Multifocal IOL Implantation: 8–Year Follow–up
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
8 years postoperatively, mean monocular UCVA was 0.84 ± 0.17 (Tecnis®), and 0.94± 0.09 (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 0.96 ± 0.07 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 8 years after cataract surgery.