J Korean Ophthalmol Soc.  2025 Apr;66(4):191-198. 10.3341/jkos.2025.66.4.191.

Refractive Outcomes of FineVision Intraocular Lens Implantation after Myopia-correcting Refractive Surgery and Retinal Detachment Vitrectomy

• Lee SM
• Lee S

• KMID: 2566801
• DOI: http://doi.org/10.3341/jkos.2025.66.4.191

Abstract

Purpose
To evaluate the refractive outcomes of FineVision multifocal intraocular lens (IOL) implantation after vitrectomy for retinal detachment in eyes that had undergone myopia-correcting refractive surgery.
Methods
This study involved 27 eyes from 27 patients who received FineVision multifocal IOL implantation due to nuclear cataract following vitrectomy for retinal detachment. All patients had previously undergone myopia-correcting refractive surgery. Preoperative and postoperative visual acuity and manifest refraction were measured. Prediction errors were compared between 8 eyes with axial length (AL) ≥ 26 mm and 19 eyes with AL < 26 mm, as well as between 9 eyes with macula-involved retinal detachment and 18 eyes without macula involvement.
Results
Six months postoperatively, the mean uncorrected distance visual acuity was 0.12 ± 0.14 logarithm of the minimal angle of resolution (logMAR), and near visual acuity was 0.08 ± 0.14 logMAR. The postoperative spherical equivalent (SE) was within ± 0.50 diopters (D) in 9 eyes (33.3%) and within ± 1.00 D in 19 eyes (70.4%). All eyes had SE within ± 1.50 D. Prediction errors did not significantly differ between eyes with AL ≥ 26 mm and those with AL < 26 mm, nor between macula-involved and non-involved groups up to 6 months postoperatively.
Conclusions
FineVision multifocal IOL implantation resulted in SEs close to the preoperative expected refraction in eyes with previous vitrectomy and myopia-correcting refractive surgery, with all eyes within ± 1.50 D.

Keyword

Cataract, Multifocal intraocular lenses, Ocular refraction, Vitrectomy