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EW CATARACT 60 February 2018 than Crystalens (0.161). Cumulative rate of YAG capsulotomy was 50%, 31%, and 36% in the Crystalens, ReSTOR, and Tecnis groups, re- spectively. Contrast sensitivity and defocus curve data will be presented. Conclusion: This is the only known prospective study to report 5-year follow-up directly comparing ac- commodating vs. multifocal IOLs. Long-term refractive and visual outcomes were stable for all three IOLs. Distance vision was similar, intermediate vision was better for Crystalens, and near vision was better for the multifocal IOLs. Dr. Knorz: I liked this study because it looked at the long-term performance of two multifocal IOLs and a so-called ac- commodating IOL. The authors showed that all multifocal IOL patients were able to read normally at 5 years, while as expected, intermediate vision was best with the Crystalens, which did not offer reading vision. Comparison of the ocular scatter index of pseudophakic eyes with a monofocal IOL versus extended depth of focus IOL James Loden, MD, Katie Mills, MD Purpose: To compare the ocular scat- ter index of pseudophakic eyes with a monofocal intraocular lens vs. extended depth of focus lens. Methods: This is a retrospective chart review of 40 cases of patients at 1 month postoperative from cataract extraction with IOL placement. All cases were performed by a single surgeon. Twenty patients received a monofocal Tecnis ZCB00 lens (Johnson & Johnson Vision, Santa Ana, California), and 20 patients received a Symfony extended depth of focus IOL (Johnson & Johnson Vision). All patients had a Snellen Prospective, randomized study comparing visual outcomes of an accommodating IOL and 2 multifocal IOLs: 5-year follow-up Robert Edward Ang, MD Purpose: To evaluate visual outcomes at postoperative year 5 in patients implanted bilaterally with one of three types of presbyopia-correcting IOLs: the accommodative Crystalens AO IOL (Bausch + Lomb, Bridge- water, New Jersey), the ReSTOR +3 multifocal IOL (Alcon, Fort Worth, Texas), and the Tecnis multifocal IOL (Johnson & Johnson Vision, Santa Ana, California). Methods: Prospective, randomized, double-masked study. Seventy-eight patients (156 eyes) were random- ized to bilateral implantation with Crystalens AO, ReSTOR +3, or Tecnis multifocal IOLs during phacoemul- sification. Patients who completed month 6 follow-up and agreed to en- roll in the study extension were fol- lowed through postoperative month 60. Outcomes at year 5 included: (1) manifest refractive spherical equiv- alence (MRSE); (2) binocular high contrast uncorrected distance visual acuity (UDVA), distance corrected intermediate visual acuity (DCIVA) and distance corrected near visual acuity (DCNVA); (3) contrast sen- sitivity with and without glare; (4) defocus curve (+4 D to –5 D); and (5) YAG capsulotomy rates. Results: At year 5, MRSE was –0.30 D, –0.09 D, and –0.04 D in the Crystal- ens (44 eyes), ReSTOR (48 eyes), and Tecnis (42 eyes) groups, respectively. Uncorrected distance vision was similar in all three groups. DCIVA was significantly better with the Crystalens (logMAR 0.032) than ReSTOR (0.103) and Tecnis (0.104). DCNVA was better with the ReSTOR (logMAR 0.003) and Tecnis (0.036) Michael Knorz, MD, Mannheim, Germany, and Jonathan Rubenstein, MD, Chicago, highlighted the best cataract papers at the "Best of ASCRS" session at the 2017 ASCRS•ASOA Symposium & Congress. The papers were chosen from the Best Paper of Session winners. Here are the abstracts from the studies, with Dr. Knorz's comments regarding each of his selections. Eric Donnenfeld, MD, and Ronald Yeoh, MD, moderated the session, with panelists Reay Brown, MD, Clara Chan, MD, Boris Malyugin, MD, PhD, Kevin Miller, MD, and Vance Thompson, MD. Best of ASCRS:

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