AIM: To make assessment of clinical operation effect of implanting Acrysof IQReSTORE+3D aspheric diffraction-type multifocal intraocular lens(IOL).

METHODS: Forty-four patients of senile cataract(55 eyes)were selected to perform phacoemulsification, and monofocal or multifocal IOL was implanted according to the willingness of the patients. For multifocal IOL group(“MIOL”), Acrysof IQReSTORE+3D were implanted for 21 patients 27 eyes in total; for monofocal IOL group(“MoIOL”), Abbott Sensar were implanted for 23 patients 28 eyes in total. All patients suffered no other oculopathy which may affect postoperative visual acuity. Three months after operation, observation was made on two groups of patients with respect to uncorrected distance visual acuity, uncorrected near visual acuity, best-corrected distance visual acuity, best-corrected near visual acuity, intraocular spectacles abandon rate, visual symptom, self assessment of comforts and satisfaction by patients.

RESULTS: In terms of uncorrected near visual acuity, spectacles abandon rate, visual symptom, self assessment of comforts and satisfaction by patients, MIOL group made a better assessment than MoIOL group. No evident difference related to intraocular variation between MIOL and MoIOL was discovered.

CONCLUSION: Comparing with implant of traditional monofocal IOL, performing phacoemulsification with implant of aspheric diffraction-type multifocal IOL could help patients achieve satisfactory distant, medium and near vision. With better vision quality, patients have higher satisfactory rate of operational effect. The postoperative results were even more obvious with patients who have received operation for two eyes.