Visual Quality After Aspheric Diffractive Multifocal IOL Implantation in Eyes With High Myopia

Friday, April 25, 2014
KIOSKS (Boston Convention and Exhibition Center)
Tomoichiro Ogawa, MD, Jikei University, Tokyo, Japan
Takuya Shiba, MD, Jikei University, Tokyo, Japan
Asako Shibata, MD, Jikei University, Tokyo, Japan
Hiroshi Tsuneoka, MD, Jikei University, Minato-ku, Japan

Narrative Responses:

Purpose
To evaluate differences in refractive and visual results in eyes with high and low myopia after aspheric diffractive multifocal intraocular lens (IOL) implantation.

Methods
Monocular distance and near visual acuity, with and without distance correction, and photopic and mesopic contrast sensitivity were measured 3 months after surgery in 77 eyes in which the Tecnis Multifocal (ZMA00, ZMB00; AMO) IOL was implanted. Results were analyzed in 2 groups (patients with high myopia and other patients) based on whether the axial length was greater than or less than 26 mm.

Results
Twelve months postoperatively, monocular uncorrected distance visual acuity was -0.049 logMAR for patients with high myopia and 0.008 logMAR for other patients. Monocular best-corrected distance visual acuity was -0.173 and -0.081 logMAR for patients with high myopia and for other patients, respectively, and monocular best distance-corrected near visual acuity was 0.003 and 0.016 logMAR, respectively. All patients were satisfied with implanted multifocal IOLs.

Conclusion
The Tecnis Multifocal IOL can provide functional vision from near to distance, resulting in high levels of spectacle independence and satisfaction among patients with high myopia.