Emmanuel Eric Pazo

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Optimized Visual Outcome After Asymmetrical Multifocal IOL Rotation

Emmanuel Eric Pazo, Olivier Richoz, Richard N. McNeely, Zack Millar, Tara Moore, Jonathan Edward Moore

Journal of Refractive Surgery, 2016 · article · doi:10.3928/1081597x-20160503-01 · cited by 22

Cataract & anterior segment surgery

Abstract

PURPOSE: To report improved visual outcome after rotation of an asymmetrical multifocal intraocular lens (IOL). METHODS: Case report. RESULTS: A 58-year-old patient underwent bilateral phacoemulsification with asymmetrical multifocal IOL implantation. Postoperative uncorrected distance visual acuity (UDVA) was 0.0 logMAR (20/20 Snellen) and uncorrected near visual acuity was 0.0 logMAR (20/20 Snellen) in both eyes. Quality of vision questionnaire scores for day and night were 5 and 7, respectively. The center of the multifocal IOL in the dominant eye was initially found to be 0.2 mm superotemporally displaced, increasing the percentage area of 'near-add' compared to 'distance-add' within the physiological pupil. Rotation of this IOL 120° clockwise greatly improved the IOL centration within the pupil center and resulted in an immediate improvement in UDVA to -0.1 logMAR (20/16 Snellen) and quality of vision questionnaire scores to 8 and 9, respectively. CONCLUSIONS: Assessment of the centration of an asymmetrical multifocal IOL is important, particularly if there are dysphotoptic or other visual complaints. [J Refract Surg. 2016;32(7):494-496.].

Keywords: IOL rotation; IOL centration; phacoemulsification; visual outcome; visual quality; near visual acuity; distance visual acuity; dysphotopsia

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How to cite

Pazo, E. E., Richoz, O., McNeely, R. N., Millar, Z., Moore, T., Moore, J. E. (2016). Optimized Visual Outcome After Asymmetrical Multifocal IOL Rotation. Journal of Refractive Surgery. https://doi.org/10.3928/1081597x-20160503-01

@article{pazo2016optimized,
  title = {{Optimized Visual Outcome After Asymmetrical Multifocal IOL Rotation}},
  author = {Pazo, Emmanuel Eric and Richoz, Olivier and McNeely, Richard N. and Millar, Zack and Moore, Tara and Moore, Jonathan Edward},
  journal = {Journal of Refractive Surgery},
  year = {2016},
  doi = {10.3928/1081597x-20160503-01},
  url = {https://doi.org/10.3928/1081597x-20160503-01},
}

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