{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T13:10:04Z","timestamp":1749820204696,"version":"3.40.5"},"reference-count":55,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T00:00:00Z","timestamp":1689206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>We compared the visual performance of a bifocal intraocular lens (IOL) (ZMB00) and an extended-depth-of-focus (EDOF) IOL (ZXR00V) by evaluating postoperative parameters at 10 weeks after the last surgery in cataract patients who underwent bilateral ZMB00 or ZXR00V implantation between 2011 and 2020. The right and left lenses were implanted within 3 months of each other. The study enrolled 1536 eyes of 768 patients; the ZMB00 group comprised 1326 eyes of 663 patients (age: 67.0 \u00b1 7.8 years; female\/male, 518\/145), and the ZXR00V group comprised 210 eyes of 105 patients (age: 67.8 \u00b1 6.9 years; female\/male, 39\/66). A linear mixed-effects model using data for both eyes, with strict adjustments for sex, age, subjective refraction spherical equivalent, subjective refraction cylinder, corneal astigmatism, axial length, corneal higher-order aberrations and pupil diameter, ensured statistical validity. Uncorrected near visual acuity, corrected near visual acuity, and near spectacle independence were significantly better in the ZMB00 group (p&lt;0.00068, Wald test) than in the ZXR00V group. Contrast sensitivity (visual angle of the test target: 4.0\u00b0\/2.5\u00b0\/1.6\u00b0\/1.0\u00b0\/0.7\u00b0) and contrast sensitivity with glare (4.0\u00b0\/2.5\u00b0\/1.6\u00b0\/1.0\u00b0\/0.7\u00b0) were significantly better in the ZXR00V group (p&lt;0.00068, Wald test) than in the ZMB00 group. Uncorrected intermediate visual acuity, contrast sensitivity with glare (6.3\u00b0), and 25-item National Eye Institute Visual Function Questionnaire (VFQ-25) scores for General Vision were slightly but significantly better in the ZXR00V group than in the ZMB00 group (p&lt;0.05, Wald test). At high-performance levels, the two IOL groups had different characteristics regarding various visual performance parameters.<\/jats:p>","DOI":"10.1371\/journal.pone.0288602","type":"journal-article","created":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T17:40:39Z","timestamp":1689270039000},"page":"e0288602","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":9,"title":["Comparison of visual performance between bifocal and extended-depth-of-focus intraocular lenses"],"prefix":"10.1371","volume":"18","author":[{"given":"Hitoshi","family":"Tabuchi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1948-7408","authenticated-orcid":true,"given":"Hirotaka","family":"Tanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoki","family":"Shirakami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kosuke","family":"Takase","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomohiro","family":"Shojo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomofusa","family":"Yamauchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,7,13]]},"reference":[{"key":"pone.0288602.ref001","first-page":"17","article-title":"2020: the cataract challenge","volume":"13","author":"Foster A. 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Ophthalmol."},{"key":"pone.0288602.ref028","first-page":"12","article-title":"Bilateral Implantation of a Single-Piece Bifocal Diffractive Intraocular Lens in Presbyopic Patients: A Prospective Case Series.","volume":"8","author":"JSM Chang","year":"2019","journal-title":"Asia Pac J Ophthalmol (Phila)."},{"key":"pone.0288602.ref029","doi-asserted-by":"crossref","first-page":"1560","DOI":"10.1136\/bjophthalmol-2013-304010","article-title":"Clinical evaluation of a multifocal aspheric diffractive intraocular lens","volume":"97","author":"S Schmickler","year":"2013","journal-title":"Br. J. Ophthalmol"},{"key":"pone.0288602.ref030","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1177\/1120672118766809","article-title":"Clinical outcome and higher order aberrations after bilateral implantation of an extended depth of focus intraocular lens.","volume":"28","author":"D Pilger","year":"2018","journal-title":"Eur. J. 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Ophthalmol"},{"key":"pone.0288602.ref036","doi-asserted-by":"crossref","first-page":"666","DOI":"10.3928\/1081597X-20150928-01","article-title":"Effect of Large Apertures on the Optical Quality of Three Multifocal Lenses.","volume":"31","author":"JJ Esteve-Taboada","year":"2015","journal-title":"J. Refract. Surg"},{"key":"pone.0288602.ref037","doi-asserted-by":"crossref","first-page":"146","DOI":"10.3928\/1081597X-20160114-01","article-title":"Prospective Clinical Comparison of Patient Outcomes Following Implantation of Trifocal or Bifocal Intraocular Lenses.","volume":"32","author":"B. Cochener","year":"2016","journal-title":"J. Refract. Surg"},{"key":"pone.0288602.ref038","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1038\/s41433-018-0068-5","article-title":"Comparison of long-term decentration and tilt in two types of multifocal intraocular lenses with OPD-Scan III aberrometer.","volume":"32","author":"W He","year":"2018","journal-title":"Eye (Lond)."},{"key":"pone.0288602.ref039","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1159\/000522510","article-title":"Impact of Decentration and Tilt on Spherical, Aberration Correcting, and Specific Aspherical Intraocular Lenses: An Optical Bench Analysis","volume":"65","author":"AF Borkenstein","year":"2022","journal-title":"Ophthalmic Res"},{"key":"pone.0288602.ref040","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1007\/s00417-015-3240-7","article-title":"In vitro optical quality comparison between the Mini WELL Ready progressive multifocal and the TECNIS Symfony.","volume":"254","author":"A Dom\u00ednguez-Vicent","year":"2015","journal-title":"Graefe\u2019s Arch. 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An index of functional impairment in patients with cataract","volume":"112","author":"EP Steinberg","year":"1994","journal-title":"Arch Ophthalmol"},{"key":"pone.0288602.ref043","first-page":"e480","article-title":"Validation and comparison of the National Eye Institute Visual Functioning Questionnaire\u201025 (NEI VFQ\u201025) and the Visual Function Index\u201014 (VF\u201014) in patients with cataracts: a multicentre study.","volume":"99","author":"Y Wan","year":"2020","journal-title":"Acta Ophthalmol"},{"key":"pone.0288602.ref044","doi-asserted-by":"crossref","first-page":"2325","DOI":"10.2147\/OPTH.S232800","article-title":"Visual outcomes, visual quality and patient satisfaction: comparing a blended bifocal approach to bilateral extended depth of focus intraocular lens implantation.","volume":"13","author":"MD Hammond","year":"2019","journal-title":"Clin. 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