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Functional and morphological outcomes and patient satisfaction after cataract surgery with progressive apodised diffractive multifocal intraocular lens (PAD-Mf-IOL) implantation with and without posterior central circular capsulorhexis (PCCC)

Poster Details

First Author: J.Gyory SWITZERLAND

Co Author(s):                        

Abstract Details


To evaluate visual and morphological outcomes as well as patient satisfaction and spectacle independence after PAD Mf-IOL implantation in patients with cataract, operated with and without PCCC.


Csolnoky Ferenc University Teaching Hospital, Veszprem.


Fifty patients with cataract, and a motivation for spectacle independency had bilateral phacoemulsification and PAD-Mf-IOL (BiFlex-M) implantation. For each patient one eye was operated on with PCCC whereas the fellow eye without PCCC. Three and 6 months postoperatively, the position of the lens was tested and photographed with undilated and dilated pupil. The uncorrected distance (UDVA), intermediate (UIVA), and near (UNVA) visual acuities; corrected distance, intermediate, and near visual acuities; residual refractive errors; mesopic defocus curve; mesopic, photopic and backlight contrast sensitivity were tested. Patient satisfaction was evaluated with particular regard to visual artefacts.


Follow up of 3/6 months were completed by 64/49 eyes so far. Mean 3/6 months logMAR visual acuities were UDVA: 0.03/0.03, UNVA: 0.12/0.11, and UIVA: 0.07/0.06. Residual refractive error of less than ±0,50 diopter was achieved over 90% for all distances. Contrast sensitivity levels were high. Glare-halo-starburst symptoms were reported mild/moderate/serious in 50/10%/0% respectively. Spectacle independency for distance and near was achieved in 100%, and 97% for intermediaer vision. IOL-s rotated 3.61 ±2.34 degrees between postoperation day and 3 months, 0 degree thereafter. Patient satisfaction rate of 3-6 months were 90-94% respectively. PCCC did not influence functions or lens stability.


PAD-Mf-IOL (BiFlex-M) implantation in patients with cataract provided good distance, intermediate and near visual outcomes. Visual artefacts were of low level and well tolerable, improving with time. The position of the lens in the bag was stable. In the observed timeframe PCCC did not seem to have influence on visual functions and lens position.

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