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Retrospective clinical evaluation of patients implanted with multifocal intraocular lens

Poster Details

First Author: V.Arora INDIA

Co Author(s):    A. Sharma   A. Mehrotra                 

Abstract Details


A Retrospective study to evaluate visual outcome of patients that were implanted with four different type of Multifocal intraocular lens (MFIOL) and to study the effect of Astigmatism and its concurrent treatment in these cases.


Eye Q Hospital, Roorkee, Uttarakhand, India


We collected data of 73 eyes of 46 patients that underwent cataract surgery with MFIOL from 2013 to 2016. Minimum followup period was of 6 months. All cases were operated by a single surgeon. Cases with any other ocular disease, previous ocular surgery or with any intraoperative complication were excluded. Different MFIOL used were : Technis MFIOL (Abott) (48 eyes), Arcysof ReSTOR (14 Eyes), PhysIOL (Finevision) (6 Eyes), Toric Technis MFIOL (Abott) (5 Eyes). Major parameters were uncorrected distance visual acuity(UDVA) , uncorrected near visual acuity(UNVA), cases with more than equal to one diopter astigmatism(A) and cases that required retreatment.


UDVA in three different MFIOL,Technis MFIOL, ReSTOR and PhysIOL was 0.07 logMAR �Â�± 0.124 ,0.07 logMAR �Â�± 0.10 and 0.03 logMAR �Â�± 0.05 respectively (p 0.76) and UNVA of 0.3 logMAR �Â�± 0.05 in first two and 0.3 logMAR respectively (p 0.70). 20 eyes had �â�‰�¥1 D astigmatism; five cases had Technis toric MFIOL ; Five had femto limbal relaxing incision and rest 10 cases did not undergo any other correction . There was statistically significant difference in UDVA and UNVA of treatment versus nontreatment group (p 0.009). Only 5.4% cases required retreatment (3 underwent Lasik and one IOL exchange).


There was marked improvement in distance and near visual acuity in almost all cases with multifocal IOL. The visual outcome (uncorrected distance and near vision) with different types of multifocal IOL implanted was not statistically significant.Correction of astigmatism of more than equal to one diopter (Femto limbal relaxing incision or Toric multifocal IOLs ) further helps in improving visual acuity and spectacle independence. It also reduces the need for retreatment.

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