Rotationally Asymmetric Refractive Low Addition Multifocal IOL Implantation in Patients With Previous Hyperopic...

Area of Science:

• Ophthalmology
• Refractive Surgery
• Intraocular Lenses

Background:

• Cataract surgery aims to restore vision.
• Multifocal intraocular lenses (IOLs) offer correction for various distances.
• Prior corneal refractive surgery can influence outcomes of subsequent cataract surgery.

Purpose of the Study:

• To evaluate visual, refractive, and quality-of-vision outcomes.
• To assess the LENTIS Comfort Mplus LS-313 MF15 multifocal IOL.
• To analyze outcomes in eyes with prior hyperopic corneal laser surgery.

Main Methods:

• Retrospective observational study of 26 eyes.
• Implantation of LENTIS Comfort Mplus LS-313 MF15 IOL.
• Assessment of visual acuity (distance, intermediate, near), refraction, aberrations, contrast sensitivity, defocus curves, and Quality of Vision (QoV) questionnaire.

Main Results:

• Significant improvements in uncorrected and corrected distance, intermediate, and near visual acuity (logMAR).
• Reduced refractive cylinder and near-zero mean spherical equivalent.
• Ocular higher-order aberrations (HOAs) measured; contrast sensitivity remained normal. QoV scores indicated moderate impact.
• Preoperative corneal HOAs and angle kappa correlated with postoperative uncorrected acuity.

Conclusions:

• The aberration-neutral, rotationally asymmetric LENTIS Comfort Mplus LS-313 MF15 IOL provided safe and predictable visual rehabilitation.
• High-quality distance and intermediate vision were achieved with low photic phenomena.
• Preoperative HOAs and angle kappa significantly influenced postoperative uncorrected vision, emphasizing their role in patient selection.