Posters

Near mini monovision with multifocal intraocular lens implantation

Poster Details

First Author: I. Irman Grcar SLOVENIA

Co Author(s):    M. Irman   R. Grcar                 

Abstract Details

Purpose:

To analyse visual outcomes and postoperative side effects of patients who underwent refractive lens exchange (RLE) or cataract surgery with multifocal IOL Restor SN6AD1 (add +3) implantation in near dominant eye and SV25TO (ADD +2,5) implantation in far dominant eye.

Setting:

Eye Clinic Irman, Žalec, Slovenia

Methods:

In this retrospective study, data of 76 eyes (thirthy eight consecutive patients) who underwent RLE or cataract surgery from July 2014 to July 2015 were analysed. In all cases multifocal Restor SN6AD1 was implanted in near dominant eye and Restor SV25TO in far dominant eye. 6-12 months after surgery residual refractive error, changes in best corrected visual acuity (BCVA), clinically significant posterior capsule opacificaton rate, ASK (Advanced Surface Keratectomy) rate, spectacle independence and subjective symptoms were evaluated.

Results:

Sphere power was ≤ 0,5 D in 72 eyes (95 %), cylinder power was ≤ 0,5 D in 68 eyes (90 %). 76 eyes (93 %) had no change in BCVA or gained lines. Rate of clinicaly significant posterior capsule opacificaton was 8 %. Two eyes required ASK for residual refractive error. 36 of 38 (95 %) patients were spectacle independent. The most common subjective problems were insufficient near vision (3 patients) and glare (2 patients).

Conclusions:

Lens exchange with implantation of combination of multifocal intraocular lenses with different adds is a procedure that has some percentage of secondary procedures (Nd:YAG capsulotomy, ASK). It is also a procedure that provides good visual acuities, relatively good spectacle independence as well as high level of patient satisfaction despite some subjective problems.

Financial Disclosure:

NONE