During the last decade multifocal intraocular lenses (IOL) became widely used in cataract surgery and proved to be effective in recovery of visual functions. Lots of clinical studies with different multifocal IOL models showed high effectiveness of multifocal correction to achieve good visual quality for far, intermediate, and near distances. Uncorrected visual acuity at a distance is equal to multifocal and monofocal correction, while uncorrected near vision is significantly better with multifocal IOLs. Additional segment position in asymmetric multifocal IOL models did not significantly influence on visual acuity. Multiple multifocal IOL designs (bifocal, trifocal) and ADD power level provide different functional results for near and intermediate distances which allows to select the specific IOL model depending on the patient`s needs. The review covers the following aspects of multifocal intraocular correction: update for classification of multifocal IOLs, visual acuity (functional results) at different distances after multifocal IOL implantation, comparison of clinical results with different multifocal IOL designs and add power levels, influence of add segment position in asymmetric multifocal IOLs on visual quality, comparison between multifocal and monofocal correction.
Aim. Analytical assessment of the application of methodological approaches of restorative medicine to the study of the effectiveness of cataract phacoemulsification in patients with visually stressful work. Methods. The analysis of basic documents on restorative medicine and medical rehabilitation was carried out from the standpoint of the possibility of using in practice of cataract surgery. Results. The results of the analysis indicate two main areas of application of methodological approaches related to maintaining optimal performance and the “quality of life” of the patient. The importance of the practical application of the “International Classification of Functioning” is indicated. Conclusions. The practical application of the proposed methodological approaches will allow substantiating a number of specific recommendations for the admission of patients to continue a specific professional activity. Key words: cataract; medical rehabilitation; restorative medicine.
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