Explanted Multifocal Intraocular Lenses

van der Mooren M, Steinert R, Tyson F, Langeslag MJ, Piers PA.


We report 2 cases in which single-piece multifocal acrylic intraocular lenses (IOLs) were explanted because of complications related to the presence of glistenings in the bulk of the IOL optic. In both cases, the patients complained about blurry or hazy vision. In vivo slitlamp examinations prior to IOL explantation confirmed the presence of severe glistenings in the IOL optic in 1 case and moderate glistenings in the second case. In the first case, the symptoms resolved and both corrected and uncorrected distance visual acuities improved by 4 lines following IOL exchange with a monofocal IOL. In the second case, the visual symptoms persisted with a hard contact lens. Symptoms resolved following an exchange with a monofocal IOL that was free of glistenings. These findings indicate that straylight caused by IOLs with glistenings may be clinically significant in cases in which multifocal IOLs are implanted and patients require optimized retinal sensitivity.

FINANCIAL DISCLOSURE: Mr. van der Mooren, Ms. Langeslag, and Dr. Piers are employees of Abbott Medical Optics, Inc. Drs. Steinert and Tyson are consultants to Abbott Medical Optics Inc.

J Cataract Refract Surg. 2015 Apr;41(4):873-7. doi: 10.1016/j.jcrs.2015.02.005.

PMID: 25840309 [PubMed - indexed for MEDLINE]