目的：通过对Acrysof ReSTOR SA60D3多焦点人工晶状体植入和Acrysof SN60AT单焦点人工晶状体植入术后3a远近视力及拟调节力的对比研究，探讨Acrysof ReSTOR SA60D3多焦点人工晶状体中期的临床应用效果。

方法：对在同一时期接受白内障超声乳化人工晶状体植入手术的年龄相关性白内障患者68例80眼进行回顾性分析。其中A组40眼植入Acrysof ReSTOR SA60D3多焦点人工晶状体，B组40眼植入Acrysof SN60AT单焦点人工晶状体。术后3a随访观察术眼的屈光状态，裸眼远、近视力，矫正远、近视力， 最佳远矫下近视力，对比敏感度，问卷调查视觉质量和满意度，术后脱镜率及并发症等。

结果：术中术后两组均无严重并发症。两组患者术后均有良好的远视力和最佳矫正近视力，差异无统计学意义； A组患者裸眼近视力明显优于B组，A组脱镜率达82%，B组脱镜率16%； 术后对比敏感度差异无统计学意义，术后视觉症状无明显差异，但是术后满意度A组明显高于B组。

结论：Acrysof ReSTOR SA60D3多焦点人工晶状体植入安全有效，可为患者同时提供良好的远、近视力，值得临床推广应用。

AIM:To evaluate the clinical effect of the Acrysof ReSTOR multifocal intraocular lens(IOL)by comparison of pseudoaccommodation and visual quality between Acrysof ReSTOR multifocal IOL and Acrysof SN60AT monofocal lens implantation at 3 years follow-up.

METHODS: A total of 68 patients 80 eyes with age-related cataract underwent phacoemulsification and IOL implantation were divided into two groups. One group of 32 patients 40 eyes received Acrysof ReSTOR multifocal IOL(group A), the other 36 patients 40 eyes received Acrysof SN60AT monofocal lens(group B). Pseudoaccommodation, the postoperative uncorrected distance and near visual acuity, the best-corrected distance and near visual acuity, distance-corrected near visual acuity and contrast sensitivity were statistically analyzed. Also, visual quality and satisfactory after the operation were evaluated by questionnaires.

RESULTS: All patients had similar uncorrected distance visual acuity, best-corrected distance and near visual acuity postoperatively(P>0.05). The multifocal eyes was better than the monofocal eyes in uncorrected near visual acuity, distance-corrected near visual acuity, pseudoaccommodation and independence on spectacles(P<0.01), and nearly all subjects were satisfied with the results of their surgery.

CONCLUSION: The Acrysof ReSTOR multifocal IOL implantation can provide a high level of uncorrected and corrected distance vision, improve uncorrected and distance-corrected near vision and reduce spectacle dependency with a high level of patients' satisfaction.