Implantation of multifocal intraocular lenses using a magnification strategy in cataractous eyes with age-related macular degeneration

J Cataract Refract Surg. 2012 Mar;38(3):415-8. doi: 10.1016/j.jcrs.2011.12.022.


Purpose: To examine visual function after targeting -2.0 diopter (D) spherical equivalent (SE) when implanting a multifocal intraocular lens (IOL) in eyes with cataract and age-related macular degeneration (AMD).

Setting: Three private practices.

Design: Case series.

Methods: Lenses of cataractous eyes with AMD were replaced with the Acrysof Restor SN60D3 multifocal IOL, targeting an SE of -2.0 D, which yielded +5.2 D near addition. Near and distance visual acuities were examined. Patients completed a visual function questionnaire preoperatively and 6 months postoperatively.

Results: At 6 months, 13 patients with 20 eligible eyes were examined. The uncorrected near visual acuity improved in 18 eyes (90%) and was unchanged in 2 eyes. The corrected distance visual acuity improved in 14 eyes (70%), was unchanged in 4 eyes (20%), and decreased (≤ 3 lines) in 2 eyes (10%). All vision-related questionnaire items improved.

Conclusion: For cataractous eyes with AMD, replacing the crystalline lens with this myopia-targeted multifocal IOL improved or maintained near vision without severely compromising distance vision.

Financial disclosure: Drs. Mackool and Ernest are consultants to Alcon. Dr. Mackool is an inventor in the patent of the IOLs related to this strategy. No other author has a financial or proprietary interest in any material or method mentioned.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cataract / complications*
  • Cataract / physiopathology
  • Humans
  • Lens Implantation, Intraocular*
  • Lenses, Intraocular*
  • Macular Degeneration / complications*
  • Macular Degeneration / physiopathology
  • Middle Aged
  • Phacoemulsification
  • Prosthesis Design
  • Refraction, Ocular / physiology
  • Sickness Impact Profile
  • Surveys and Questionnaires
  • Visual Acuity / physiology*