Visual, Refractive, and Patient-Reported Outcomes After Unilateral Implantation of a Rotationally Asymmetric Refractive Multifocal IOL

Background To evaluate the visual and refractive outcomes, as well as the quality of vision, in patients who underwent unilateral cataract surgery or refractive lensectomy with implantation of a rotationally asymmetric refractive multifocal intraocular lens (IOL): the Lentis Mplus LS-313 MF30 and Lentis MplusX (Teleon, Germany). Methods A total of 39 patients who underwent unilateral lens extraction with implantation of the LENTIS Mplus multifocal IOL were analyzed. Ophthalmologic examinations were performed preoperatively and postoperatively at 1, 3, and 6 months, as well as at the final follow-up, during which all retrospective cases underwent a systematic and comprehensive clinical evaluation. Visual and refractive outcomes for distance, intermediate, and near vision were recorded. Ocular wavefront aberrations, contrast sensitivity, and defocus curves were assessed. Subjective visual function was evaluated using the Quality of Vision (QoV) questionnaire. Results At the final visit, significant improvements were observed in uncorrected and corrected distance visual acuity (0.08 ± 0.13 and 0.01 ± 0.08 logMAR, respectively), uncorrected and corrected intermediate visual acuity (0.12 ± 0.14 and 0.12 ± 0.10, respectively), as well as uncorrected near, corrected near, and corrected distance near visual acuity (0.10 ± 0.11, 0.05 ± 0.07, and 0.12 ± 0.15, respectively). Defocus curve analysis demonstrated favorable distance vision, with a smooth transition through intermediate and near distances. Contrast sensitivity values remained close to normative standards. The QoV questionnaire results indicated that visual quality issues were mild. Conclusions In patients whose fellow eye remained unoperated, unilateral implantation of a rotationally asymmetric multifocal IOL was well tolerated, with minimal optical side effects, low spectacle dependence, and high refractive predictability, yielding favorable operated-eye outcomes and binocular performance