Implantation of a multifocal toric intraocular lens with a surface-embedded near segment after repeated LASIK treatments
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- 作者：Ramin Khoramnia ; Gerd U. Auffarth ; Tanja M. Rabsilber ; Mike P. Holzer
- 刊名：Journal of Cataract and Refractive Surgery
- 出版年：2012
- 出版时间：November, 2012
- 年：2012
- 卷：38
- 期：11
- 页码：2049-2052
- 全文大小：500 K
文摘
| Figures/TablesFigures/Tables | ReferencesReferencesWe report a 66-year-old patient who presented with increasing hyperopia, astigmatism, and presbyopia in both eyes 8 years after bilateral laser in situ keratomileusis (LASIK) and LASIK enhancement in the left eye aiming for spectacle independence. Bilateral multifocal toric Lentis Mplus intraocular lenses (IOLs) with an embedded near segment and individually customized cylinder correction were implanted uneventfully following phacoemulsification. The Haigis-L formula after previous hyperopia correction was chosen for IOL power calculation and provided reliable results. Emmetropia was targeted and achieved. Three months postoperatively, the uncorrected distance visual acuity had increased from 0.40 logMAR to 0.10 logMAR in the right eye and from 0.20 logMAR to 0.00 logMAR in the left eye. The patient gained 6 lines of uncorrected near visual acuity: 0.20 logMAR in the right eye and 0.10 logMAR in the left eye. This case shows that customized premium IOL implantation can provide accurate results even in challenging cases.