[Implantation of multifocal add-on IOLs simultaneously with cataract surgery: results of a prospective study].
BACKGROUND
A prospective study was carried out to evaluate postoperative visual acuity and patients satisfaction after implantation of a multifocal add-on IOL.


METHODS
In 50 eyes of 25 patients operated by two surgeons "group A (MK) = 15 patients; group B (MWR) = 10 patients" with age-related cataract after "normal" cataract surgery, sulcus-fixated multifocal add-on IOLs (MS 714 PB Diff., Dr. Schmidt Intraocularlinsen, Sankt Augustin) were implanted. 12 weeks after surgery in both groups the following parameters were evaluated: far visual acuity; intermediate visual acuity (1 meter) and near visual acuity (33 centimeter). In addition, the patients satisfaction was measured in three steps (1 = excellent; 2 = satisfied; 3 = not satisfied) ermittelt. In group A also contrast sensitivity was measured using the Ginsberg box.


RESULTS
Surgery was performed in all cases without complications. No postoperative complications were observed. After 12 weeks the results in both groups were comparable. Median distance visual acuity was 0.05 +/- 0.02 (LogMar) uncorrected and 0 +/- 0.05 (LogMar) with correction. Intermediate visual acuity was 0.25 +/- 0.06 (LogMar) uncorrected (0.1 +/- 0.09 (LogMar) with correction. Near visual acuity was 0.2 +/- 0.07 (LogMar) and 0.15 +/- 0.02 (LogMar), respectively. Patients satisfaction was 80 - 90%.


CONCLUSIONS
Sulcus-fixated add-on IOLs are a useful addition to our refractive surgical armamentarium. The present results encourage us to use this method as a standard procedure.
Wolter-Roessler
M
M
Gemeinschaftspraxis für Augenheilkunde, Lauf an der Pegnitz. drmgroh@aol.com
Küchle
M
M
D000368:Aged; D015350:Contrast Sensitivity; D004215:Distance Perception; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000209:etiology*; D011305:Presbyopia / Q000601:surgery*; D011446:Prospective Studies; D011474:Prosthesis Design; D011932:Reading; D012029:Refraction, Ocular; D012086:Reoperation; D014792:Visual Acuity