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Careful patient selection needed for successful high myopia multifocal implantation

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BERLIN — Recognizing concerns about multifocal lenses in difficult high myopia cases, a physician here said that careful patient selection and low power multifocal IOLs could produce promising visual results in high myopia patients.

Béatrice Cochener, MD, said when selecting high myopia patients for multifocal IOL implantation, physicians should choose only those with true cataract and no amblyopia, among other factors, in order to achieve best visual outcomes. "Selection of patients is of key importance," she said at the European Society of Cataract and Refractive Surgeons meeting.

Dr. Cochener presented 18-month study results looking at 19 high myopia patients. The Acri.Lisa (Carl Zeiss Meditec), an acrylic IOL ranging from 0 D to 40 D, was then implanted.

Following implantation, no patient had to wear glasses for far vision, and 63% had a near vision of J1, Dr. Cochener said. She said results were promising, but follow-up is needed.