Visual Outcomes Of Cataractous Eyes With Epiretinal Membrane And Macula-On Retinal Detachment Implanted With Lentis Comfort Mf15 Segmented Bifocal Intraocular Lens – A Case Series
Published 2023 - 41st Congress of the ESCRS
Reference: PO0536 | Type: Free paper | DOI: 10.82333/h7w3-zf19
Authors: Paul Gabriel Siopongco* 1 , Erika Jean Salvame 2
1Ophthalmology,East Avenue Medical Center,Quezon City,Philippines;Ophthalmology,ProVision Eye Care Network,Pasig City,Philippines, 2Ophthalmology,Manila Doctors Hospital,Manila,Philippines;Ophthalmology,ProVision Eye Care Network,Pasig City,Philippines
Purpose
The most commonly used treatment for patients with cataracts and retinal pathologies such as epiretinal membrane (ERM) and retinal detachment is a combined phacoemulsification and pars plana vitrectomy using a monofocal IOL as implant. The use of a segmented bi-focal IOL is still currently controversial.
The aim of this paper is to describe the visual outcomes of patients with ERM and macula-on retinal detachment who underwent phacoemulsification with implantation of segmented bifocal IOL (Lentis Comfort MF15).
Setting
The cases described in this paper were all seen and managed in an ambulatory eye center in a developing country.
Methods
This is a case series of patients with retinal pathologies (epiretinal membrane and macula-on retinal detachment) who had undergone phacoemulsification with segmented bifocal IOL implantation.
Results
Five eyes with retinal pathologies who had undergone phacoemulsification were included in this series. Three out of the 5 eyes had stage 1 epiretinal membrane and underwent standard phacoemulsification. One eye had stage 2 epiretinal membrane with metamorphopsia pre-operatively, then underwent phacoemulsification combined with vitrectomy and membrane peeling. The last eye had macula-on retinal detachment and underwent phacoemulsification with retinal detachment surgery. Pre-operative distance UCVA ranged from 0.2 to 0.7 (logMAR) and near UCVA ranged from 0.5 to 1.3. One month post-operatively, distance UCVA ranged from 0.0 to 0.2 and near UCVA ranged from 0.1 to 0.2. There were no post-operative complaints of dysphotopsias from all cases.
Conclusions
Implantation of multifocal and extended depth of focus IOLs in patients with retinal pathologies such as ERM and retinal detachment remain debatable. But patient demand for post-operative spectacle-freedom in increasing. This series highlights that segmented bifocal IOLs such as Lentis Comfort MF15 is a viable option for patients presenting with mild epiretinal membrane and macula-on retinal detachment.