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