MOROHOSHI EYE CLINICCATARACT SURGERY CASES
MOROHOSHI EYE CLINIC, JAPAN

Cataract Surgery Cases

Real cases from our clinic in Tokyo: visual acuity before and after surgery, and how each lens and target power was chosen. Published only with the patient's consent, in a form that does not identify them. English translations of our Japanese case reports.

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100 cases

  1. Multifocal IOL2026.07.26

    Case #100: Woman in her 40s living in Switzerland, high myopia (MiniWELL Ready Toric) – What to confirm before surgery to avoid problems after multifocal IOL implantation

    • 40s or younger
    • High myopia
    • MiniWELL (incl. PROXA)
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.04(1.2)→1.2(1.5)
    Near
    (1.0 × CL)→1.2
    Left eye: pre-op → post-op
    Far
    0.07p(0.9p)→1.5p(1.5)
    Near
    (0.7 × glasses)→1.2

    As this is the 100th case in our collection, I considered presenting a special case. Instead, partly as a caution against undergoing cataract surgery…

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  2. Multifocal IOL2026.04.29

    Case #99-2: Woman in her 60s from Nishitokyo, hyperopic eyes (right: PanOptix done elsewhere × left: PanOptix Pro) – Comparison of contrast sensitivity (follow-up 1)

    • 50s–60s
    • Hyperopia
    • PanOptix Pro (incl. earlier model)
    • Single-eye surgery
    Right eye: pre-op → post-op
    Far
    —→0.8p(1.5)
    Near
    —→0.3(0.9p)@30cm
    Operated on elsewhere with PanOptix
    Left eye: pre-op → post-op
    Far
    0.4p(1.5)→1.2p(1.5)
    Near
    0.5p × SCL (1.0)→1.0(1.0p)@30cm

    As a follow-up to the previous report, #99-1: comparison of distance and near vision with PanOptix and PanOptix Pro in the same patient, we performed…

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  3. Multifocal IOL2026.04.03

    Case #99-1: Woman in her 60s from Nishitokyo, hyperopic eyes (right: PanOptix done elsewhere × left: PanOptix Pro) – Better near vision demonstrated by comparing the two eyes (first report)

    • 50s–60s
    • Hyperopia
    • PanOptix Pro (incl. earlier model)
    • Single-eye surgery
    Right eye: pre-op → post-op
    Far
    —→0.8p(1.5)
    Near
    —→0.3(0.9p)@30cm
    Operated on elsewhere with PanOptix
    Left eye: pre-op → post-op
    Far
    0.4p(1.5)→1.2p(1.5)
    Near
    0.5p × SCL (1.0)→1.0(1.0p)@30cm

    As announced in Case #98, we had the opportunity to operate on the fellow eye of a patient who already had the conventional PanOptix in one eye,…

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  4. Multifocal IOL2026.03.22

    Case #98: Woman in her 70s from Suginami, hyperopic eyes (diffractive trifocal lens: Clareon PanOptix Pro) – How it differs from enVista Envy

    • 70s or older
    • Hyperopia
    • PanOptix Pro (incl. earlier model)
    Right eye: pre-op → post-op
    Far
    1.2p(1.2p)→1.5(n.c.)
    Near
    0.2p(1.5p)→1.0
    Left eye: pre-op → post-op
    Far
    0.9(1.5)→1.2(1.5)
    Near
    0.2(1.5)→1.2p

    About three months have passed since we began using, ahead of its general release, the PanOptix Pro, the upgraded successor to PanOptix, the world's…

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  5. Multifocal IOL2026.03.15

    Case #97: Woman in her 60s from Suginami, high myopia with glaucoma: non-dominant eye → dominant eye mini-monovision (extended depth of focus/EDOF: TECNIS PureSee)

    • 50s–60s
    • High myopia
    • Glaucoma
    • TECNIS PureSee
    Right eye: pre-op → post-op
    Far
    0.03(1.5)→1.0(1.5)
    Near
    —→1.0
    Left eye: pre-op → post-op
    Far
    0.03(1.2)→1.5(1.5)
    Near
    —→0.7(1.0)

    Once again in response to requests, here is a TECNIS PureSee case, this time in a highly myopic patient. The patient had been receiving eye drop…

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  6. Multifocal IOL2026.03.11

    Case #96: Woman in her 70s from Kiyose, hyperopic eyes: dominant eye → non-dominant eye micro-monovision (extended depth of focus/EDOF: a standard TECNIS PureSee case)

    • 70s or older
    • Hyperopia
    • TECNIS PureSee
    Right eye: pre-op → post-op
    Far
    0.6(0.6)→1.2(1.5)
    Near
    0.4(0.6)→0.9(1.2p)
    Left eye: pre-op → post-op
    Far
    0.6(0.7p)→1.5p(1.5)
    Near
    0.3(0.8)→0.9p(1.0)

    We have been using TECNIS PureSee ahead of its general release since July last year, and a patient scheduled for surgery at our clinic asked us…

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  7. Multifocal IOL2026.02.18

    Case #95: Man in his 60s from Yokohama, highly myopic eyes (WELL Fusion system = right eye: progressive multifocal lens MiniWELL PROXA + left eye: MiniWELL Ready)

    • 50s–60s
    • High myopia
    • MiniWELL (incl. PROXA)
    Right eye: pre-op → post-op
    Far
    0.05p(0.6p)→1.5(i.d.)
    Near
    0.2p(0.4p)→1.2
    Left eye: pre-op → post-op
    Far
    0.06(1.2)→1.5p(i.d.)
    Near
    0.15(1.0p)→1.2

    Inquiries have been increasing again recently, perhaps because of social media, so for the first time in a while we present a case with MiniWELL…

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  8. Multifocal IOL2026.01.21

    Case #94: Man in his 50s from Suginami, −3.0 D myopic eyes: diffractive penta-focal lens Intensity – How it differs from PanOptix Pro

    • 50s–60s
    • Myopia
    • Intensity
    Right eye: pre-op → post-op
    Far
    0.1(0.6)→1.2(1.5p)
    Near
    0.6(0.7p)→1.5
    Left eye: pre-op → post-op
    Far
    0.1(0.6)→1.5(i.d.)
    Near
    0.3(0.4)→1.2(1.5)

    We had not yet published such a case, so here we present a case with Intensity, a diffractive penta-focal lens whose specifications are close to…

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  9. Multifocal IOL2025.12.28

    Case #93: Woman in her 50s from Suginami, high myopia, single eye: trifocal lens Clareon PanOptix (introducing our multifocal lens selection support tool)

    • 50s–60s
    • High myopia
    • PanOptix Pro (incl. earlier model)
    • Single-eye surgery
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.03(1.5)→—
    Near
    (1.2p × SCL)→—
    No surgery
    Left eye: pre-op → post-op
    Far
    0.06p(0.7)→1.5p(1.5)
    Near
    0.09(0.7p)→1.5p

    Now that we have decided to start using the PanOptix Pro, here, for the first time in a while, is a brief case with the standard PanOptix. She had…

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  10. Multifocal IOL2025.11.05

    Case #92: Man in his 70s from Kisarazu, Chiba, eye with Clareon Vivity – ORA system-guided LRI: limbal relaxing incisions (astigmatism correction) using the ORA system

    • 70s or older
    • Emmetropia
    • Myopia
    • Clareon Vivity
    • Add-on and other lenses
    Right eye: pre-op → post-op
    —
    Left eye: pre-op → post-op
    Far
    0.5p(0.9p)→1.0(1.5p)
    Near
    0.15p(0.9)→0.6p(1.2p)

    As we mentioned previously, this is a case in which poor uncorrected vision due to residual astigmatism after surgery was corrected without…

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  11. Multifocal IOL2025.10.04

    Case #91: Man in his 70s from Itabashi, hybrid monovision (left eye TECNIS Eyhance → right eye TECNIS PureSee)

    • 70s or older
    • Emmetropia
    • TECNIS Eyhance
    • TECNIS PureSee
    • Single-eye surgery
    Right eye: pre-op → post-op
    Far
    0.9(1.0p)→1.5(n.c.)
    Near
    0.6(1.0p)→1.0p(1.2)
    Left eye: pre-op → post-op
    Far
    0.2(0.3p)→1.2p(1.5)
    Near
    0.2(0.3p)→0.7(1.2)

    Three months have passed since the general release of TECNIS PureSee, but little information, including at academic meetings, has come out about…

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  12. Multifocal IOL2025.09.17

    Case #90-2: Woman in her 50s from Yokohama, Kanagawa (right eye Eyhance Toric axis correction ⇒ exchange to Odyssey Toric in both eyes)

    • 50s–60s
    • High myopia
    • TECNIS Eyhance
    • TECNIS Odyssey
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.1p(1.5)→1.5(1.5)
    Near
    1.0p(1.5)→1.5
    Left eye: pre-op → post-op
    Far
    0.2p(1.5)→1.5(1.5)
    Near
    1.2p(1.5)→1.2

    This continues the case of the patient whose right eye Eyhance Toric axis was corrected. Her right eye had high corneal astigmatism, but it was clean…

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  13. Monofocal IOL2025.08.24

    Case #90-1: Woman in her 50s from Yokohama, Kanagawa (right eye Eyhance Toric axis correction ⇒ exchange to Odyssey Toric in both eyes)

    • 50s–60s
    • High myopia
    • TECNIS Eyhance
    • TECNIS Odyssey
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.1p(1.5)→1.5(1.5)
    Near
    1.0p(1.5)→1.5
    Left eye: pre-op → post-op
    Far
    0.2p(1.5)→1.5(1.5)
    Near
    1.2p(1.5)→1.2

    TECNIS PureSee, a new refractive extended depth of focus lens, has been released and the number of cases is rising rapidly, but it was pointed out to…

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  14. Multifocal IOL2025.04.16

    First case in Japan – Case #89: Man in his 40s from Suginami, single-eye atopic cataract (left eye: Lucidis); on TECNIS PureSee, Vivity Toric, Acriva Trinova Pro and PanOptix Pro

    • 40s or younger
    • Myopia
    • Lucidis
    • Single-eye surgery
    Right eye: pre-op → post-op
    Far
    1.5 (1.5)→1.5(1.5)
    Near
    0.5p(1.2)→0.5p(1.2)
    Right eye: no surgery
    Left eye: pre-op → post-op
    Far
    0.4p(0.6)→1.2 (1.5)
    Near
    0.3 (0.6)→1.2p(1.2)

    Lucidis, a refractive extended depth of focus multifocal lens, has recently been the subject of many inquiries. We have now operated on several eyes…

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  15. Monofocal IOL2024.10.09

    Case #88: Woman in her 50s from Yokohama, Kanagawa – single-eye series 1: highly myopic eye, mild monovision (TECNIS Eyhance Toric)

    • 50s–60s
    • High myopia
    • TECNIS Eyhance
    • Single-eye surgery
    • Monovision
    Right eye: pre-op → post-op
    Far
    0.4p(1.5)→0.4p(1.5)
    Near
    1.2 (n.c.)→1.2 (n.c.)
    Right eye: operated on 3 years earlierRight eye: already operated on, unchanged
    Left eye: pre-op → post-op
    Far
    0.03(0.8p)→1.5p(1.5)
    Near
    —→0.6p(1.5)

    In June 2021 we operated on her right eye for nuclear cataract using a toric (astigmatism-correcting) monofocal lens, and three years later she…

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  16. Multifocal IOL2024.06.23

    Case #87: Woman in her 40s from Osaka, high myopia (TECNIS Synergy ⇒ exchanged for a monofocal lens ⇒ EVOLVE multifocal add-on lens)

    • 40s or younger
    • High myopia
    • TECNIS Synergy
    • EVOLVE
    • Add-on and other lenses
    • Single-eye surgery
    Right eye: pre-op → post-op
    Far
    1.2p(1.5)→1.2p(1.5)
    Near
    0.1(1.2)→1.5 (n.c.)
    Left eye: pre-op → post-op
    Far
    0.02(1.2p)→—
    Near
    (1.0p × own CL)→—
    No surgery

    She first visited us in January 2024 for consultation about a multifocal add-on lens. She had no referral letter but brought test results from her…

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  17. Multifocal IOL2024.05.29

    Case #86: Woman in her 60s from Suginami, high myopia and nuclear cataract (both eyes: Clareon Vivity)

    • 50s–60s
    • High myopia
    • Clareon Vivity
    Right eye: pre-op → post-op
    Far
    0.03(0.7)→1.2(1.5)
    Near
    (0.4)→1.0p(1.2)
    Left eye: pre-op → post-op
    Far
    0.08(1.5)→1.5p(1.5)
    Near
    (1.0p)→1.2(i.d.)

    She had already scheduled cataract surgery with multifocal lenses in both eyes at another clinic, but felt uneasy about the lens choice, and first…

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  18. Multifocal IOL2024.04.10

    Case #85: Man in his 60s from Suginami, hyperopic eyes, mix-and-match (left eye: PanOptix ⇒ right eye: Vivity)

    • 50s–60s
    • Hyperopia
    • Clareon Vivity
    • PanOptix Pro (incl. earlier model)
    Right eye: pre-op → post-op
    Far
    0.4(0.6)→1.5p(1.5)
    Near
    0.3p(0.7p)→1.0 (1.2p)
    Left eye: pre-op → post-op
    Far
    0.4(0.6p)→1.2(1.5)
    Near
    0.2(0.5)→1.2p(n.c.)

    Two years earlier an optician had been unable to correct his vision fully and had recommended he see an eye doctor; he first visited us in October…

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  19. Multifocal IOL2024.03.24

    Case #84: Man in his 50s from Inzai, Chiba, mildly myopic eyes, mix-and-match (right eye: Vivity ⇒ left eye: PanOptix)

    • 50s–60s
    • Myopia
    • Clareon Vivity
    • PanOptix Pro (incl. earlier model)
    Right eye: pre-op → post-op
    Far
    0.3(0.6p)→1.5(i.d.)
    Near
    0.3(0.5)→0.8p(1.2)
    Left eye: pre-op → post-op
    Far
    0.3(0.8p)→1.5(i.d.)
    Near
    0.4(0.7p)→1.2(n.c.)

    He first visited us in February 2020 for consultation about cataract surgery because both eyes were hard to see with. Cortical opacity had reduced…

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  20. Multifocal IOL2024.02.07

    Case #83: Woman in her 70s from Suginami, hyperopic eyes, animation designer (right eye: Clareon PanOptix Toric / left eye: FineVision HP (POD F GF))

    • 70s or older
    • Hyperopia
    • PanOptix Pro (incl. earlier model)
    • FineVision HP (incl. earlier model)
    • Toric (astigmatism)
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.3(1.2)→1.5(i.d.)
    Near
    0.2(1.2)→1.0(1.2p)
    Left eye: pre-op → post-op
    Far
    0.9(1.2)→1.2(1.5)
    Near
    0.3(1.2)→1.0(1.2)

    She had first visited us about four years earlier for orbital cellulitis. Her cataracts had gradually progressed and, with a shift toward hyperopia,…

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  21. Multifocal IOL2024.01.17

    Case #82: Woman in her 50s from Nerima, hyperopic eye, lens exchange (right eye: diffractive trifocal PanOptix ➡ exchanged for wavefront-shaping EDOF multifocal lens Clareon Vivity)

    • 50s–60s
    • Hyperopia
    • Clareon Vivity
    • PanOptix Pro (incl. earlier model)
    Right eye: pre-op → post-op
    Far
    1.0(1.5)→1.0(1.5)
    Near
    1.2(i.d.)→1.0p(1.2)
    Left eye: pre-op → post-op
    Far
    0.8p(0.9p)→—
    No surgery

    She had single-eye (right) cataract surgery with PanOptix at another clinic 11 days earlier, but the halos were far worse than she had imagined and…

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  22. Multifocal IOL2023.10.04

    Case #81: Woman in her 60s from Shinjuku, hyperopic eyes (diffractive trifocal lens: FineVision HP (POD F GF))

    • 50s–60s
    • Hyperopia
    • FineVision HP (incl. earlier model)
    Right eye: pre-op → post-op
    Far
    0.3p (1.5)→1.5(i.d.)
    Near
    Not measured→1.2(i.d.)
    Left eye: pre-op → post-op
    Far
    0.3 (0.8)→1.5p(1.5)
    Near
    Not measured→1.2(i.d.)

    Because we have recently received many inquiries, we present our clinic's first case with FineVision HP (POD F GF). She had noticed difficulty seeing…

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  23. Multifocal IOL2023.09.24

    Case #80: Woman in her 60s from Musashino, after LASIK (left eye: trifocal multifocal lens Clareon PanOptix ⇒ right eye: wavefront-shaping/extended depth of focus EDOF multifocal lens Clareon Vivity)

    • 50s–60s
    • Hyperopia
    • After LASIK
    • Clareon Vivity
    • PanOptix Pro (incl. earlier model)
    Right eye: pre-op → post-op
    Far
    0.9(1.2)→1.2(i.d.)
    Near
    0.09(1.2)→0.7p(1.2)
    Left eye: pre-op → post-op
    Far
    0.2(0.5)→1.2(1.5)
    Near
    0.06(0.4)→1.2p(1.2)

    She had been told of cataracts at a check-up a month earlier and advised to have surgery, and first visited us in February 2023 for consultation…

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  24. Multifocal IOL2023.08.27

    Case #79: Man in his 60s from Suginami, high myopia + combined MIGS (glaucoma surgery) (wavefront-shaping/extended depth of focus EDOF multifocal lens: Clareon Vivity)

    • 50s–60s
    • High myopia
    • Clareon Vivity
    Right eye: pre-op → post-op
    Far
    0.03(0.9p)→1.2(1.5)
    Near
    0.09(0.5)→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.03(1.2)→1.5(i.d.)
    Near
    0.2(1.2)→0.9p(1.2)

    High intraocular pressure was found at a medical check-up, and when he visited a local eye doctor, cataracts were also found; he first visited us…

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  25. Multifocal IOL2023.07.26

    Case #78: Woman in her 70s from Yamato, Kanagawa, mildly myopic eyes + postoperative negative dysphotopsia (wavefront-shaping EDOF lens: Clareon Vivity)

    • 70s or older
    • Myopia
    • Clareon Vivity
    Right eye: pre-op → post-op
    Far
    0.2(0.9)→1.5p(1.5)
    Near
    0.5(0.9)→0.7(1.2)
    Left eye: pre-op → post-op
    Far
    0.5(1.0)→1.2(1.5) → after ROC: 1.0(1.5)
    Near
    0.2(1.2)→0.8(1.2) → after ROC: 1.2p(1.2)

    This is our clinic's second Clareon Vivity case. We had planned to publish it a little sooner, but after surgery negative dysphotopsia (ND), one of…

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  26. Multifocal IOL2023.06.11

    Case #77: Man in his 50s from Kawasaki, Kanagawa, mildly hyperopic eyes (wavefront-shaping/extended depth of focus EDOF multifocal lens: Clareon Vivity)

    • 50s–60s
    • Hyperopia
    • Clareon Vivity
    Right eye: pre-op → post-op
    Far
    0.8(1.0)→1.2(1.5)
    Near
    0.5(0.9)→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.9(1.2)→1.5(2.0)
    Near
    0.5(0.9)→0.7(1.0)

    He had been told of cataracts at another clinic five years earlier and first visited us without a referral letter, asking, "Should I have surgery?"…

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  27. Multifocal IOL2023.05.31

    Case #76: Woman in her 30s from Suginami, internal medicine physician: high myopia, single-eye surgery (extended depth of focus multifocal lens: MiniWELL Ready)

    • 40s or younger
    • High myopia
    • MiniWELL (incl. PROXA)
    • Single-eye surgery
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.03p(0.2)→1.5p(1.5)
    Near
    (0.2)→1.2 (n.c.)
    Left eye: pre-op → post-op
    Far
    0.03(1.5)→—
    Near
    (1.0)→—
    No surgery

    This is a somewhat older case, but to avoid bias in the lenses we feature, here is a single-eye case with the MiniWELL Ready. She first visited us…

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  28. Multifocal IOL2023.03.15

    Case #75: Woman in her 60s from Mitaka, high myopia (toric continuous-focus multifocal lens: TECNIS Synergy Toric) – Issues with the ORA intraoperative wavefront aberrometer, and more

    • 50s–60s
    • High myopia
    • TECNIS Synergy
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.07(0.5p)→1.2(1.5)
    Near
    0.2p(0.6)→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.05p(0.6)→1.5p(n.c.)
    Near
    0.08(0.6)→1.2p(n.c.)

    She first visited us with a referral letter from her previous doctor for consultation about cataract surgery, and wished to have surgery with…

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  29. Monofocal IOL2023.01.25

    Case #74: Woman in her 70s living overseas, myopic eye, single-eye surgery (left eye: TECNIS Eyhance)

    • 70s or older
    • Myopia
    • TECNIS Eyhance
    • Single-eye surgery
    Right eye: pre-op → post-op
    Far
    1.0p(1.5)→—
    Near
    0.6(1.2)→—
    No surgery
    Left eye: pre-op → post-op
    Far
    0.1p(0.3)→1.5(n.c.)
    Near
    0.3p(n.c.)→0.9(1.2)

    Now that the launch of Clareon® Vivity™ in Japan appears to be largely settled, here is a case in which the patient was torn between Vivity and…

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  30. Multifocal IOL2022.12.18

    Case #73: Man in his 50s from Suginami, anterior capsule fibrosis & long eyes (right eye: trifocal toric multifocal lens Clareon PanOptix Toric; left eye: Clareon PanOptix)

    • 50s–60s
    • Myopia
    • PanOptix Pro (incl. earlier model)
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.4(0.6)→1.5(n.c.)
    Near
    0.5p(0.9)→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.1(0.4)→1.5(n.c.)
    Near
    0.6p(i.d.)→1.2(n.c.)

    Six months earlier, a health check-up had suggested cataracts, and another eye clinic diagnosed them. He then first visited us without a referral…

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  31. Multifocal IOL2022.11.13

    Case #72: Man in his 50s from Moriya, Ibaraki, extreme myopia set for distance (sector-shaped refractive bifocal lens: LENTIS Comfort)

    • 50s–60s
    • High myopia
    • LENTIS Comfort
    Right eye: pre-op → post-op
    Far
    0.02(0.7)→1.5p(1.5)
    Near
    (0.6)→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.02(1.2)→1.5p(1.5)
    Near
    (1.0p)→1.2p(1.2)

    He had been told he had cataracts three years earlier and first visited us for consultation about surgery. He came from Ibaraki Prefecture and, from…

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  32. Monofocal IOL2022.09.24

    Case #71: Woman in her 70s from Koganei, former announcer (monofocal lenses: mild monovision)

    • 70s or older
    • Hyperopia
    • Myopia
    • Monovision
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.7(0.9)→1.0(1.2)
    Near
    0.3(0.9)→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.2(0.9)→1.2(1.5)
    Near
    0.3(0.9)→0.7(1.2)

    She had been diagnosed with cataracts ten years earlier and treated with eye drops, but as her vision worsened she decided on surgery, and she first…

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  33. Multifocal IOL2022.09.23

    Case #70: Woman in her 60s from Shizuoka City, hyperopic eyes, WELL FUSION System® (right eye: MiniWELL Ready / left eye: MiniWELL PROXA)

    • 50s–60s
    • Hyperopia
    • MiniWELL (incl. PROXA)
    Right eye: pre-op → post-op
    Far
    0.9p(1.5)→1.5(2.0p)
    Near
    0.3p(1.0)→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.2(n.c.)→1.5p(1.5)
    Near
    0.09p(0.1)→1.2(n.c.)

    She first visited us from Shizuoka City with a referral letter for consultation about cataract surgery with multifocal lenses. Counting her previous…

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  34. Monofocal IOL2022.09.13

    Case #69: Woman in her 60s from Setagaya, high myopia (TECNIS Eyhance Toric: micro-monovision set for intermediate distance)

    • 50s–60s
    • High myopia
    • TECNIS Eyhance
    • Toric (astigmatism)
    • Monovision
    Right eye: pre-op → post-op
    Far
    0.15(0.2)→0.7p(1.5)
    Near
    0.1(0.15)→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.09(0.2)→1.2p(1.5p)
    Near
    0.1p(0.2p)→0.7p(1.2)

    She first visited us for consultation about cataract surgery because things had been hard to see for a year. From the power of her previous glasses…

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  35. Multifocal IOL2022.08.28

    Case #68: Man in his 50s from Suginami, extreme myopia (continuous-focus multifocal lens: TECNIS Synergy +5.0 D)

    • 50s–60s
    • High myopia
    • TECNIS Synergy
    Right eye: pre-op → post-op
    Far
    0.03(1.0)→2.0p(2.0)
    Near
    —→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.03(0.8)→2.0(n.c.)
    Near
    —→1.5p(n.c.)

    He had come to us two years earlier for the ward's glaucoma screening, and returned after six months because his left eye had become hard to see…

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  36. Multifocal IOL2022.07.10

    Case #67: Woman in her 60s from Suginami, single-eye surgery after LASIK (left eye: trifocal multifocal lens Clareon PanOptix), with the differences and features of TECNIS Synergy

    • 50s–60s
    • Hyperopia
    • After LASIK
    • PanOptix Pro (incl. earlier model)
    • Single-eye surgery
    Right eye: pre-op → post-op
    Far
    1.0 (1.5)→1.0 (1.5)
    Near
    0.8 (n.c.)→0.8 (n.c.)
    No surgery
    Left eye: pre-op → post-op
    Far
    0.4 (n.c.)→1.2 (1.5)
    Near
    0.4p(n.c.)→1.2 p(1.2)

    She first visited us for consultation about surgery with a multifocal lens in one eye. She had had LASIK in both eyes, and in the right eye also a…

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  37. Multifocal IOL2022.06.05

    Case #66: Woman in her 50s from Suginami, high hyperopia after laser iridotomy, single-eye surgery (left eye: trifocal multifocal lens Clareon PanOptix)

    • 50s–60s
    • Hyperopia
    • PanOptix Pro (incl. earlier model)
    • Single-eye surgery
    Right eye: pre-op → post-op
    Far
    1.0(1.5)→1.0(1.5)
    Near
    0.2(1.2)→0.2(1.2)
    Right eye (no surgery)
    Left eye: pre-op → post-op
    Far
    0.15(1.2)→1.2(1.5)
    Near
    0.1 (1.2)→1.2(n.c.)

    This is a case of a multifocal lens in one eye of a patient with high hyperopia. She originally first visited us five years earlier, when we had just…

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  38. Monofocal IOL2022.05.25

    Case #65: Man in his 50s from Setagaya, lens power selection by ORA™ System intraoperative wavefront aberrometry (single-eye surgery, right eye: TECNIS Eyhance)

    • 50s–60s
    • Hyperopia
    • TECNIS Eyhance
    • Single-eye surgery
    Right eye: pre-op → post-op
    Far
    0.09(0.3p)→1.2 (1.5)
    Near
    0.3(0.5p)→0.9 (1.2)
    Left eye: pre-op → post-op
    Far
    1.5 (n.c.)→1.5 (n.c.)
    Near
    0.4p(1.2)→0.4p(1.2)
    Left eye: no surgery

    Six months earlier he had been diagnosed with cataract by his previous doctor because of blurred and reduced vision in the right eye, and had…

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  39. Multifocal IOL2022.04.29

    Case #64: Man in his 60s from Suginami, extreme myopia: avoiding refractive error with an intraoperative wavefront aberrometer (WELL FUSION System®: right eye MiniWELL Ready / left eye MiniWELL PROXA)

    • 50s–60s
    • High myopia
    • MiniWELL (incl. PROXA)
    Right eye: pre-op → post-op
    Far
    0.02(1.2)→1.5(n.c.)
    Near
    (0.6 x SCL)→1.0(1.2)
    Left eye: pre-op → post-op
    Far
    0.03(1.2)→1.0(1.2)
    Near
    (0.8 x SCL)→1.2(n.c.)

    He first visited us for consultation about cataract surgery with multifocal lenses because things had been hard to see for a year. Both eyes had…

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  40. Multifocal IOL2022.03.23

    Case #63: Man in his 60s from Machida, high myopia, dissatisfaction with MiniWELL PROXA: removal and exchange for MiniWELL Toric

    • 50s–60s
    • High myopia
    • MiniWELL (incl. PROXA)
    • Toric (astigmatism)
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.03(0.5p)→1.5p(1.5)
    Near
    —→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.03(0.5)→1.2(1.5)
    Near
    —→1.2(n.c.)

    We have experienced a case, probably without precedent in Japan, of "removal of MiniWELL PROXA and exchange for MiniWELL Ready Toric," and would like…

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  41. Multifocal IOL2022.03.09

    Case #62: Woman in her 50s from Bunkyo, high myopia with glaucoma, single-eye surgery (toric continuous-focus lens: TECNIS Synergy Toric)

    • 50s–60s
    • High myopia
    • Glaucoma
    • TECNIS Synergy
    • Single-eye surgery
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.05(1.5)→—
    Near
    (1.2)→—
    No surgery
    Left eye: pre-op → post-op
    Far
    0.02(0.5)→1.5(n.c.)
    Near
    (0.5p)→1.2(n.c.)

    We received a request for a case of multifocal lenses in a patient with glaucoma, so we present one here. She had noticed reduced vision in her left…

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  42. Monofocal IOL2022.02.02

    Case #61: Man in his 60s from Suginami, high myopia with macular edema (toric extended depth of focus monofocal lens: TECNIS Eyhance Toric)

    • 50s–60s
    • High myopia
    • TECNIS Eyhance
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.03(0.5)→0.8(1.2)
    Near
    —→0.9(1.2)
    Left eye: pre-op → post-op
    Far
    0.03(0.7)→1.0(1.5)
    Near
    —→0.7(1.0)

    He first visited us in September 2020 for consultation about cataract surgery with multifocal lenses, because for two months it had felt as if too…

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  43. Multifocal IOL2022.01.12

    Case #60: Man in his 50s from Hachioji, editor (segmental refractive bifocal lens: LENTIS Comfort)

    • 50s–60s
    • Hyperopia
    • Myopia
    • LENTIS Comfort
    Right eye: pre-op → post-op
    Far
    1.0p(1.2)→1.5p(1.5)
    Near
    0.1→1.0(1.2)
    Left eye: pre-op → post-op
    Far
    0.08(0.1)→1.5(n.c.)
    Near
    —→1.0p(1.2)

    An optician pointed out his poor vision and his previous doctor prescribed glasses, but he was not satisfied with how he saw, and he first visited us…

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  44. Multifocal IOL2022.01.01

    Case #59: 30-year-old man from Setagaya, left eye: continuous-focus toric TECNIS Synergy (right eye: TECNIS Multifocal seven years earlier)

    • 40s or younger
    • High myopia
    • TECNIS Multifocal
    • TECNIS Synergy
    • Single-eye surgery
    Right eye: pre-op → post-op
    Far
    1.0p(1.2)→1.0p(1.2)
    Near
    1.0 (1.2)→1.0 (1.2)
    Right eye (no surgery): TECNIS Multifocal
    Left eye: pre-op → post-op
    Far
    0.1(0.4p)→1.5 (i.d.)
    Near
    —→1.5p(1.5)

    By request, here is our third cataract surgery case in a young patient. About seven years ago, while I was working at a university hospital, I…

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  45. Multifocal IOL2021.12.31

    Case #58: Man in his 60s from Chofu, toric diffractive trifocal lens FineVision plus a monofocal add-on lens

    • 50s–60s
    • Hyperopia
    • FineVision HP (incl. earlier model)
    • Add-on and other lenses
    Right eye: pre-op → post-op
    Far
    1.0(1.5)→1.2p(1.5)
    Near
    0.2(1.0)→1.0(n.c.)
    Left eye: pre-op → post-op
    Far
    0.6(1.5)→1.5p(1.5)
    Near
    0.2(1.0)→0.9p(1.0)

    Two years earlier his previous doctor had performed cataract surgery with the toric FineVision Toric, a diffractive trifocal lens, but his eyes had…

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  46. Multifocal IOL2021.11.28

    Case #57: Woman in her 70s from Musashino, a dissatisfied case, high myopia (continuous-focus multifocal lens: TECNIS Synergy)

    • 70s or older
    • High myopia
    • TECNIS Synergy
    Right eye: pre-op → post-op
    Far
    0.03(1.2p)→1.5(i.d.)
    Near
    —→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.03(0.6)→1.5p(1.5)
    Near
    —→1.2(n.c.)

    An eye check-up had pointed out cataracts, and an ophthalmologist at a nearby university hospital recommended our clinic, so she first visited us.…

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  47. Multifocal IOL2021.11.14

    Case #56: Woman in her 70s from Musashino, oil painter (segmental refractive bifocal lens: LENTIS Comfort)

    • 70s or older
    • Hyperopia
    • LENTIS Comfort
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.3p(0.4p)→1.2(1.5)
    Near
    —→1.0(1.2)
    Left eye: pre-op → post-op
    Far
    0.4 (0.8)→1.2p(1.2)
    Near
    —→0.8p(1.0)

    She usually attends an eye hospital in Tokyo every four months, but three days earlier her vision had suddenly become much hazier, and she first…

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  48. Multifocal IOL2021.10.31

    Case #55: Man in his 50s from Mitaka, high myopia (right eye: continuous-focus toric TECNIS Synergy Toric; left eye: TECNIS Synergy, lens exchange case)

    • 50s–60s
    • High myopia
    • TECNIS Synergy
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.05 (0.2p)→2.0(n.c.)
    Near
    —→1.0(n.c.)
    Left eye: pre-op → post-op
    Far
    0.05p(0.8)→1.5 (n.c.)
    Near
    —→1.0 (n.c.)
    Left eye after exchange

    A check-up six months earlier had pointed out cataracts, and because blurring in his right eye was severe and inconvenient in daily life, he first…

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  49. Monofocal IOL2021.10.17

    Case #54: Woman in her 70s from Akishima, extended depth of focus monofocal lens: TECNIS Eyhance (early use)

    • 70s or older
    • Hyperopia
    • TECNIS Eyhance
    Right eye: pre-op → post-op
    Far
    0.3(0.4p)→1.0(1.5p)
    Near
    —→0.4(1.0)
    Left eye: pre-op → post-op
    Far
    0.3(0.4)→0.9(1.5p)
    Near
    —→0.8p(1.0)

    Her younger sister had had cataract surgery at our clinic (monofocal), and she first visited us on referral from a nearby university hospital. Both…

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  50. Multifocal IOL2021.09.29

    Case #53: Second case in Japan: man in his 50s from Tokyo, pediatrician (extreme myopia: progressive multifocal lens MiniWELL PROXA, WELL Fusion System)

    • 50s–60s
    • High myopia
    • MiniWELL (incl. PROXA)
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.04(0.4p)→1.2(1.5)
    Near
    —→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.03p(0.5p)→1.2(n.c.)
    Near
    —→1.2(n.c.)

    This is the second case in Japan of MiniWELL PROXA. He is a pediatrician (a man in his 50s) who first visited us with a referral letter from a nearby…

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  51. Multifocal IOL2021.09.23

    Case #52: Man in his 60s from Suginami, extreme myopia (continuous-focus multifocal lens: TECNIS Synergy)

    • 50s–60s
    • High myopia
    • TECNIS Synergy
    Right eye: pre-op → post-op
    Far
    0.02(0.5)→1.5 (n.c.)
    Near
    —→1.2p(n.c.)
    Left eye: pre-op → post-op
    Far
    0.03(1.2)→1.5(n.c.)
    Near
    —→1.5(n.c.)

    A nearby clinic had pointed out cataracts about three years earlier, and he first visited us because he was considering surgery and wanted to hear…

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  52. Multifocal IOL2021.08.16

    Case #51: First case in Japan: woman in her 60s from Musashino, progressive multifocal lenses (right eye: MiniWELL; left eye: MiniWELL PROXA)

    • 50s–60s
    • Myopia
    • MiniWELL (incl. PROXA)
    Right eye: pre-op → post-op
    Far
    0.7p(1.0p)→1.5(n.c.)
    Near
    0.7 (1.0p)→1.5(n.c.)
    Left eye: pre-op → post-op
    Far
    1.0p(1.2)→1.2(1.5)
    Near
    0.6p(1.0)→1.5(n.c)

    A city health check had pointed out cataracts about three years earlier and she had been seeing a nearby clinic, but in the past two to three months…

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  53. Monofocal IOL2021.07.07

    Case #50: Woman in her 40s from Yokohama, Kanagawa (high myopia, single eye: toric monofocal lens)

    • 40s or younger
    • High myopia
    • Single-eye surgery
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.03(0.2p)→0.4p(1.5)
    Near
    —→1.2 (n.c.)
    Left eye: pre-op → post-op
    No surgery

    She is also in her 40s; this is a case of single-eye surgery in which she chose a monofocal lens. Another clinic had pointed out a cataract in her…

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  54. Multifocal IOL2021.06.23

    Case #49: Man in his early 40s from Koganei, TV production director (segmental bifocal lens: LENTIS Comfort)

    • 40s or younger
    • Myopia
    • LENTIS Comfort
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.3(0.4)→1.5(n.c.)
    Near
    —→1.2p(n.c.)
    Left eye: pre-op → post-op
    Far
    0.7p(n.c.)→1.2(1.5p)
    Near
    —→1.2(n.c.)

    The patient himself told us, "There's so little information about young people that I struggled, so please publish my case," so here is the case of a…

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  55. Multifocal IOL2021.06.12

    Case #48: Woman in her 60s from Nishitokyo (continuous-focus multifocal lens: TECNIS Synergy Toric)

    • 50s–60s
    • Myopia
    • TECNIS Synergy
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.09(0.4)→1.5p(1.5)
    Near
    0.3 (0.4)→1.5 (n.c.)
    Left eye: pre-op → post-op
    Far
    0.1(1.0)→1.5(n.c.)
    Near
    1.0(1.2)→1.2(1.5)

    An optician recommended she see an eye doctor because of poor vision in the right eye that could not be corrected, so she first visited us. As for…

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  56. Multifocal IOL2021.04.29

    Case #47: Woman in her 60s from Suginami (continuous-focus multifocal lens: TECNIS Synergy)

    • 50s–60s
    • Myopia
    • TECNIS Synergy
    Right eye: pre-op → post-op
    Far
    0.3(1.0p)→1.5p(1.5)
    Near
    0.6(1.0)→1.2p(n.c.)
    Left eye: pre-op → post-op
    Far
    0.06(0.4)→1.5p(1.5)
    Near
    0.1(0.3)→1.2p(n.c.)

    She first visited us for consultation about cataract surgery with multifocal lenses because for three months her left eye had been blurry and hard to…

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  57. Multifocal IOL2020.10.14

    Case #46: Woman in her 70s from Suginami (segmental bifocal lens: LENTIS Comfort)

    • 70s or older
    • Hyperopia
    • LENTIS Comfort
    Right eye: pre-op → post-op
    Far
    1.2(n.c.)→1.5(n.c.)
    Near
    0.2(1.0)→1.0(n.c.)
    Left eye: pre-op → post-op
    Far
    1.2(n.c.)→1.5(n.c.)
    Near
    0.2(1.0)→1.0(n.c.)

    The wife of a patient who had cataract surgery at our clinic three years earlier came for cataract consultation after a year, because driving at…

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  58. Monofocal IOL2020.09.20

    Case #45: Man in his 60s from Suginami (extreme myopia: monofocal lenses)

    • 50s–60s
    • High myopia
    Right eye: pre-op → post-op
    Far
    0.02(0.4)→0.5(1.5)
    Near
    —→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.04(1.2)→0.6(1.5)
    Near
    —→1.2(n.c.)

    He first visited us for cataract consultation because his right eye had been hard to see with for three to four years. He had high myopia, about…

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  59. Multifocal IOL2020.03.04

    Case #44: Woman in her 60s from Nerima (high myopia with nuclear cataract, toric trifocal intraocular lens: PanOptix Toric)

    • 50s–60s
    • High myopia
    • PanOptix Pro (incl. earlier model)
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.05(0.7)→1.2(1.5p)
    Near
    —→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.08(0.8)→1.2(1.5p)
    Near
    —→1.2(n.c.)

    She is a soft contact lens user with high myopia of about −9.0 D, and first visited us for cataract consultation because both distance and near were…

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  60. Multifocal IOL2020.01.19

    Case #43: Man in his 50s from Chiba City, Chiba, airport worker (extreme myopia: MiniWELL Ready)

    • 50s–60s
    • High myopia
    • Glaucoma
    • MiniWELL (incl. PROXA)
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.03(0.3)→1.5p(1.5)
    Near
    —→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.1(0.8p)→1.5p(1.5)
    Near
    —→1.2(n.c)

    Since we have recently had many inquiries about MiniWELL and AcrivaUD Trinova, we add this case, though somewhat old, from May 2019. Also, through…

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  61. Multifocal IOL2020.01.15

    Case #42: Woman in her 60s from Kokubunji (extreme myopia, extended depth of focus multifocal lens: MiniWELL Ready)

    • 50s–60s
    • High myopia
    • MiniWELL (incl. PROXA)
    Right eye: pre-op → post-op
    Far
    0.09(0.7)→1.0(1.5)
    Near
    —→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.06(1.0)→1.2(1.5)
    Near
    —→1.2(n.c.)

    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…

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  62. Multifocal IOL2020.01.12

    Case #41: Man in his 60s from Suginami, taxi driver (trifocal multifocal lens: PanOptix)

    • 50s–60s
    • Hyperopia
    • PanOptix Pro (incl. earlier model)
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.6(1.0)→1.5(n.c.)
    Near
    —→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.5(n.c.)→1.2(n.c.)
    Near
    —→1.0(n.c.)

    Cataracts had been pointed out two years earlier and he was being monitored at another clinic, but he first visited us wishing for cataract surgery…

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  63. Multifocal IOL2019.12.01

    Case #40: Woman in her 60s from Suginami (extreme myopia with nuclear cataract, toric trifocal intraocular lens: PanOptix Toric)

    • 50s–60s
    • High myopia
    • PanOptix Pro (incl. earlier model)
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.03(0.9p)→1.5p(1.5)
    Near
    —→1.2(n.c.)
    Left eye: pre-op → post-op
    Far
    0.03(0.9)→1.5(n.c.)
    Near
    —→1.2(n.c.)

    She had always been highly myopic and first visited us worried about cataracts and glaucoma. Both eyes had advanced myopic nuclear cataracts of about…

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  64. Multifocal IOL2019.11.10

    Case #39: Woman in her 60s from Suginami (cortical cataract with hyperopia, trifocal multifocal lens: PanOptix)

    • 50s–60s
    • Hyperopia
    • PanOptix Pro (incl. earlier model)
    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.)

    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…

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  65. Multifocal IOL2019.10.19

    Case #38: Woman in her 50s from Nishitokyo (after LASIK, left eye: trifocal multifocal lens PanOptix)

    • 50s–60s
    • Myopia
    • After LASIK
    • PanOptix Pro (incl. earlier model)
    Right eye: pre-op → post-op
    Far
    1.2p(1.5)→—
    Near
    0.4(1.0)→—
    No surgery
    Left eye: pre-op → post-op
    Far
    0.2p(0.5p)→1.2(n.c.)
    Near
    0.4(0.5)→1.0p(1.0)

    She had a cataract after LASIK in one eye, and because intraocular lens power calculation was said to be difficult, she was referred onward to us…

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  66. Multifocal IOL2019.10.14

    Case #37: Woman in her 70s from Setagaya (hyperopic eyes, trifocal multifocal lens: PanOptix)

    • 70s or older
    • Hyperopia
    • PanOptix Pro (incl. earlier model)
    Right eye: pre-op → post-op
    Far
    0.3(0.4)→1.2(n.c.)
    Near
    —→1.5(n.c.)
    Left eye: pre-op → post-op
    Far
    0.3(0.4)→0.9(1.0)
    Near
    —→1.0(1.2)

    A friend who works in insurance and had had surgery at our clinic recommended us, and she first visited wishing for cataract surgery with multifocal…

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  67. Multifocal IOL2019.10.13

    Case #36: Woman in her 40s from Nerima (traumatic cataract, single eye: toric trifocal multifocal lens PanOptix Toric)

    • 40s or younger
    • Myopia
    • PanOptix Pro (incl. earlier model)
    • Single-eye surgery
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.9p(1.2)→—
    No surgery
    Left eye: pre-op → post-op
    Far
    0.2(n.c.)→1.2(1.5p)
    Near
    —→1.0(1.5)

    Another clinic had pointed out a traumatic cataract in one eye, and she first visited us for surgery. She had been injured in a traffic accident in…

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  68. Multifocal IOL2019.09.01

    Case #35: Woman in her 50s from Suginami (extreme myopia, single eye: toric trifocal multifocal lens PanOptix Toric)

    • 50s–60s
    • High myopia
    • PanOptix Pro (incl. earlier model)
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.04(0.4)→1.2(1.5)
    Near
    —→1.2p(n.c.)
    Left eye: pre-op → post-op
    Far
    0.04(0.9p)→—
    No surgery

    She first visited us for cataract consultation because of floaters and light feeling dazzling. She had extreme myopia exceeding −10 D, and besides…

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  69. Multifocal IOL2019.08.17

    Case #34: Man in his 60s from Suginami (right eye: trifocal intraocular lens PanOptix; left eye: ActiveFocus)

    • 50s–60s
    • Hyperopia
    • AcrySof ActiveFocus
    • PanOptix Pro (incl. earlier model)
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.6(1.0)→1.5p(1.5)
    Near
    —→1.2p(1.2)
    Left eye: pre-op → post-op
    Far
    0.4(0.6)→1.2(1.5)
    Near
    —→0.9(1.0)

    He first visited us more than a year earlier for cataract consultation because both far and near were hard to see. At that time the cataracts were…

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  70. Monofocal IOL2019.08.14

    Case #33: Woman in her 70s from Suginami, hyperopic eyes (monofocal lenses: near target)

    • 70s or older
    • Hyperopia
    Right eye: pre-op → post-op
    Far
    0.2(0.8x S+1.75D)→0.1(1.2x S-2.75D)
    Left eye: pre-op → post-op
    Far
    0.3(0.4x S+1.75D)→0.2(1.2x S-2.25D)

    She first came to us with eye pain from a corneal erosion, and asked about surgery because her mother had become almost blind from cataracts. Because…

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  71. Monofocal IOL2019.08.04

    Case #32: Woman in her 60s from Chofu, mildly myopic eyes (cortical cataract: monofocal lenses), distance target

    • 50s–60s
    • Myopia
    Right eye: pre-op → post-op
    Far
    0.8(1.2)→1.5p(1.5)
    Left eye: pre-op → post-op
    Far
    0.5(0.6)→1.5(n.c.)

    Another clinic had pointed out cataracts two years earlier, and for six months she had subjectively found both far and near hard to see, so she first…

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  72. Multifocal IOL2019.07.13

    Case #31: Woman in her 50s from Asaka, single-eye surgery (after LASIK, extended depth of focus multifocal lens: TECNIS Symfony)

    • 50s–60s
    • Myopia
    • After LASIK
    • TECNIS Symfony
    • Single-eye surgery
    Right eye: pre-op → post-op
    Far
    0.9(1.5)→—
    No surgery
    Left eye: pre-op → post-op
    Far
    0.4(0.4)→1.0(1.5)
    Near
    —→1.2(1.2)

    She had a cataract in one eye after LASIK and first visited us wishing for cataract surgery with a multifocal lens. Because LASIK removes corneal…

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  73. Multifocal IOL2019.07.03

    Case #30: Man in his 60s from Yokohama, Kanagawa (blended vision: extended depth of focus multifocal lens TECNIS Symfony)

    • 50s–60s
    • Myopia
    • TECNIS Symfony
    • TECNIS Multifocal
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    1.5(n.c.)→1.5(n.c.)
    Near
    1.0(1.2)→1.0(1.2)
    Right eye (operated on elsewhere)
    Left eye: pre-op → post-op
    Far
    0.5(0.8)→1.2(2.0)
    Near
    0.9(n.c.)→0.9(1.2)

    He had had cataract surgery on his right eye with a multifocal lens at a university hospital, and was referred to us wishing to have the left eye…

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  74. Multifocal IOL2019.06.09

    Case #29: Man in his 50s from Chuo (high myopia, extended depth of focus multifocal lens: MiniWELL Ready)

    • 50s–60s
    • High myopia
    • MiniWELL (incl. PROXA)
    • Single-eye surgery
    Right eye: pre-op → post-op
    Far
    0.03(0.7)→1.2(1.5)
    Near
    —→1.5(n.c.)
    Left eye: pre-op → post-op
    Far
    0.05(0.9)→—
    No surgery

    He first visited us with reduced vision from a nuclear cataract that had progressed after vitreous surgery. He had always been highly myopic in both…

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  75. Multifocal IOL2019.06.05

    Case #28: Man in his 70s from Kokubunji (multifocal lens: toric ActiveFocus)

    • 70s or older
    • Hyperopia
    • AcrySof ActiveFocus
    • Toric (astigmatism)
    Right eye: pre-op → post-op
    Far
    0.4(1.2)→1.5(n.c.)
    Near
    —→0.9(1.0)
    Left eye: pre-op → post-op
    Far
    0.2p(0.4)→1.2(1.5)
    Near
    —→0.7p(1.0)

    He is an acquaintance of a patient who had cataract surgery with multifocal lenses at our clinic (Cataract Surgery Case #21), and was referred to us…

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  76. Multifocal IOL2019.05.26

    Case #27: Woman in her 70s from Nerima (extended depth of focus multifocal lens: TECNIS Symfony)

    • 70s or older
    • High myopia
    • TECNIS Symfony
    Right eye: pre-op → post-op
    Far
    0.05(0.07)→0.9(1.5)
    Near
    —→1.2p(1.2)
    Left eye: pre-op → post-op
    Far
    0.3(0.5p)→1.0(1.5)
    Near
    —→1.0(1.2p)

    She was referred by the ophthalmology department of a general hospital for consultation about multifocal intraocular lenses. There was little…

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  77. Monofocal IOL2019.04.14

    Case #26: Woman in her 90s from Nakano (monofocal lenses: intermediate distance, −1.0 D target)

    • 70s or older
    • Hyperopia
    Right eye: pre-op → post-op
    Right eye: 0.3(0.5)Right eye: 0.5(1.2p)
    Left eye: pre-op → post-op
    Left eye: 0.5(0.6)Left eye: 0.8(1.2)

    Things had been hard to see for several years, and another clinic had pointed out cataracts; she first visited us for surgery, accompanied by her…

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  78. Monofocal IOL2019.03.20

    Case #25: Man in his 60s from Suginami (after an acute glaucoma attack: monofocal lens, monovision)

    • 50s–60s
    • Myopia
    • Single-eye surgery
    • Monovision
    Right eye: pre-op → post-op
    Right0.3(1.2)0.2(1.5)
    Left eye: pre-op → post-op
    Left1.5(n.c) → surgery elsewhereNo surgery

    He first visited us with recurring temporary heaviness, redness and blurring in his right eye; his eye pressure was high at 50 mmHg (normal is 21…

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  79. Multifocal IOL2019.03.15

    Case #24: Man in his 40s from Musashino, high myopia (extended depth of focus multifocal lens: MiniWELL Ready)

    • 40s or younger
    • High myopia
    • MiniWELL (incl. PROXA)
    • Single-eye surgery
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    —
    Left eye: pre-op → post-op
    Far
    0.03(0.7)→1.2(1.5)
    Near
    —→1.2(n.c.)

    He first visited us with reduced vision from an advanced nuclear cataract in one eye. He works as a magazine editor and enjoys diving and photography…

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  80. Multifocal IOL2019.02.17

    Case #23: Man in his 50s from Koganei, trifocal plus extended depth of focus multifocal lens: AcrivaUD Trinova

    • 50s–60s
    • Hyperopia
    • Acriva Trinova Pro (incl. earlier model)
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.7(1.2)→1.5(n.c.)
    Near
    0.15(1.0)→1.0(n.c.)
    Left eye: pre-op → post-op
    Far
    0.7(1.2)→1.5(n.c.)
    Near
    0.15(1.0)→1.0(n.c.)

    He first visited us wishing for cataract surgery with multifocal lenses, his main complaints being difficulty seeing from cortical cataracts and the…

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  81. Monofocal IOL2019.02.03

    Case #22: Woman in her 50s from Maebashi, Gunma (extreme myopia: monofocal lenses, monovision)

    • 50s–60s
    • High myopia
    • Monovision
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.01(0.2)→0.5p(1.5)
    Near
    —→1.2p(n.c.)
    Right
    Left eye: pre-op → post-op
    Far
    0.05(0.3)→1.0p(1.5)
    Near
    —→0.9(n.c.)
    Left

    She first visited us because the vision in both eyes had declined rapidly after a traumatic subarachnoid hemorrhage. She came all the way from…

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  82. Multifocal IOL2018.12.21

    Case #21: Woman in her 70s from Kokubunji (after glaucoma laser treatment, extended depth of focus multifocal lens: TECNIS Symfony)

    • 70s or older
    • Hyperopia
    • TECNIS Symfony
    Right eye: pre-op → post-op
    RightDistance: 0.2(0.4)Distance: 0.9(1.2)Near: 1.2(1.2)
    Left eye: pre-op → post-op
    LeftDistance: 0.2(1.5)Distance: 1.2(1.2)Near: 1.0(1.0)

    After having laser iridotomy at another clinic to prevent an acute glaucoma attack due to narrow angles, she asked about cataract surgery with…

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  83. Multifocal IOL2018.12.12

    Case #20: Woman in her 50s from Ome (multifocal lens: ActiveFocus)

    • 50s–60s
    • Hyperopia
    • AcrySof ActiveFocus
    Right eye: pre-op → post-op
    RightDistance: 0.4(0.8)Distance: 1.5(1.5)Near: 0.7p(1.0)
    Left eye: pre-op → post-op
    LeftDistance: 0.4(0.6)Distance: 0.6(1.5)Near: 1.0p(1.0)

    She first visited us for consultation about cataract surgery with multifocal lenses because of poor near vision, eye strain, and glare when driving…

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  84. Multifocal IOL2018.11.23

    Case #19: Woman in her 60s from Suginami (multifocal lens: ActiveFocus)

    • 50s–60s
    • Hyperopia
    • AcrySof ActiveFocus
    Right eye: pre-op → post-op
    RightDistance: 0.5(1.5)Distance: 1.5(1.5)Near: 1.0(1.0)
    Left eye: pre-op → post-op
    LeftDistance: 1.0(1.5)Distance: 1.5(1.5)Near: 1.0(1.0)

    For about a year, oncoming headlights at night had been dazzling and streetlights blurred, and she could not see or focus near, so she first visited…

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  85. Multifocal IOL2018.10.24

    Case #18: Woman in her 50s from Ashiya, Hyogo (extended depth of focus multifocal lens: TECNIS Symfony)

    • 50s–60s
    • Myopia
    • TECNIS Symfony
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    RightDistance: 0.15(1.0)Distance: 1.0(1.2)Near: 0.9(1.0)
    Left eye: pre-op → post-op
    LeftDistance: 0.1 (0.3)Distance: 1.0(1.5)Near: 0.9(1.0)

    Her progressing cortical cataracts were interfering with her work, and she came from far away wishing for cataract surgery with multifocal…

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  86. Multifocal IOL2018.09.05

    Case #17: Man in his 50s from Higashimurayama (extended depth of focus multifocal lens: MiniWELL Ready, high myopia)

    • 50s–60s
    • High myopia
    • Glaucoma
    • MiniWELL (incl. PROXA)
    Right eye: pre-op → post-op
    RightDistance: 0.08p(0.6)Distance: 1.5(1.5)Near: 1.0(1.0)
    Left eye: pre-op → post-op
    LeftDistance: 0.2(1.5p)Distance: 1.5(1.5)Near: 1.0(1.0)

    He is highly myopic and first visited us wishing for cataract surgery with an extended depth of focus multifocal lens. He was already being treated…

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  87. Monofocal IOL2018.08.19

    Case #16: Woman in her 60s from Suginami (monofocal lenses, high myopia), set for distance

    • 50s–60s
    • High myopia
    Right eye: pre-op → post-op
    Right: 0.03(0.6)Right: 1.2(1.5)
    Left eye: pre-op → post-op
    Left: 0.02(0.3)Left: 1.0(1.5)

    This is a case of nuclear cataract and cortical opacity with high myopia, in a hard contact lens (HCL) user with extreme myopia exceeding −10 D.…

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  88. Multifocal IOL2018.07.25

    Case #15: Woman in her 40s from Bunkyo (ophthalmologist, extended depth of focus multifocal lens: TECNIS Symfony)

    • 40s or younger
    • Myopia
    • TECNIS Symfony
    • Single-eye surgery
    • Professional (doctor, designer, driver, etc.)
    Right eye: pre-op → post-op
    Far
    0.1(1.5)→—
    No surgery
    Left eye: pre-op → post-op
    Far
    0.3(0.5)→0.9(1.5)
    Near
    —→1.0(n.c)

    A senior ophthalmologist of mine with a unilateral anterior subcapsular cataract came to consult about it, including candidacy for multifocal lenses.…

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  89. Multifocal IOL2018.07.22

    Case #14: Woman in her 60s from Suginami (after LASIK, extended depth of focus multifocal lens: TECNIS Symfony)

    • 50s–60s
    • Myopia
    • After LASIK
    • TECNIS Symfony
    Right eye: pre-op → post-op
    Right eyeDistance: 0.6(1.2)Distance: 1.2(1.5)Near: 0.7(1.0)
    Left eye: pre-op → post-op
    Left eyeDistance: 0.4(0.7)Distance: 1.2(1.5)Near: 0.7(1.0)

    After LASIK she had become myopic due to nuclear cataracts, and wished for cataract surgery with multifocal lenses. Before LASIK she apparently had…

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  90. Multifocal IOL2018.07.04

    Case #13: Man in his 60s from Shinjuku (extended depth of focus multifocal lens: TECNIS Symfony)

    • 50s–60s
    • Myopia
    • TECNIS Symfony
    Right eye: pre-op → post-op
    Far
    —→1.2(1.5)
    Near
    —→0.9(1.0)
    Right eye0.3(0.6)
    Left eye: pre-op → post-op
    Far
    —→1.2(1.5)
    Near
    —→0.9(1.0)
    Left eye0.2(0.4)

    He had cataracts mainly of lens cortical opacity, with strong complaints of blurred vision and photophobia. He had advanced medical care insurance…

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  91. Monofocal IOL2018.06.20

    Case #12: Woman in her 60s from Suginami (posterior subcapsular cataract: monofocal lenses)

    • 50s–60s
    • Hyperopia
    Right eye: pre-op → post-op
    Right: 0.4(0.5)Right: 1.2(1.5)
    Left eye: pre-op → post-op
    Left: 0.2(0.5)Left: 1.2(1.5)

    She had posterior subcapsular cataracts with a soft nucleus of about grade 1, and the surgery was performed safely without much ultrasound. Posterior…

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  92. Monofocal IOL2018.04.08

    Case #11: Man in his 60s from Suginami (monofocal lenses plus glaucoma surgery)

    • 50s–60s
    • Myopia
    • Glaucoma
    Right eye: pre-op → post-op
    Right: 0.03(0.8)Right: 0.6(1.5p)
    Left eye: pre-op → post-op
    Left: 0.1(0.9)Left: 0.2(1.5)

    He had high myopia and glaucoma and was using two glaucoma eye drops prescribed by another clinic. He first visited us for cataract surgery; his eye…

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  93. Monofocal IOL2018.01.10

    Case #10: Woman in her 60s from Suginami (high myopia: monofocal lenses)

    • 50s–60s
    • High myopia
    Right eye: pre-op → post-op
    Right: 0.09(1.0)Right: 0.7(1.5)
    Left eye: pre-op → post-op
    Left: 0.1p(0.9p)Left: 0.7p(1.5)

    Her nuclear cataracts were moderate, about grade 2, but she had high myopia exceeding −10 D and was hesitating over surgery, also hoping for the…

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  94. Multifocal IOL2017.12.05

    Case #9: Man in his 50s from Suginami (extended depth of focus multifocal lens: TECNIS Symfony)

    • 50s–60s
    • High myopia
    • TECNIS Symfony
    Right eye: pre-op → post-op
    Right eyeDistance: 0.02(0.3)Distance: 1.5(1.5)Near: 1.0(1.2)
    Left eye: pre-op → post-op
    Left eyeDistance: 0.07(0.3)Distance: 1.5(1.5)Near: 1.0(1.0)

    He is relatively young among people having cataract surgery, but in both eyes the nuclear cataracts from high myopia were very advanced, beyond grade…

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  95. Multifocal IOL2017.11.04

    Multifocal intraocular lenses: a postoperative interview

    • 50s–60s
    • 70s or older
    • Hyperopia
    • Myopia
    • TECNIS Multifocal

    We were interviewed by Suginami Doctors. An interview video with a patient who actually had cataract surgery is also published there, for your…

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  96. Monofocal IOL2017.10.18

    Case #8: Man in his 70s from Suginami (mature cataract: monofocal lenses)

    • 70s or older
    • Myopia
    • Mature cataract
    Right eye: pre-op → post-op
    Right: counting fingers (not measurable)Right: 1.2(1.5)
    Left eye: pre-op → post-op
    Left: 0.1(0.8)Left: 1.2(1.5)

    It was a mature cataract left untreated for many years, and the fundus could not be seen, so an accurate fundus assessment was impossible; but…

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  97. Multifocal IOL2017.07.27

    Case #7: Man in his 70s from Saitama City, Saitama (multifocal lens: exchange for TECNIS Multifocal)

    • 70s or older
    • Myopia
    • TECNIS Multifocal
    Right eye: pre-op → post-op
    Right eyeDistance: 0.1(1.2)Distance: 1.2(1.5)Near: 1.2(1.2)
    Left eye: pre-op → post-op
    Left eyeDistance: 0.1(1.0)Distance: 0.5(1.5)Near: 0.6(0.9)

    He had cataract surgery (monofocal lenses) at another clinic about seven years earlier, and was referred to us wishing to exchange them for…

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  98. Multifocal IOL2017.07.04

    Case #6: Woman in her 60s from Nerima (high myopia: multifocal lens TECNIS Multifocal)

    • 50s–60s
    • High myopia
    • TECNIS Multifocal
    Right eye: pre-op → post-op
    Right eyeDistance: 0.2(0.8)Near: 0.2Distance: 1.5(n.c.)Near: 1.2(n.c.)
    Left eye: pre-op → post-op
    Left eyeDistance: 0.3(0.5)Near: 0.3Distance: 1.2(1.5)Near: 0.8(0.9)

    She had high myopia and had used contact lenses for many years. Her myopia had progressed further because of nuclear cataracts. She does computer…

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  99. Monofocal IOL2017.06.18

    Case #5: Woman in her 80s from Suginami (shallow anterior chamber: monofocal lenses)

    • 70s or older
    • Hyperopia
    Right eye: pre-op → post-op
    Right: 0.1(0.5)Right: 0.7(1.2)
    Left eye: pre-op → post-op
    Left: 0.2(0.6)Left: 0.6(1.0)

    She was at risk of an acute glaucoma attack as her cataracts progressed, and her zonules were weak, but we inserted a capsular tension ring and…

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  100. Monofocal IOL2017.06.06

    Case #4: Man in his 50s from Mitaka (extreme myopia: monofocal lenses)

    • 50s–60s
    • High myopia
    • Monovision
    Right eye: pre-op → post-op
    Right eye0.04(0.9)0.7(1.5)
    Left eye: pre-op → post-op
    Left eye0.06(1.2)0.3(1.5)

    He had high myopia exceeding −10 D and wished for reading distance; by setting the non-dominant left eye for reading distance and the dominant right…

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  101. Multifocal IOL2017.06.04

    Case #3: Man in his 60s from Kawagoe, Saitama (high myopia: multifocal lens TECNIS Multifocal)

    • 50s–60s
    • High myopia
    • TECNIS Multifocal
    Right eye: pre-op → post-op
    Right eyeDistance: 0.06(0.5)Near: (0.4)Distance: 1.0(1.2)Near: 0.7(1.0)
    Left eye: pre-op → post-op
    Left eyeDistance: 0.07(0.6)Near: (0.5)Distance: 1.0(1.5)Near: 1.0(1.0)

    He had high myopia with corneal astigmatism, but by operating with corneal incisions on the steep meridian we achieved good uncorrected vision, and…

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  102. Multifocal IOL2017.05.24

    Case #2: Woman in her 80s from Toshima (shallow anterior chamber: multifocal lens TECNIS Multifocal)

    • 70s or older
    • Hyperopia
    • TECNIS Multifocal
    Right eye: pre-op → post-op
    Right eyeDistance: 0.4(0.8)Near: (0.6)Distance: 0.8(1.0)Near: 0.9(0.9)
    Left eye: pre-op → post-op
    Left eyeDistance: 0.4(1.2)Near: (1.0)Distance: 0.5(1.2)Near: 0.5(0.8)

    Besides narrow angles and hyperopic eyes she had corneal astigmatism, and we explained before surgery that not much uncorrected distance vision could…

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  103. Monofocal IOL2017.05.23

    Case #1: Man in his 60s from Kodaira (extreme myopia: monofocal lenses)

    • 50s–60s
    • High myopia
    Right eye: pre-op → post-op
    Right eye0.02(0.5)0.3(1.5)
    Left eye: pre-op → post-op
    Left eye0.04(0.5)0.4(1.2)

    He had extreme myopia exceeding −10 D, so there was a risk of lens power deviation, but by combining several formulas the power came out as he…

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