Use of Monofocal+ IOL in cataract surgery with concomitant ocular pathology

Purpose. To evaluate the functional results of using the Monofocal+ IOL in cataract surgery for comorbid conditions of eyes. Material and methods. The study included 3 patients with cataracts and concomitant ocular pathologies: secondary phacomorphic phacotopic subcompensated glaucoma, age-related macular degeneration, dry form, intermediate stage, non-proliferative diabetic retinopathy with focal diabetic macular edema. In all cases, cataract phacoemulsification was performed using the standard phaco-chop technique with implantation of the ICB00 Eyhance IOL on the TECNIS platform. At discharge and 3 months after surgery, uncorrected visual acuity, maximum corrected distance visual acuity, uncorrected visual acuity from 88 cm and 66 cm were assessed, and a subjective assessment of the patient’s vision was carried out using the Visual Function test – 14 QOL questionnaire. Results.In all cases, high distance visual acuity was obtained (0.7–0.8), which indicates the absence of a negative effect of the Monofocal+ IOL on distance vision within the considered comorbid eye conditions. Vision at intermediate distances (88 cm, 66 cm) also reached high values (0.5–0.6 and 0.4–0.3, respectively), which indicates an additional functional result obtained by implanting these IOLs. The limitation of visual acuity was due to concomitant ocular pathology (equally proportional at all distances) and corresponded to the degree of its severity. Patients expressed their satisfaction with their vision, which was reflected in the results of the VF test-14 QOL (72–76) questionnaire. Conclusion.Monofocal IOLs with a modified optical profile showed good functional results (high visual acuity at distance and intermediate distances) in patients with the considered comorbid ocular pathology. This indicates a greater potential for their use and the possibility of expanding the indications for implantation of IOLs with a modified optical profile.