Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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Bilateral implantation of asymmetrical multifocal intraocular lens (MFIOL) for distance and near

Poster Details

First Author: J. Moore UNITED KINGDOM

Co Author(s):    E. Pazo   T. Moore   R. McNelly   O. Richoz   A. Nesbit        

Abstract Details


To assess visual results after bilateral implantation of rotationally asymmetrical MFIOL focused for distance and near.


Cathedral Eye Clinic, Belfast, Northern Ireland, UK


Forty consecutive patients with bilateral implantation of SBL-3 (Lenstec) rotationally asymmetric MFIOL were followed for 6-month with distant dominant in 1 eye (dominant eye) and a near dominant in the fellow eye. This was achieved by actively rotating the asymmetrical MFIOL within the pupil during surgery to increase or decrease the distance-add and near-add exposure. Distance (UDVA), intermediate (UIVA), and near (UNVA) visual acuities and quality-of-vision (QOV) questionnaire scores were evaluated preoperatively and at 1, 3 and 6 month postoperatively. A control group of age-matched bilateral monofocal pseudophakic patients was included to compare.


In the multifocal group, mean binocular UDVA (logMAR) was -0.1 ± 0.07 (6-month) and -0.1 ± 0.12 (1-month). The mean binocular UNVA (logMAR) was -0.05 ± 0.10 (6-month) and -0.03 ± 0.01 (1-month). The mean binocular UIVA (logMAR) was 0.18 ± 0.13 (6-month) and 0.21 ± 0.12 (1-month). The mean patient QOV score for day and night at 6-month was 9.3 and 8.5 respectively (scale 0 to 10); 86.9% of patients were completely independent of spectacles. 5.2%, 9.5%, and 3.5% of patients reported moderate halos, glare, and dysphotopsia, respectively.


The rotationally asymmetrical MFIOL provided good UDVA, UIVA and UNVA with no anisometropic blur; high rates of spectacle freedom was recorded as the dominant eye was targeted for distant-dominant and the fellow eye for a near-dominant.

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