[IOL multifocality combined with the compensation for corneal spherical aberration: a new concept of presbyopia...

Further developments in the field of intraocular lenses have resulted in improvements of multifocal lenses (MIOL) which enable spectacle-free vision at near and far distance under most conditions. In our prospective study we investigated a new aberration-corrected MIOL, whereby 31 eyes of 19 patients, aged between 40 and 81 years, received a Tecnis ZMB00 MIOL (Abbott Medical Optics). Postoperative visual results were documented. Patients were enrolled if they were at least 40 years old and if they were scheduled for cataract surgery or presbyobic lens exchange. Exclusion criteria were any other visually relevant pathologies and a corneal astigmatism of 1.5 D or more. After 6 months, 94.7 % of the patients had a binocular uncorrected distance vision of 0.1 LogMAR or better, 67.7 % of eyes could read Jaeger 1+ (0.0 LogMAR) and 93.6 % could read Jaeger 1 (0.1 LogMAR) or better. There was no correlation between the power of the implanted lens and the postoperative distance or near vision or between IOL power and best-corrected distance vision. The aspheric diffractive multifocal IOL Tecnis ZMB00 provides a restoration of far and near visual function after cataract surgery or presbyopia correction. The correction provided by the IOL is predictable and independent from the optical power of the IOL implanted. The combination of diffractive multifocality and compensation for corneal spherical aberration is an effective alternative for cataract surgery and presbyopia correction.