A refractive segmented multifocal IOL provided good visual outcomes, high patient satisfaction and a satisfactory complication rate, according to a large study.
The retrospective analysis included 9,366 eyes of 4,683 presbyopic ametropic patients who underwent bilateral phacoemulsification and implantation of the Lentis Mplus (Oculentis), an aspheric nonrotational symmetric multifocal IOL.
LogMAR uncorrected distance visual acuity, corrected distance visual acuity, uncorrected near visual acuity, refraction and keratometry were assessed at 1 day, 1 week, and 1, 3 and 6 months after surgery. Patients completed a computer-based questionnaire on satisfaction at the 3-month follow-up.
Mean sphere decreased from +2.06 D at baseline to +0.24 D at 3 months and +0.29 D at 6 months.
Mean corrected distance visual acuity improved from –0.017 before surgery to –0.033 at 3 months and –0.031 at 6 months.
At 3 months, binocular uncorrected distance visual acuity was 0.0 in 4,247 patients (80.5%) and 0.1 or better in 5,012 patients (95%).
Mean binocular uncorrected near visual acuity was 0.155 at 3 months and 0.159 at 6 months.
Regarding satisfaction, 68.1% of patients said they were very satisfied with their outcome and 25.7% said they were satisfied; 97.5% of patients said they were willing to recommend the procedure.
Fifty-five eyes had severe dysphotopsia that required an IOL exchange.
Disclosure: Schallhorn is a consultant for Abbott Medical Optics. The remaining authors have no relevant financial disclosures.