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Cataract surgery with implantation of multifocal intraocular lens in patients under 40 years old

Poster Details

First Author: L.Malheiro PORTUGAL

Co Author(s):    D. Dias   M. Lume   R. Salgado   M. Pinto           

Abstract Details


To evaluate refractive and visual outcomes and patients satisfaction after cataract surgery with implantation of multifocal intraocular lens (IOL) in patients under 40 years old.


Ophthalmology department of a tertiary referral center in Oporto, Portugal �â�€�“ Centro Hospitalar Universit�Ã�¡rio do Porto.


Retrospective study of 15 eyes of 9 patients (age between 29-40 years old) who were submitted to cataract surgery with multifocal lens implantation. Uncorrect distance visual acuity (UCDVA - decimal scale), best corrected distance visual acuity (BCDVA), near visual acuity (Jaeger scale) and manifest refraction were evaluated preoperatively, at 1 and 3 months postoperatively and at the end of follow-up. Dependency of spectacles, patient satisfaction after surgery, complications and surgical reinterventions were also analysed. The minimum follow-up was 6 months.


The main reason for cataract surgery was posterior subcapsular cataracts (n= 6 eyes). Three different models of multifocal IOL were used. Mean preoperative BCDVA was 0,4 and improved to 0,9 three months after surgery (p<0,001). There was a significant improvement in postoperative refractive status (p=0,05 for sphere, p=0,12 for cylinder). Only 1 patient was dependent on spectacles for distance acuity. BCVDA remained stable in 88% of the eyes throughout follow-up. Near visual acuity after surgery was J1 in 33% and J1,5 in 67% of eyes without spectacles. 2 eyes developed posterior capsular opacification and were submitted to laser capsulotomy.


The visual outcomes achieved with multifocal IOL implantation were good and remain stable during follow-up. All patients were very satisfied after surgery. Cataract surgery with multifocal IOL implantation is a valid and valuable option to restore distance and near visual acuity in patients under 40 years old.

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