Visual Results Following Implantation of a Refractive Multifocal IOL in One Eye and a Diffractive Multifocal IOL in the Contralateral Eye

<h4>PURPOSE</h4><p>To assess binocular visual results in patients who were scheduled to undergo cataract/refractive lens exchange with multifocal IOL implantation using a “mix & match” approach.</p> <h4>METHODS</h4><p>This prospective study enrolled 40 eyes of 20 patients aged between 44 and 78 years (median age = 58.1 years) implanted with a refractive multifocal IOL (ReZoom) in their dominant eye and a diffractive multifocal IOL (Tecnis) in their non-dominant eye. Near, intermediate, and distance vision were assessed at 2 months following implantation. Patients underwent refractive lens exchange or cataract surgery in the dominant eye first, followed by the non-dominant eye 1 to 2 weeks later. Emmetropia was the goal for all surgeries.</p> <h4>RESULTS</h4><p>Preoperatively, the mean spherical equivalent refraction was +2.019±1.417 diopters (D) (median: +2.063 D). The mean binocular distance decimal visual acuity was 1.06±0.60 D, the mean binocular intermediate decimal visual acuity was 0.50±0.90 D, and the mean binocular near decimal visual acuity was 1.10±0.40 D. </p> <h4>CONCLUSIONS</h4><p>Preliminary visual outcomes in this series of patients indicate good results at all distances. [<cite>J Refract Surg</cite>. 2008;24:300-305.]</p> <h4>ABOUT THE AUTHOR</h4> <p>From Goes Eye Centre, Antwerp, Belgium.</p> <p>The author has no financial interest in the materials presented herein.</p> <p>Correspondence: Frank Joseph Goes, MD, Goes Eye Centre, W Klooslaan 6, B-2050 Antwerp, Belgium. Tel: 32 3 2193925; Fax: 32 3 2196667; E-mail: <a href="mailto:frank@goes.be">frank@goes.be</a></p> <p>Received: June 21, 2007</p> <p>Accepted: November 2, 2007</p>