MANAGEMENT OF HYPEROPIC RESIDUAL REFRACTION AFTER TRIFOCAL IOL IMPLANTATION WITH LENTICULE TRANSPLANTATION
Published 2026 - 30th ESCRS Winter Meeting
Reference: FP06.14 | Type: Free Paper | DOI: 10.82333/3p8b-vf98
Authors: Ceren Ece Semiz 1 , Faruk Semiz* 1 , Fetih Furkan Arslan 2 , Gökçe İdil Semiz 3 , Njomza Hima Musa 1
1Eye Hospital,Prishtina,Kosovo, 2Istanbul University-Cerrahpaşa,İstanbul,Türkiye, 3Faculty of Medicine,Atılım University,Ankara,Türkiye
Purpose
To evaluate visual outcomes after positive meniscus lenticule transplantation in pseudophakic patients with hyperopic residual refractive error.
Setting
Eye Hospital, Prishtina, Kosovo
Methods
This retrospective study included 32 patients (64 eyes), aged 41–62, with hyperopic residual refraction following trifocal IOL implantation. Residual hyperopia ranged from +0.75 to +1.75 D, presbyopia from +1.00 to +2.50 D, and astigmatism from +0.50 to +1.25 D. Donor lenticules, obtained from SMILE procedures in healthy donors aged 20–33 years (mean thickness 43.52 ± 7.22 µm), were utilized. A 130-µm-deep intrastromal pocket was created in the recipient cornea using the SMILE module. The donor lenticule, characterized by a positive meniscus profile with a greater central than peripheral thickness and a dioptric power 0.5 D greater than the measured residual hyperopic error, was selected and centered along the flatter keratometric (K) axis before transplantation into the stromal pocket. Its diameter was customized to exceed the recipient’s optical zone by 0.5 mm to minimize edge-related glare phenomena. All patients completed a 12-month postoperative follow-up. (ClinicalTrials.gov Identifier: NCT04692012)
Results
No inraoperative or postoperative complications were observed. At 12 months postoperatively, uncorrected distance visual acuity (UDVA) improved significantly from 0.62 ± 0.09 to 0.08 ± 0.05 logMAR (p < 0.001). Uncorrected near visual acuity (UNVA) improved from Jaeger 6 to Jaeger 2 at 35 cm and from Jaeger 6 to Jaeger 3 at 70 cm (both p < 0.001), reflecting an enhancement in both near and distance vision.lenticule transplantation represents an effective and minimally invasive approach for correcting residual hyperopia following trifocal IOL implantation, yielding significant improvements in visual performance and patient satisfaction.
Conclusion
Lenticule transplantation represents an effective and minimally invasive approach for correcting residual hyperopia following trifocal IOL implantation, yielding significant improvements in visual performance and patient satisfaction.