This article is more than 5 years old. Information may no longer be current.

RLE with spherical multifocal IOL after hyperopic LASIK yields positive outcomes

J Cataract Refract Surg. 2009;35(10):1744-1750.

Issue: December 25, 2009

Add topic to email alerts

Receive an email when new articles are posted on

Please provide your email address to receive an email when new articles are posted on .

Subscribe

Added to email alerts

You've successfully added to your alerts. You will receive an email when new content is published.

Click Here to Manage Email Alerts

You've successfully added to your alerts. You will receive an email when new content is published.

Click Here to Manage Email Alerts

Back to Healio

We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.

Back to Healio

Refractive lens exchange with a spherical multifocal IOL after hyperopic LASIK proved safe, effective and predictable, a study showed.

"In patients without presbyopia, re-treatment for residual refractive errors after LASIK can be a good option," the study authors said. "However, the need for reading glasses by presbyopic patients is a drawback, and these patients often desire a solution that provides both distance and near vision."

The prospective study included 41 eyes of 23 patients aged 45 to 65 years who underwent hyperopic LASIK and subsequent implantation of an AcrySof ReSTOR SN60D3 IOL (Alcon). The authors assessed uncorrected distance visual acuity, corrected distance visual acuity, uncorrected near visual acuity, distance-corrected near visual acuity and residual refractive errors before surgery and 6 months after surgery.

Mean uncorrected distance visual acuity improved from 0.189 logMAR preoperatively to 0.113 logMAR at 6 months postop (P = .009). Mean corrected distance visual acuity improved from 0.049 logMAR preoperatively to 0.046 logMAR at 6 months postoperatively. Mean uncorrected near visual acuity was 0.014 at 6 months.

While distance-corrected near visual acuity improved from 0.013 logMAR preoperatively to 0.009 logMAR at 6 months, the difference was not statistically significant.

All eyes were within 1.25 D of targeted refraction; 73.17% were within 0.5 D.

Further study with a longer follow-up interval is needed to evaluate optical quality and patient satisfaction, the authors said.

Although the number of patients in this study is relatively modest (41 eyes of 23 patients), the follow-up is adequate (6 months) and the science is solid. It is an important paper for two reasons:

• 1. It gives us a safe and effective multifocal IOL choice for our hyperopic LASIK patients who wish to remain largely spectacle-free after RLE or cataract surgery.
• 2. It gives us guidance as to IOL power calculation for this multifocal lens (the authors utilized the double K method along with the SRK/T method proposed by Aramberri, using clinical history to determine post-LASIK Ks).

– Marguerite B. McDonald, MD
OSN Refractive Surgery Board Member