Rotationally Asymmetric Refractive Low Addition Multifocal Iol Implantation In Patients With Previous Corneal Laser Myopic Refractive Surgery
Published 2025 - 43rd Congress of the ESCRS
Reference: FP09.08 | Type: Free paper | DOI: 10.82333/3n43-hj13
Authors: Karla Ranđelović* 1 , Tomislav Jukić 2 , Andrea Tešija Kuna 3 , Tamara Sušić 3 , Milena Hanžek 3 , Andrija Štajduhar 4 , Zoran Vatavuk 1 , Ivanka Petric Vicković 1
1Ophthalmology,University Hospital Center Sisters of Mercy,Zagreb,Croatia;School of Dental Medicine, University of Zagreb,Zagreb,Croatia, 2Department of Oncology and Nuclear Medicine,University Hospital Center Sisters of Mercy,Zagreb,Croatia, 3Department of Clinical Chemistry,University Hospital Center Sisters of Mercy,Zagreb,Croatia, 4Department of Medical Statistics, Epidemiology and Medical Informatics,School of Public Health "Andrija Štampar", School of Medicine, University of Zagreb,Zagreb,Croatia
Purpose
To evaluate the visual and refractive outcomes, retinal optical image quality and patient satisfaction following implantation of a rotationally asymmetric refractive low addition multifocal IOL (Lentis Mplus, Teleon) during cataract surgery in patients with prior myopic corneal laser refractive correction.
Setting
Vissum (Miranza Group), Alicante, Spain.
Methods
This observational, retrospective study included 35 eyes (26 patients) with previous laser corneal myopic refractive surgery that were subsequently implanted with LENTIS Mplus (LS-313 MF15) multifocal IOL during cataract surgery. We analyzed refractive and visual outcomes at 1, 3 and 6-month follow-up. At the last visit (LV); ranged 7 to 130 months; we registered monocular defocus curve, binocular and monocular contrast sensitivity. Total ocular aberrometry was obtained with a pyramidal wavefront sensor (Osiris, CSO) at 4-mm pupil diameter. Patient satisfaction was evaluated with Quality of Vision (QoV) questionnaire and Near Activity Visual Questionnaire (NAVQ-10).
Results
We observed statistically significant improvement in uncorrected (UDVA) and corrected distance visual acuity (CDVA) postoperatively (0,09 ± 0,12 and 0,03 ± 0,12 logMAR respectively) that remained stable until the LV (UDVA p= 0.0; CDVA p= .003 postoperatively). Postoperative unaided near visual acuity (UNVA) remained nearly unchanged at good levels of 0,38 ± 0,23 logMAR (p= .38) and corrected near visual acuity (CNVA) was 0,09 ± 0,10 logMAR (P= .36). The monocular defocus curve demonstrated high levels of visual acuity achieved at far and intermediate distances along with acceptable levels at near vision. QoV questionnaire showed lower scores for frequency (29,12 ± 19,55), severity (29,26 ± 17,40) and bothersome (25,87 ± 17,42).
Conclusions
Our study demonstrated efficacy and safety of a rotationally asymmetric refractive low addition multifocal IOL (Lentis Mplus +1.5, Teleon) implanted in eyes with prior myopic corneal ablation. It provided good levels of patient satisfaction and spectacle independence.