First Author: D.Pi SPAIN
Co Author(s): M. Ramon R. P
Purpose:
To examine the visual performance obtained with a rotationally asymmetric multifocal intraocular lens (IOL) and to correlate it with the intraocular aberrometric profile and the impact on the quality of life
Setting:
Department of Ophthalmology (Oftalmar), Medimar International Hospital, Alicante, Spain
Methods:
A prospective, consecutive, case series study including 26 eyes from 13 patients aged between 50 and 83 years (mean: 65.5, sd: 7.6 years) was conducted. All patients underwent bilateral cataract surgery
with implantation of a rotationally asymmetric multifocal IOL (Lentis Mplus LS-312 MF30, Oculentis
GmbH). Distance and near visual acuity outcomes, intraocular aberrations, defocus curve, and quality of life (assessed using the National Eye Institute Visual
Functioning Questionnaire-25) were evaluated postoperatively
(mean follow-up: 6.4, sd: 2.2 months).
Results:
A significant improvement in distance visual acuity was found postoperatively (P<0.01). Mean postoperative logMAR distance-corrected near visual acuity was 0.19 (sd: 0.12) (~20/30). Corrected distance visual acuity and near visual acuity of 20/20 or better were
achieved by 30.8% and 7.7% of eyes, respectively. Of all eyes, 96.2% had a postoperative addition between 0 and 1.00 diopter (D). The defocus curve showed two peaks of maximum visual acuity (0 and 3.00 D of defocus), with an acceptable range of intermediate vision.
LogMAR visual acuity corresponding to near defocus was directly correlated with some higher order intraocular aberrations (r>0.44, P<0.04). Some difficulties evaluated
with the quality of life test correlated directly with near and intermediate visual acuity (r>0.50, P<0.01).
Conclusions:
The Lentis Mplus multifocal IOL provides good distance, intermediate, and near visual outcomes; however, the induced intraocular aberrometric profile
may limit the potential visual benefit FINANCIAL DISCLOSURE?: No
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