She had noticed difficulty seeing with her left eye for about six months, another clinic had pointed out a cataract in the left eye, and she first visited us for surgical consultation. She works in insurance and from the start had been considering surgery with multifocal lenses using advanced medical care insurance. Besides cortical cataracts, worse in the left eye, she complained of strong presbyopia from about +2.0 D of hyperopia, and because of her work she wanted to see near clearly, so we proposed surgery with early use of the trifocal PanOptix, the latest lens covered by advanced medical care, with a +3.2 D near add.
Her pupils dilated somewhat poorly, but the surgery was completed without problems, and from the day after surgery she was very satisfied with very good uncorrected vision of 1.2 at both distance and near. She was relatively young for cataract surgery, and the quick recovery of vision after surgery does make one feel the effect of age.
The trifocal PanOptix seems a very good intraocular lens for people like her who do not drive at night and want to reduce dependence on glasses; the feared halos and glare are reported to be almost equivalent to bifocal lenses, and light energy loss to be less than with bifocals. Our clinic has also used it in people who drive, so if you are unsure about surgery or lens choice, please feel free to consult us.
Cataract Surgery Cases / Case
Multifocal IOL
Case #39: Woman in her 60s from Suginami (cortical cataract with hyperopia, trifocal multifocal lens: PanOptix)
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
- 0.4(0.8)→1.2p(1.5)
- Near
- —→1.2p(1.2)
Left eye: pre-op → post-op
- Far
- 0.4(0.5)→1.2(1.5)
- Near
- —→1.2(n.c.)
2019.11.10
Patient questionnaire
Answers translated from Japanese.
- What was your condition before surgery?
Letters were hard to read, which was very hard.
- What led you to have surgery?
I thought if I was going to have it anyway, sooner was better... so I had the surgery.
- Which did you choose, a multifocal lens or a monofocal lens?
Multifocal lenses. I'll be working for a long time yet, so I thought it was better to see well.