The correlation between refractive status and visual outcome in patients having cataract surgery with multifocal intraocular lens: Lentis Mplus implantation

Session Details

Session Title: Presented Poster Session: After Surgery

Venue: Poster Village: Pod 1

First Author: : H.Huang TAIWAN

Co Author(s): :    C. Hsiao   S. Kuo                    

Abstract Details

Purpose:

To evaluate the relationship between refractive status and visual outcome in cataract patients that treated with multifocal intraocular lens (IOL) Lentis Mplus.

Setting:

Department of Ophthalmology, Chi-Mei Medical Center, Taiwan

Methods:

This is a retrospective analysis of cataract patients who underwent phacoemulsification and IOL implantation with Lentis Mplus LS-313 MF30 (Oculentis). A total of 76 eyes of 52 patients from July 2016 to October 2018 were analyzed. We used LENSTAR (LS 900, Haag-Streit) for IOL calculation. The main outcome measurement include post-op uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA) in decimal acuity and refractive status measured by the same autorefractor (ARK-510A, NIDEK) at the first and the third month postoperatively. Patients were divided into 5 groups according to post-op spherical equivalent (SE), with refractive interval 0.5D for UCVA analysis.

Results:

The mean age of enrolled patients was 60.0 years. The pre-OP SE ranged from -25.75 diopter(D) to 3.63D (mean: -6.12±6.80D). Three months after surgery, 80.3% patients achieved UCVA of 0.5 or better and 60.5% had UCVA better than 0.8. Post-op SE was -1.46±0.68D. Best post-op UCVA was found in patient with SE between -0.75D and -1.25D (ANOVA, p=0.035), followed by SE between -1.25D and -1.75D. For patients with post-op UCVA better than 0.8, less post-op cylinder diopter was observed (p=0.001) rather than spherical diopter or SE.

Conclusions:

Cataract patients who received multifocal IOL (Lentis Mplus) implantation could gain a favorable visual outcome. Patients with post-op SE between -0.75D and -1.75D had the best UCVA. For those post-op UCVA better than 0.8, post-op astigmatism, instead of SE, plays more important role on visual outcome.

Financial Disclosure:

None