Correlation of Visual Performance With Quality of Life and Intraocular Aberrometric Profile in Patients Implanted With Rotationally Asymmetric Multifocal IOLs

Abstract

The Lentis Mplus multifocal IOL provides good distance, intermediate, and near visual outcomes; however, the induced intraocular aberrometric profile may limit the potential visual benefit.

Implantation of a diffractive trifocal intraocular lens: One-year follow-up

“…These discrepancies might also account for the significant disparity between our study's UNVA and UIVA outcomes with the trifocal IOL and the outcomes with other types of multifocal IOLs. [14][15][16][17] There were studies showing better results than ours without using the trifocal concept and others providing worse or similar visual outcomes than ours. [14][15][16][17] The defocus curve in our series had a shape similar to that for the same trifocal IOL studied by Mojzis et al 3 and for the trifocal IOL combining 2 bifocal patterns studied by Ali o et al, 5 Sheppard et al, 6 Cochener et al, 7 and Lesieur.…”

“…[14][15][16][17] There were studies showing better results than ours without using the trifocal concept and others providing worse or similar visual outcomes than ours. [14][15][16][17] The defocus curve in our series had a shape similar to that for the same trifocal IOL studied by Mojzis et al 3 and for the trifocal IOL combining 2 bifocal patterns studied by Ali o et al, 5 Sheppard et al, 6 Cochener et al, 7 and Lesieur. 8 Our defocus curve showed a maximum of visual acuity for zero defocus (distance vision), with a slight drop afterward but maintaining a functional range of visual acuity with values of 0.1 logMAR or better, for defocus levels between 0 D and À2.5 D. Therefore, effective restoration of the distance, intermediate, and near visual function was with the evaluated IOL.…”

“…26 Likewise, the IOL material and design might have influenced this significantly, 27 although previous studies evaluating the bifocal IOL based on the same diffractive platform have not shown this rate of proliferative forms of PCO. 15 In conclusion, the trifocal diffractive IOL evaluated can provide effective distance, intermediate, and near visual restoration after cataract surgery during a 12-month follow-up, with good levels of visual quality. Future studies should be conducted to confirm whether these outcomes are maintained in the long term and to assess the real impact of IOL positional changes in the capsular bag and of PCO on the clinical outcomes achievable with the trifocal IOL evaluated.…”

Visual and Refractive Outcomes after Cataract Surgery with Implantation of a New Toric Intraocular Lens

“…Different types of intraocular lens (IOL) designs have been developed, some of them attempting to provide a restoration not only of the distance visual function, but also of the intermediate and near vision [1, 2, 3, 4]. One of the most recent challenges has been the correction of a preexisting astigmatism induced by corneal toricity by means of an optimized IOL that provides an excellent postoperative visual acuity.…”

Evaluation of the True Wavefront Aberrations in Eyes Implanted With a Rotationally Asymmetric Multifocal Intraocular Lens

“…3,4 In addition, it is believed that the presence of this optical defect allows an extended depth of focus that would grant adequate vision at various distances. On the other hand, it is assumed that this additional coma causes C ABSTRACT PURPOSE: Standard evaluation of aberrations from wavefront slope measurements in patients implanted with a rotationally asymmetric multifocal intraocular lens (IOL), the Lentis Mplus (Oculentis GmbH, Berlin, Germany), results in large magnitude primary vertical coma, which is attributed to the intrinsic IOL design.…”