AIM: To investigate the curative effect of coaxial microincisional phacoemulsification combined with AcrySof ReSTOR intraocular lens implantation on senile cataract.

METHODS: Totally 66 patients(66 eyes)with age-related cataract who were admitted to the hospital from April 2015 to August 2017 were enrolled in the study. All of them were treated with coaxial microincisional phacoemulsification combined with intraocular lens implantation. All 32 cases underwent AcrySof ReSTOR intraocular lens implantation were included in observation group, while 34 cases underwent monofocal intraocular lens implantation were included in control group. The visual acuity, contrast sensitivity, stereoacuity, pseudo-accommodation power and satisfaction with visual function were compared between the two groups.

RESULTS: The near and middle vision, near stereoacuity, near and distant pseudo-accommodation power of naked eyes in observation group were significantly better than those in control group at 3mo after surgery(P<0.05). When the spatial frequencies were 3, 6, 12 and 18 c/d, contrast sensitivities of observation group were significantly lower than those of control group under glare and no glare conditions(P<0.05). The scores of visual function-related quality of life scales, satisfaction with near vision and glass-wearing at near vision of observation group were significantly better than those of control group(P<0.05).

CONCLUSION: The curative effect of coaxial microincisional phacoemulsification combined with AcrySof ReSTOR intraocular lens implantation is significant on cataract. Compared with monofocal lens, it can improve the visual acuity, pseudo-accommodation power and visual related quality of life. However, the contrast sensitivity is reduced.