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First Author: AmirHamid UK
Co Author(s): Vaishali Patel
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To determine the effectiveness of implantation of a +2.75 add Tecnis Multifocal IOL in the Dominant eye and +3.25 Tecnis Multifocal IOL in the dominant eye in producing spectacle independence for near, intermediate and distance vision
: Ultralase Optimax Group Daycase Theatre facilities, Maidstone, Kent. United Kingdom
Refractive Lens Exchange Surgery was performed in 20 eyes of 10 patients using a micromonovision approach following extensive preoperative counselling.Refraction, uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA) were tested a distance ( 6m), intermediate (80cm) and near (40cm). These assesmens were performed preoperatively, 1 day, 1 week and 3 months postoperatively. A patient satisfaction questionnaire was also used.
For eyes implanted with either IOL the BCVA was 20/20 or better in 100%. In both groups UCVA was 20/40 in 100% and 20/20 in 95% of patients. Binocular uncorrected near vision was 20/30 in 92% of patients. Binocular intermediate vision was also 20/30 for 91% of patients. 92% of patients reported complete spectacle independence.
A micromonovision approach to multifocal IOL implantation can yield excellent visual function in terms of distance, intermediate and near visual acuities. Furthermore patient reported satisfaction rates were high. However, a larger study with longer follow up is recommended to further evaluate the long term results of these newly introduced IOLs. FINANCIAL INTEREST: NONE