OUTCOMES OF TRIFOCAL INTRAOCULAR LENS IMPLANTATION IN THE BETTER-SEEING EYE AND MONOFOCAL LENS IN THE AMBLYOPIC EYE: A NOVEL APPROACH TO PRESBYOPIA CORRECTION IN AMBLYOPIC PATIENT
Published 2025 - 29th ESCRS Winter Meeting
Reference: PO230 | Type: Free Paper | DOI: 10.82333/0anm-th18
Authors: Fadi Kherdaji* 1 , Derek Ho 2
1Ophthalmology,Cheltenham General Hospital ,Cheltenham ,United Kingdom;Ophthalmology,EuroEyes,London ,United Kingdom, 2Ophthalmology,Cheltenham General Hospital ,Cheltenham ,United Kingdom
Purpose
To evaluate the visual and satisfaction outcomes of using a trifocal intraocular lens (IOL) in the better-seeing eye and a monofocal IOL in the amblyopic eye of patients with unilateral amblyopia, with the aim of maximizing visual quality and minimizing potential issues related to binocular disparity.
Setting
This study was conducted in private settings in London and Cheltenham, UK
Methods
A cohort of 3 patients with unilateral amblyopia and presbyopia underwent cataract surgery with implantation of a trifocal IOL in the non-amblyopic eye and a monofocal IOL in the amblyopic eye. Inclusion criteria included patients with stable amblyopia or reduced vision in one eye. Exclusion criteria included patients with bilateral amblyopia or any other condition which prevents good outcomes from the non-amblyopic eye. Postoperative outcomes, including near, intermediate, and distance visual acuity (VA), patient-reported satisfaction, and dysphotopsia incidence, were assessed over a 4-month follow-up period.
Results
At 4 months, patients demonstrated significant improvement in near, intermediate, and distance visual acuity in the non-amblyopic eye. Patient-reported satisfaction was high, with minimal complaints of halos or glare. Quality of Vision Questionnaire was completed by all 3 patients. The monofocal IOL in the amblyopic eye provided stable distance vision without further disturbances. No significant issues related to binocular disparity were reported, and all patients achieved spectacle independence for daily activities
Conclusion
Implanting a trifocal IOL in the better-seeing eye and a monofocal IOL in the amblyopic eye offers a promising strategy for presbyopic correction in patients with amblyopia, achieving high levels of patient satisfaction and functional visual outcomes. This approach could be a valuable alternative for optimizing vision in this unique patient population