Feasibility and Postoperative Outcome After Duet Procedure for Reversible Multifocality in Eyes with Co-Pathologies

Area of Science:

• Ophthalmology
• Refractive Surgery
• Intraocular Lens Technology

Background:

• Cataract and refractive lens surgery aims to restore vision.
• Co-existing ocular pathologies can complicate surgical outcomes.
• The duet procedure involves simultaneous implantation of two intraocular lenses (IOLs).

Purpose of the Study:

• To evaluate the safety and efficacy of the duet procedure.
• To assess outcomes in eyes with co-existing pathologies undergoing cataract or refractive surgery.
• To determine the feasibility of reversible multifocality using this technique.

Main Methods:

• Retrospective case series of 80 eyes from 40 patients.
• Inclusion of patients with minor co-pathologies undergoing refractive lens exchange or cataract surgery.
• Preoperative and 3-month postoperative visual acuity and refractive error assessments.

Main Results:

• Significant improvement in monocular uncorrected distance visual acuity (UDVA) from 0.52 to 0.05 logMAR.
• Significant improvement in binocular uncorrected near visual acuity (UNVA) from 0.32 to -0.03 logMAR.
• The procedure demonstrated high safety and satisfactory visual and refractive outcomes.

Conclusions:

• The duet procedure provides reversible multifocality.
• It is a feasible option for eyes with mild co-existing pathologies.
• Satisfactory visual and refractive outcomes with high safety were achieved.