Implantation of a multifocal toric intraocular lens with a surface-embedded near segment after repeated LASIK treatments

被引：26

作者：

Khoramnia, Ramin ^{[1
]}

Auffarth, Gerd U. ^{[1
]}

Rabsilber, Tanja M. ^{[1
]}

Holzer, Mike P. ^{[1
]}

机构：

[1] Univ Heidelberg, Dept Ophthalmol, Int Vis Correct Res Ctr, D-69120 Heidelberg, Germany

来源：

JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 2012年 / 38卷 / 11期

关键词：

REFRACTIVE SURGERY; OUTCOMES;

D O I：

10.1016/j.jcrs.2012.08.042

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

We 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.

引用

页码：2049 / 2052

页数：4

共 10 条

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