He had cataract surgery (monofocal lenses) at another clinic about seven years earlier, and was referred to us wishing to exchange them for multifocal lenses. Naturally, the surgery involves removing the existing lens and inserting a multifocal lens. A long time had passed since the first surgery, so there was more risk than in ordinary cataract surgery, and before surgery we fully explained this, including the possibility that a new lens could not be inserted. Separating the adhesions between the existing lens and the capsular bag demanded care and took a little time, but the surgery was done safely and as planned in about 15 minutes. He became a valuable patient who has experienced firsthand the difference between monofocal and multifocal lenses, and he was very satisfied after surgery; it was a case from which I myself learned anew how high satisfaction with multifocal lenses can be.
Cataract Surgery Cases / Case
Multifocal IOL
Case #7: Man in his 70s from Saitama City, Saitama (multifocal lens: exchange for TECNIS Multifocal)
This is an English translation of the original Japanese case report. If the two differ, the Japanese version takes precedence. Visual acuity is shown in decimal notation (1.0 ≈ 20/20).
Change in visual acuity (decimal; corrected values in parentheses)
Right eye: pre-op → post-op
Left eye: pre-op → post-op
2017.07.27
Patient questionnaire
Answers translated from Japanese.
- What was your condition before surgery?
The scenery around me looked as if in a fog. When driving (at night), if oncoming headlights got in my eyes, for a moment I couldn't see anything.
- What led you to have surgery?
When my wife went to a nearby eye doctor, I was examined too; an abnormality was seen in the lens from my earlier cataract surgery, so surgery was needed, and I was referred here.
- Which did you choose, a multifocal lens or a monofocal lens?
Multifocal lenses, because my life insurance included special (advanced) medical care. *A case operated on by the director at another clinic.