Piggyback multifocal IOLs used for a hyperopic-presbyopic surprise after cataract surgery are successful in highly myopic eyes, claims a study in the Journal of the British Contact Lens Association.
A team managed by Dr Valentin Huerva, Ophthalmology Department, Universitary Hospital Arnau de Vilanova, Lleida, Spain, completed a case report on a 43-year-old woman with high myopia who also
presented with dense subcapsular cataracts.
The refractive result was to achieve a spherical equivalent refractive error of +2.25. The team used a refractive multifocal +3 D Sulcoflex 653F to overcome refractive surprise, with an additional 3.5 D for near vision. This achieved a best-corrected visual acuity of 20/40 and good intermediate vision for computer work
The IOL enables good near-intermediate visual acuity and spectacle independence in highly myopic eyes with good near visual acuity. It could be possible to correct residual refractive errors by implanting the IOL following earlier implantation of a monofocal IOL.