistically significant differences were found between groups in distance, intermediate, and near VA (p≥0.112) and postoperative refraction (p≥0.059). Postoperative binocular uncorrected intermediate VA of 0.10 logMAR or better was found in 14 (93.33%) patients in the 3 groups. Postoperative binocular uncorrected near VA of 0.10 logMAR or better was found in 13 (86.67%), 14 (93.33%) and 13 (86.67%) patients in the PODF, RayOne, and PanOptix groups, respectively. No statistically significant differences were found between groups in scotopic contrast sensitivity with and without glare as well as in the QoV scores (p≥0.057), except for the difference between the PODF and RayOne groups in depth perception severity, which was less in the RayOne group (p=0.019). CONCLUSIONS The 3 trifocal IOLs evaluated provided a complete visual restoration with good visual quality outcomes.PURPOSE To examine monocular and binocular visual function and patient reporting outcomes following implantation of multifocal intraocular lenses (mIOLs) or monofocal intraocular lenses (IOLs), using a rigorous series of clinical assessments. SETTING BMI Southend Hospital, United Kingdom. DESIGN Prospective, randomized, double-masked clinical trial. METHODS One hundred patients were randomized for bilateral implantation of either a Bi-Flex 677MY mIOL or a Bi-Flex 677AB IOL and were assessed at 3 to 6 months (V1) and 12 to 18 months (V2). Primary outcomes included distance, intermediate and near logarithm of the minimum angle of resolution (logMAR) visual acuities (VA) and defocus curve profile assessment. Secondary outcomes included reading speed, contrast sensitivity (CS), and the subjective perception of quality of vision. RESULTS Uncorrected (mIOL, 0.10±0.09 logMAR; IOL, 0.09±0.11 logMAR) and corrected distance VA (mIOL, 0.04±0.06 logMAR; IOL, 0.01±0.07 logMAR) were comparable (p>0.05). Uncorrected near VA (p90%) in both groups for distance tasks whereas significantly different for near tasks (mIOL, 18.45±16.53 logUnits; IOL, 55.59±22.52 logUnits). CONCLUSIONS Unaided near visual acuity was demonstrably better with mIOLs and there was greater subjective satisfaction with quality of near vision. Halos reported by the mIOL group were significant compared to the IOL group, but did not show an adverse effect on overall satisfaction.The clinical usefulness