She was being seen at another clinic for cataracts with extreme myopia exceeding −10 D, and was referred to us wishing for cataract surgery with multifocal lenses, though she did not have advanced medical care insurance.
Her eyes were long, over 28 mm, and PanOptix is not made in the required power (it is made from 6.0 to 34.0 D), so we explained that if she wanted multifocal lenses, an imported lens would be necessary, and also explained the option of monofocal lenses. She said she did not drive at night, but she had studied a great deal herself and was very conscious of quality of vision, so she wished for surgery with MiniWELL Ready, known for having no halos or glare and continuous vision.
MiniWELL Ready is made in 1.0 D steps at 10.0 D and below (9.5 D and 8.5 D are not made), so we chose the power after thoroughly asking whether she preferred it set toward distance or near (that is, if she were to use glasses, whether she could accept them for distance or for near). Moreover, despite her long eyes, her corneas were steep (high corneal power), and she agreed to surgery understanding the high risk of postoperative refractive error.
The cataracts were advanced nuclear cataracts of about grade 4–3 in hardness, with the zonular weakness typical of high myopia, but the surgery was completed without problems. Postoperative uncorrected vision was 1.0 distance / 1.2 near in the right eye and 1.2 distance / 1.2 near in the left, and she was very satisfied with a life free of glasses and contacts.
People with high myopia who want multifocal lenses often need low-power intraocular lenses of about 0–10 D (about 20 D for most people), and depending on the degree of myopia, lenses covered by advanced medical care may not be usable, so please feel free to consult us first.
2020.1.15