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Piggyback monofocal and multifocal IOLs may safely correct high myopia
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 Elena Barraquer |
MIAMI — Placing a monofocal IOL and a piggybacked multifocal IOL in the capsular bag may safely restore distance and near vision in patients with exceptionally high myopia, according to a presenter here.
"This is a safe enough procedure to correct high myopia and presbyopia in cases when the power of the multifocal IOL needed is not available," Elena Barraquer, MD, said at the Bascom Palmer Eye Institute 50th Anniversary Scientific Meeting.
The retrospective study included seven eyes of five patients (three men and two women), with a range of myopia between -16 D and -32 D. Patients had topographic astigmatism between 0.6 D and 2.8 D and averaged 54.4 years of age.
Clear lens or cataract extraction was performed followed by placement of a monofocal IOL with negative power in the capsular bag and a multifocal IOL of 0 D also in the capsular bag. Notably, after approximately 2 years of follow-up, no cases of posterior capsular opacification have been observed.
"Patients are very happy with the results, and if you have very high myopes, I think they will be happy, too," Dr. Barraquer said.
- Disclosure: Dr. Barraquer has no relevant financial disclosures.