Advanced Cataract Surgery With Multifocal IOL Implantation: 7-Year Follow-up

Friday, April 25, 2014
KIOSKS (Boston Convention and Exhibition Center)
Barbara Kusa, MD, Centro Microchirurgia Ambulatoriale, Monza, Italy
Matteo Piovella, MD, CMA Centro Microchirurgia Ambulatoriale, Monza, Italy

Narrative Responses:

Purpose
To evaluate "Mix-and-Match" multifocal IOL (implanting a refractive IOL (ReZoom™) in the dominant eye and a diffractive IOL (Tecnis®) in the contralateral eye) and bilateral diffractive IOL (Tecnis®) cataract surgery.

Methods
Fifty -two cataract surgery patients received a  Rezoom™ in one eye and a Tecnis® in the fellow eye.

Careful pupil evaluation and identification of the dominant eye was performed.  Dominant eye with pupil diameter inferior to5.2 mmalways received a Rezoom™.

Sixteen cataract surgery patients received bilateral Tecnis®.

Results
Seven years postoperatively, mean monocular UCVA was 0.86 ± 0.13 (Tecnis®), and 0.80 ± 0.24 (Rezoom™).  Mean uncorrected binocular near vision was J 1.57, monocular near vision was better with Tecnis® (p< .05).

Bilateral diffractive (Tecnis®) impiantation mean monocular UCVA was 0.95 ± 0.08 and binocular near vision was J 1.50.

Conclusion
Mix-and-Match diffractive/refractive and bilateral diffractive/diffractive  approach provided highly satisfactory uncorrected distance, intermediate and near vision.