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Visual performance characterized by the defocus curve, quality of life and intraocular aberrometry in patients implanted with rotationally asymmetric multifocal IOLs

Poster Details

First Author: D.Pi SPAIN

Co Author(s):    M. Ramon   R. P           

Abstract Details


To examine the visual performance obtained with a rotationally asymmetric multifocal intraocular lens (IOL) and to correlate it with the intraocular aberrometric profile and the impact on the quality of life


Department of Ophthalmology (Oftalmar), Medimar International Hospital, Alicante, Spain


A prospective, consecutive, case series study including 26 eyes from 13 patients aged between 50 and 83 years (mean: 65.5, sd: 7.6 years) was conducted. All patients underwent bilateral cataract surgery with implantation of a rotationally asymmetric multifocal IOL (Lentis Mplus LS-312 MF30, Oculentis GmbH). Distance and near visual acuity outcomes, intraocular aberrations, defocus curve, and quality of life (assessed using the National Eye Institute Visual Functioning Questionnaire-25) were evaluated postoperatively (mean follow-up: 6.4, sd: 2.2 months).


A significant improvement in distance visual acuity was found postoperatively (P<0.01). Mean postoperative logMAR distance-corrected near visual acuity was 0.19 (sd: 0.12) (~20/30). Corrected distance visual acuity and near visual acuity of 20/20 or better were achieved by 30.8% and 7.7% of eyes, respectively. Of all eyes, 96.2% had a postoperative addition between 0 and 1.00 diopter (D). The defocus curve showed two peaks of maximum visual acuity (0 and 3.00 D of defocus), with an acceptable range of intermediate vision. LogMAR visual acuity corresponding to near defocus was directly correlated with some higher order intraocular aberrations (r>0.44, P<0.04). Some difficulties evaluated with the quality of life test correlated directly with near and intermediate visual acuity (r>0.50, P<0.01).


The Lentis Mplus multifocal IOL provides good distance, intermediate, and near visual outcomes; however, the induced intraocular aberrometric profile may limit the potential visual benefit FINANCIAL DISCLOSURE?: No

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