title: Dual intraocular lens implantation: Monofocal lens in the bag and additional diffractive multifocal lens in the sulcus.
abstract: OBJECTIVE
  To evaluate a new diffractive multifocal intraocular lens (IOL) as an additional (add-on) IOL for sulcus-based implantation.
  
  
  METHODS
  Augenklinik am Neumarkt, Köln, Germany.
  
  
  METHODS
  In this prospective study, cataract patients had phacoemulsification and IOL implantation. After phacoemulsification, an aspheric silicone monofocal IOL (MS 612 ASP-Y) with a power range of +4.00 to +27.00 diopters [D]) was implanted in the capsular bag. This was followed by sulcus placement of an add-on multifocal IOL (MS 714 PB) with a +3.50 D diffractive element for near but zero refractive power for distance.
  
  
  RESULTS
  The study included 56 eyes of 30 patients. Three months postoperatively, the mean monocular uncorrected distance visual acuity was 0.10 logMAR +/- 0.11 (SD) (median 1.00 decimal; 20/20 Snellen), with a remaining mean postoperative spherical equivalent of 0.01 +/- 0.51 D. The mean uncorrected intermediate visual acuity was 0.20 +/- 0.15 logMAR (median 0.63 decimal; 20/30 Snellen) with a luminance of 500 lux at 1 m. The mean uncorrected near visual acuity (Early Treatment Diabetic Retinopathy chart) was 0.16 +/- 0.13 logMAR (median 0.80 decimal; Jaeger 2). No major complications (eg, iris chafing, iris capture, lens epithelial cell ingrowth, glaucoma) were associated with the add-on IOL in the sulcus.
  
  
  CONCLUSIONS
  Combined implantation of an add-on diffractive sulcus IOL and a monofocal capsular bag IOL was safe and effective in improving far and near visual acuity in cataract surgery. Preliminary visual acuity results were similar to those in eyes with a single 1-piece diffractive multifocal IOL.
authors.affiliation: Augenklinik am Neumarkt, Köln, Germany. g.gerten@augenportal.de
authors.forename: Georg
authors.initials: G
authors.lastname: Gerten
authors.forename: Omid
authors.initials: O
authors.lastname: Kermani
authors.forename: Karl
authors.initials: K
authors.lastname: Schmiedt
authors.forename: Elham
authors.initials: E
authors.lastname: Farvili
authors.forename: Andreas
authors.initials: A
authors.lastname: Foerster
authors.forename: Uwe
authors.initials: U
authors.lastname: Oberheide
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D018918:Phacoemulsification; D011446:Prospective Studies; D019591:Pseudophakia / Q000503:physiopathology; D014792:Visual Acuity / Q000502:physiology