LASIKRMS

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Visual Quality of Tecnis Multifocal Intraocular
Lens
Kunihiko Nakamura Tanashi Nakamura Eye Clinic,
Tokyo, JAPAN Hiroko Bissen-Miyajima, Shinichi
Ohoki, Kayoko Tokumitsu Tokyo Dental College
Suidobashi Hospital, Tokyo, JAPAN
No financial relationship
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PURPOSE
To compare the visual quality of the aspheric
diffractive multifocal intraocular lens (IOL)
with of the aspheric monofocal IOL.

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PATIENTS IOLS

• Bilateral cataract surgery
• IOL power was aimed for emmetropia

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METHODS
Distance visual acuity (VA)
Uncorrected Corrected Near VA
Uncorrected Distance-corrected
Corrected Contrast sensitivity (CSV-1000 chart)
Above measurements were performed more than 1
month post-operatively.
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RESULTS
Distance VA
Uncorrected
Corrected
1.07
1.0
1.0
1.07
1.04
1.32
1.37
0.1
0.1
Mono
Multi
Mono
Multi
No significant difference between Multi and Mono
groups.
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Near VA
Uncorrected
Corrected
Distance-corrected
1.0
1.0
1.0
0.93
0.98
0.80
0.69
0.1
0.1
0.1
0.20
0.20
Mono
Multi
Mono
Multi
Mono
Multi
Uncorrected and distance-corrected near VAs of
Multi group were significantly better than of the
Mono. (unpaired t-test, plt0.0001)
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Contrast Sensitivity
Mono
Multi
Multi(3M)
Multi
No significant difference
Multi was lower (p0.019)
The previous 3M IOL showed lower contrast
sensitivity
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DISCUSSION

• The modified prolate anterior surface of Tecnis
  multifocal IOL significantly reduces spherical
  aberration.
• This structure may provide improving contrast
  sensitivity and image quality.

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CONCLUSION
Tecnis ZM900 multifocal IOL provided good
uncorrected distance and uncorrected near visual
acuities, with minimizing loss of contrast
sensitivity.