Multifocal intraocular lenses for unilateral cataract in children

Purpose: To assess the implantation of apodized diffractive multifocal intraocular lenses (IOLs) in children with unilateral cataract.Methods: three children between 9 and 12 years of age with unilateral cataract had cataract extraction and implantation of an apodized diffractive multifocal IOL (AcrySof Restor SN60D3).Phacoaspiration was accompanied by posterior capsulorhexis followed by an anterior vitrectomy. Uncorrected distance, corrected distance, and corrected near visual acuities; binocular function using the Worth 4-dot test and the TNO stereotest; and subjective symptoms such as glare and halos were evaluated over 6 months of follow-up. Results: At the final follow-up visit, the mean UDVA was 0.45 -/+ 0.149 logMAR and the mean CDVA was 0.30 -/+ 0.06 logMAR with 20/32 in 2 eyes, 20/50 in 1 eye. The mean CNVA was 0.11 -/+ 0.06 logMAR (about 20/25) with J1 in 2 eyes, J2 in 1 eye. The stereoacuity was 120 seconds of arc (arcsec) in 2 patients, 240 arcsec in 1 patient. The Worth 4-dot test showed that all patients had fusion. None of the all patients complained about halos or glare. No IOL decentration was observed in any patient. Conclusion: Implantation of an apodized multifocal IOL is by all accounts an acceptable option to monofocal pseudophakia in children with unilateral cataract.