ESCRS - PP20.10 - Efficacy, Safety And Quality Of Life Of Patients Unilaterally Implanted With A Rotationally Asymmetric Refractive Multifocal Iol.

Efficacy, Safety And Quality Of Life Of Patients Unilaterally Implanted With A Rotationally Asymmetric Refractive Multifocal Iol.

Published 2024 - 42nd Congress of the ESCRS

Reference: PP20.10 | Type: Free paper | DOI: 10.82333/68yr-2v68

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

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

Purpose

To evaluate the quality of vision, visual and refractive outcomes of patients who underwent unilateral cataract surgery and were implanted with a rotationally asymmetric refractive multifocal IOL (Lentis Mplus, Teleon).

Setting

Vissum (Miranza Group), Alicante, Spain

Methods

This retrospective study investigated 63 unilateral cataract surgery patients who received the LENTIS Mplus multifocal IOL between January 2015 and October 2023 at a single center. A thorough ophthalmologic examination was performed before and after the treatment at 1, 3, and 6 months. Visual and refractive outcomes for both far and near distances were registered. The Near Activity Visual Questionnaire-10 (NAVQ-10) and Quality of Vision (QoV) questionnaires assessed subjective visual function. Statistical significance of pre-treatment and post-treatment differences will be examined using the Wilcoxon signed rank test or the student's t test, assuming a normal distribution. 0.05 significance will be applied to all hypothesis tests.

Results

The study group showed a statistically significant improvement (p<0.05) in uncorrected distance (pre-operative: 0.25+0.42 vs post-operative: 0.10+0.17), corrected distance (pre-operative: 0.25+0.28 vs post-operative: 0.05+0.13), uncorrected near (pre-operative: 0.47+0.30 vs post-operative: 0.17+0.18) and corrected near visual acuity (pre-operative: 0.19+0.23 vs post-operative: 0.08+0.09).
The NAVQ-10 showed low difficulty with near tasks with a mean score of 0.37±0.2. The QOV results showed low occurrence of dysphotopsias with blurring of vision as the most frequent, severe, and bothersome (mean: 2.1+1.3; 2+1.5; 2+1.5, respectively) symptom present in our study group. Patients requiring enhancement laser after surgery were at 6%

Conclusions

LENTIS Mplus multifocal IOL was able to successfully improve the visual and refractive results at far and near distance of patients after unilateral pseudophakia.