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Related Experiment Video

Updated: Jun 12, 2026

Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries

Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries

Published on: July 7, 2023

Diffractive multifocal intraocular lens interferes with intraoperative view.

Mami Yoshino¹, Makoto Inoue, Nae Kitamura

¹Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital, Tokyo, Japan.

Clinical Ophthalmology (Auckland, N.Z.)

|May 28, 2010

Summary

This summary is machine-generated.

Vitreous surgery in patients with multifocal intraocular lenses (IOLs) can be challenging. Surgeons may experience decreased contrast sensitivity and ghost images, impacting visualization during epiretinal membrane removal.

Keywords:

diffractive multifocal intraocular lens intraoperative view

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Area of Science:

Ophthalmology
Retinal Surgery

Background:

A 70-year-old female patient experienced progressive vision loss two years after cataract surgery with a diffractive multifocal intraocular lens (IOL).
Funduscopic examination revealed an epiretinal membrane (ERM) causing macular traction and visual deterioration.

Observation:

Vitreous surgery was performed to remove the ERM, with intravitreal triamcinolone acetonide (TA) injection for visualization.
Despite successful ERM peeling, visualization through the multifocal IOL was difficult, characterized by reduced contrast sensitivity and ghosting from TA crystals.

Findings:

Macular surgery is feasible in eyes with diffractive multifocal IOLs.
Intraoperative visualization can be compromised by decreased contrast sensitivity and ghost images, particularly in complex cases.

Implications:

This case highlights potential challenges in performing retinal surgery in patients with multifocal IOLs.
Careful surgical planning and consideration of visualization difficulties are crucial for successful outcomes in such cases.