Advanced Iol Solutions: Femtis Mplus In A Patient With Compromised Posterior Capsule Integrity
Published 2025 - 43rd Congress of the ESCRS
Reference: PO887 | Type: Poster | DOI: 10.82333/zjvn-9t81
Authors: AKANKSHA SHARMA* 1 , SRI GANESH 1 , SUPRIYA SRIGANESH 1 , SAVIO PEREIRA 1
1NETHRADHAMA SUPERSPECIALITY EYE HOSPITAL,BENGALURU,India
Purpose
To evaluate the visual outcomes and stability of the Femtis Mplus IOL in a young patient with bilateral congenital posterior polar cataract and pre-existing posterior capsule dehiscence.
Setting
NETHRADHAMA SUPERSPECIALITY EYE HOSPITAL, JAYANAGAR, BENGALURU
Methods
A 28-year-old male patient with bilateral congenital posterior polar cataract and pre-existing posterior capsule dehiscence underwent cataract surgery via Femtosecond Laser-Assisted Cataract Surgery (FLACS) with a capsulotomy fixated multifocal intraocular lens implantation (FEMTIS Mplus) in both the eyes, with a toric variant for the left eye, using the “IntelliAxis” technology by LENSAR which provides two nubs on the capsulorrhexis margin in the desired axis. Visual outcomes were assessed on postop days 1, 15 and 3 months.
Results
On postoperative day 1 slit lamp examination revealed clear corneas and normal anterior segment in both the eyes. The toric IOL was positioned at the intended axis, confirmed by iTRACE. The uncorrected distance visual acuity (UDVA) was 20/20 with the uncorrected near visual acuity (UNVA) being N5 in both eyes. At postoperative day 15- and 3-month followup, binocular UDVA was 20/16 with binocular UNVA being 0.1 in LogMar equivalent. The intermediate vision at 60cm and 80cm with ETDRS chart was 0.1 in Logmar equivalent. The patient also had good mesopic contrast sensitivity assessed using CSV-1000 (Vector Vision, Greenville, Ohio) and had no complaints of glare and halos post-surgery.
Conclusions
The integration of FLACS with anterior capsular-fixated multifocal toric IOLs, such as the FEMTIS MPlus IOL, represents a promising approach ensuring superior IOL stability, excellent visual outcomes, and enhanced patient satisfaction, making it a viable alternative for achieving spectacle independence in cases where traditional fixation techniques may not be suitable. Further research and long-term studies will help validate these findings and refine surgical strategies for similar complex cases in the future.