title: Implantation of multifocal intraocular lenses using a magnification strategy in cataractous eyes with age-related macular degeneration.
abstract: OBJECTIVE
  To examine visual function after targeting -2.0 diopter (D) spherical equivalent (SE) when implanting a multifocal intraocular lens (IOL) in eyes with cataract and age-related macular degeneration (AMD).
  
  
  METHODS
  Three private practices.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Lenses of cataractous eyes with AMD were replaced with the Acrysof Restor SN60D3 multifocal IOL, targeting an SE of -2.0 D, which yielded +5.2 D near addition. Near and distance visual acuities were examined. Patients completed a visual function questionnaire preoperatively and 6 months postoperatively.
  
  
  RESULTS
  At 6 months, 13 patients with 20 eligible eyes were examined. The uncorrected near visual acuity improved in 18 eyes (90%) and was unchanged in 2 eyes. The corrected distance visual acuity improved in 14 eyes (70%), was unchanged in 4 eyes (20%), and decreased (≤ 3 lines) in 2 eyes (10%). All vision-related questionnaire items improved.
  
  
  CONCLUSIONS
  For cataractous eyes with AMD, replacing the crystalline lens with this myopia-targeted multifocal IOL improved or maintained near vision without severely compromising distance vision.
  
  
  BACKGROUND
  Drs. Mackool and Ernest are consultants to Alcon. Dr. Mackool is an inventor in the patent of the IOLs related to this strategy. No other author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: Eyesight Associates, Warner Robins, Georgia 31088, USA. jlgayton@aol.com
authors.forename: Johnny L
authors.initials: JL
authors.lastname: Gayton
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Mackool
authors.forename: Paul H
authors.initials: PH
authors.lastname: Ernest
authors.forename: ReBecca A
authors.initials: RA
authors.lastname: Seabolt
authors.forename: Susan
authors.initials: S
authors.lastname: Dumont
mesh_terms: D000368:Aged; D002386:Cataract / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008268:Macular Degeneration / Q000150:complications* / Q000503:physiopathology; D008875:Middle Aged; D018918:Phacoemulsification; D011474:Prosthesis Design; D012029:Refraction, Ocular / Q000502:physiology; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires; D014792:Visual Acuity / Q000502:physiology*