She first visited us for cataract consultation because of floaters and light feeling dazzling. She had extreme myopia exceeding −10 D, and besides nuclear cataracts the right eye had dense anterior subcapsular opacity, raising suspicion of atopy or trauma, but she said neither applied. She usually wore soft contact lenses, so as she wished, we first planned surgery on the right eye only.
She had advanced medical care insurance and wished for multifocal lenses; she did not drive and wanted to prioritize office work, but besides high myopia she had strong corneal astigmatism of over 3.0 D, so we proposed the toric PanOptix Toric.
She was very nervous from the time the astigmatic axis was marked before surgery, but the surgery was completed without problems, and the feared postoperative refractive error typical of highly myopic eyes did not occur. Vision, 0.08 (0.4) before surgery, improved dramatically to 1.2 distance / 1.2p near uncorrected, and she was very satisfied with life without contact lenses and promptly booked surgery on her left eye after the operation.
As I have not had the surgery myself, I can only assess it from patients' postoperative impressions, but what I especially notice as a surgeon using PanOptix is how well the fundus can be seen at postoperative examinations compared with other multifocal lenses. If we can see the fundus well from outside, patients are probably seeing out with similar quality. PanOptix is the latest trifocal multifocal lens certified for advanced medical care, and there is not yet much information on it, so we will update this as we go.
Cataract Surgery Cases / Case
Case #35: Woman in her 50s from Suginami (extreme myopia, single eye: toric trifocal multifocal lens PanOptix Toric)
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)
- Far
- 0.04(0.4)→1.2(1.5)
- Near
- —→1.2p(n.c.)
- Far
- 0.04(0.9p)→—
2019.09.01
Patient questionnaire
Answers translated from Japanese.
- What was your condition before surgery?
There was a faint white film over my right eye. When a bicycle light hit it, everything went white, which was frightening. Numbers became harder and harder to see; mixing up 6 and 8 and the like would be a serious problem.
- What led you to have surgery?
Because a friend had the surgery in May and told me she could see well afterwards.
- Which did you choose, a multifocal lens or a monofocal lens?
Not being able to see near would be a problem at work, and seeing movies well too, being able to live without glasses from now on, is like a dream. After more than 40 years of glasses and contacts, it's the first time in my life I don't have to search for my glasses.