He had cataracts mainly of lens cortical opacity, with strong complaints of blurred vision and photophobia. He had advanced medical care insurance and from his first visit wished for cataract surgery with multifocal lenses. There were almost no corneal higher-order aberrations (irregular astigmatism: astigmatism that cataract surgery cannot correct) and no fundus disease, so we explained that he was a candidate for multifocal lenses. He plays sports such as golf and mountain climbing and placed importance on distance vision, so we recommended and operated with the extended depth of focus TECNIS Symfony. As a result, besides distance, he achieved good binocular uncorrected near vision of 1.0, was very satisfied, and was soon enjoying golf.
Cataract Surgery Cases / Case
Multifocal IOL
Case #13: Man in his 60s from Shinjuku (extended depth of focus multifocal lens: TECNIS Symfony)
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
- Far
- —→1.2(1.5)
- Near
- —→0.9(1.0)
Left eye: pre-op → post-op
- Far
- —→1.2(1.5)
- Near
- —→0.9(1.0)
2018.07.04
Patient questionnaire
Answers translated from Japanese.
- What was your condition before surgery?
Both far and near were hard to see.
Coming down mountains I couldn't see my footing, and I couldn't see where my golf ball landed.LED lights in electronics stores were dazzling.
- What led you to have surgery?
Because I felt it was dangerous in daily life and when mountain climbing.
- Which did you choose, a multifocal lens or a monofocal lens?
I chose multifocal lenses hoping I wouldn't need glasses in most situations in daily life.