Multifocal IOL Implantation: 8–Year Follow–up

Friday, April 17, 2015
KIOSKS (San Diego Convention Center)
Matteo Piovella, MD
Barbara Kusa, MD

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.