Long-Term Visual Acuity Results and Reading Performance With Salzburg Reading Desk After Implantation of Segmental Refractive Multifocal IOL

Sunday, April 27, 2014: 8:26 AM
Room 150 (Boston Convention and Exhibition Center)
Katharina Linz, MD, University of Heidelberg, 69120 Heidelberg, Germany
Ramin Khoramnia, MD, David J Apple International Laboratory for Ocular Pathology and International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany
Anna Fitting, MSc, University of Heidelberg, Heidelberg, Germany
Mary Safwat Aziz Attia, MD, University Clinic, Heidelberg, Heidelberg, Germany
Florian T. Kretz, MD, University Ophthalmology Hospital, Heidelberg, Germany
Gerd U. Auffarth, MD, David J Apple International Laboratory for Ocular Pathology and International Vision Correction Research Centre, University of Heidelberg, Heidelberg, Germany

Narrative Responses:

Purpose
Long-term clinical evaluation of a segmental refractive multifocal intraocular lens (MIOL) with a near addition of +3.00 D.

Methods
In a long-term study the LENTIS Mplus and Mplus toric (Oculentis) was implanted in 30 eyes of 16 patients at the University eye hospital of Heidelberg. Uncorrected and corrected distance visual acuity (UDVA/CDVA), near visual acuity (UNVA/CNVA), and patient satisfaction (questionnaire) were evaluated. The Salzburg reading desk (SRD) was used to analyze unilateral and bilateral uncorrected and corrected reading acuity, reading distance and reading speed at near and intermediate distance.

Results
Postoperatively the median UDVA was 0.08 logMAR (range: 0.24 to -0.08 logMAR), the median CDVA 0.01 (range: 0.14 to -0.20 logMAR). The median UNVA was 0.11 logMAR (range: 0.26 to -0.08 logMAR) and the median CNVA was 0.02 logMAR (range: 0.32 to -0.14). The median uncorrected reading acuity measured with the SRD for near distance was 0.17 logMAR (range: 0.42 to -0.03 logMAR). The median uncorrected reading acuity for intermediate distance was 0.21 logMAR (range: 0.41 to 0.07 logMAR).

Conclusion
The Lentis MPlus and Mplus toric provides good functional results and a high percentage of patient satisfaction. Even in the intermediate distance the subjective results were satisfying.