Efficacy And Safety Of A Rotationally Asymmetric Refractive Multifocal Iol Implantation In Patients With Previous Corneal Laser Hyperopic Refractive Surgery.

Published 2024 - 42nd Congress of the ESCRS

Reference: PO608 | Type: Free paper | DOI: 10.82333/cnya-aw09

Authors: Alexander II Lanzuela Gonzales* ¹ , Jorge Alió del Barrio ² , Jorge Alió ² , Katerina Nouzovska ³ , Ana Belen Plaza-Puche ⁴ , Mario Canto-Cerdan ⁴

¹Research, Development and Innovation Department,Vissum Grupo Miranza,Alicante,Spain;Department of Ophthalmology,Ospital ng Makati,Makati,Philippines;Cornea, Cataract and Refractive Surgery Unit,Shinagawa Lasik and Aesthetics Center,Taguig,Philippines, ²Cornea, Cataract and Refractive Surgery Unit,Vissum Grupo Miranza,Alicante,Spain;Department of Ophthalmology,Universidad Miguel Hernández,Alicante,Spain, ³Research, Development and Innovation Department,Vissum Grupo Miranza,Alicante,Spain;Department of Ophthalmology,University Hospital in Hradec Králové,Hradec Králové,Czech Republic;Faculty of Medicine,Charles University,Hradec Králové,Czech Republic, ⁴Research, Development and Innovation Department,Vissum Grupo Miranza,Alicante,Spain

Purpose

To investigate the visual and refractive outcomes of patients implanted with a rotationally asymmetric refractive multifocal IOL (Lentis Mplus, Teleon) after cataract surgery in patients with previous hyperopic corneal laser refractive surgery.

Setting

Vissum (Miranza Group), Alicante, Spain

Methods

A retrospective analysis was carried out at a single center, analyzing 34 eyes that had received previous laser corneal hyperopic refractive surgery and were subsequently implanted with the LENTIS Mplus multifocal IOL due to cataract surgery (from January 2015 to October 2023). A comprehensive ophthalmologic exam was done before and after surgery at 1, 3, and 6 months. Visual and refractive outcomes for both far and near distances were registered. The Wilcoxon signed rank test or student's t test will determine statistical significance of pre and post treatment differences, depending on the sample's normal distribution. All hypothesis tests will use 0.05 significance.

Results

Our study group exhibited a statistically significant improvement (p<0.05) in uncorrected distance visual acuity (pre-operative: 0.39+0.33 vs post-operative: 0.10+0.11 in LogMAR) and uncorrected near visual acuity (pre-operative: 0.37+0.28 vs post-operative: 0.16+0.25 in LogMAR). Patients requiring enhancement laser after surgery were at 17%

Conclusions

After cataract surgery, the LENTIS Mplus multifocal intraocular lens (IOL) was able to successfully improve the visual and refractive results at far and near distance in patients who had previously undergone hyperopic corneal laser refractive surgery.