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Related Experiment Video

Updated: Jun 23, 2026

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile

Published on: September 20, 2024

Wavefront-guided refractive surgery after multifocal lens implantation.

Irene C Kuo¹, Victor E Reviglio

¹Wilmer Eye Institute, Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21236, USA. ickuo@jhmi.edu

Current Opinion in Ophthalmology

|April 29, 2009

Summary

Wavefront-guided refractive surgery shows promise for correcting vision after multifocal intraocular lens (IOL) implantation. Small studies indicate feasibility, but larger trials are needed to confirm benefits over conventional methods.

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Last Updated: Jun 23, 2026

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$Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter$

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Published on: September 16, 2025

Area of Science:

Ophthalmology
Refractive Surgery
Optometry

Background:

Multifocal intraocular lenses (IOLs) offer simultaneous vision at multiple distances.
Assessing refractive error after multifocal IOL implantation presents unique challenges due to simultaneous image projections.

Purpose of the Study:

To investigate the efficacy of wavefront-guided refractive surgery in correcting ametropia post-multifocal IOL implantation.
To evaluate the potential benefits of advanced refractive techniques in pseudophakic eyes.

Main Methods:

Review of existing literature on multifocal IOLs and wavefront aberrometry.
Analysis of studies reporting wavefront-guided excimer laser procedures following IOL implantation.

Main Results:

Wavefront accuracy may be affected by the simultaneous image foci created by multifocal IOLs.
Small case series demonstrate reproducible wavefront refractions and successful outcomes with diffractive multifocal IOLs.

Conclusions:

Wavefront-guided laser vision correction appears feasible for ametropia after multifocal IOLs.
Further large-scale studies with extended follow-up are necessary to validate these findings and compare with conventional surgery.
Patient age and specific IOL design may influence outcomes of subsequent refractive surgery.