Multifocal Intraocular Lenses Implantation in Presbyopia Correction. Literature Review
https://doi.org/10.29413/ABS.2019-4.4.6
Abstract
Reduced dependence on glasses is an increasingly common expectation among those who want to take advantage of new surgical opportunities, especially for patients who lead an active lifestyle. Currently, due to the increase in the duration of active life in people over 40, there is a need for effective correction of presbyopia. Multifocal intraocular lenses are increasingly used in the treatment of presbyopia. After implantation of multifocal intraocular lenses most patients have no need for spectacle or contact vision. However, complications can affect the patient’s quality of life and level of satisfaction. The most common complications of multifocal correction are blurred vision and the presence of optical phenomena (“halo” and “glare”), associated with residual ametropia, clouding of the posterior capsule, large pupil size, anomalies of the wave front, dry eye and lens decentration. The main reasons for this are the failure to attempt to neuroadapt a patient, the dislocation of the lens, the residual refractive error and the clouding of the lens. The review presents the main features of various models of multifocal intraocular lenses, their implantation techniques, associated complications and methods for their correction. The development of multifocal correction of presbyopia and ametropia seems to be a promising direction in ophthalmic surgery.
About the Authors
K. B. Pershin
Ophthalmologic Clinic “Excimer”
Russian Federation
Russian Federation
Kirill B. Pershin – Dr. Sc. (Med.), Professor, Medical Director
3/1 Marksistskaya str., 109147 Moscow
N. F. Pashinova
Ophthalmologic Clinic “Excimer”
Russian Federation
Russian Federation
Nadezhda F. Pashinova – Dr. Sc. (Med.), Chief Physician
3/1 Marksistskaya str., 109147 Moscow
M. M. Konovalova
OOO Konovalov Ophthalmologic Center
Russian Federation
Russian Federation
Maria M. Konovalova – Ophtalmologist
56/6 3 Tverskaya-Yamskaya str., 125047 Moscow
A. Yu. Tsygankov
Ophthalmologic Clinic “Excimer”
Russian Federation
Russian Federation
Alexander Yu. Tsygankov – Cand. Sc. (Med.), Scientific Assistant of the Medical Director
3/1 Marksistskaya str., 109147 Moscow
M. E. Konovalov
OOO Konovalov Ophthalmologic Center
Russian Federation
Russian Federation
Mikhail E. Konovalov – Dr. Sc. (Med.), Professor, Chief Physician
56/6 3 Tverskaya-Yamskaya str., 125047 Moscow
References
1. Pershin KB, Pashinova NF, Tsygankov AYu. Presbyopia-correcting surgical options. Kataraktalnaya i refraktsionnaya khirurgiya. 2016; 16(2): 4-14. (In Russ.)
2. Alio JL, Grzybowski A, El Aswad A, Romaniuk D. Refractive lens exchange. Surv Ophthalmol. 2014; 59(6): 579-598. doi: 10.1016/j.survophthal.2014.04.004
3. Rosen E, Alio JL, Dick HB, Dell S, Slade S. Effi y and safety of multifocal intraocular lenses following cataract and refractive lens exchange: Metaanalysis of peer-reviewed publications. J Cataract Refract Surg. 2016; 42(2): 310-328. doi: 10.1016/j. jcrs.2016.01.014
4. Sachdev GS, Sachdev M. Optimizing outcomes with multifocal intraocular lenses. Indian J Ophthalmol. 2017; 65(12): 1294-1300. doi: 10.4103/ijo.IJO_1072_17
5. Pershin KB, Pashinova NF, Tsygankov AYu, Miyovich OP. The outcomes of the implantation of bifocal and trifocal IOLs for presbyopia. Kataraktalnaya i refraktsionnaya khirurgiya. 2016; 16(2): 23-29. (In Russ.).
6. Belikova EI, Borzykh VA. Results of trifocal intraocular lenses implantation in patients with cataract and presbyopia. Ophthalmology in Russia. 2018; 15(3): 248-255. doi: 10.18008/18165095-2018-3-248-255. (In Russ.)
7. Zheleznyak L, Kim MJ, MacRae S, Yoon G. Impact of corneal aberrations on through-focus image quality of presbyopiacorrecting intraocular lenses using an adaptive optics bench system. J Cataract Refract Surg. 2012; 38(10): 1724-1733. https://doi.org/10.1016/j.jcrs.2012.05.032
8. Wang L, Dai E, Koch DD, Nathoo A. Optical aberrations of the human anterior cornea. J Cataract Refract Surg. 2003; 29(8): 1514-1521. doi: 10.1016/s0886-3350(03)00467-x
9. Liao X, Lin J, Tian J, Wen B, Tan Q, Lan C. Evaluation of optical quality: ocular scattering and aberrations in eyes implanted with diffractive multifocal or monofocal intraocular lenses. Curr Eye Res. 2018; 43(6): 696-701. doi: 10.1080/02713683.2018.1449220
10. Alfonso JF, Fernandez-Vega L, Valcarcel B, Montes-Mico R. Visual performance after AcrySof ReSTOR Aspheric Intraocular Lens Implantation. J Optom.2010; 1(1): 30-33. doi: 10.3921/joptom.2008.30
11. Kretz FT, Gerl M, Gerl R, Müller M, Auffarth GU; ZKB00 Study Group. Clinical evaluation of a new pupil independent diffractive multifocal intraocular lens with a +2.75 D near addition: a European multicentre study. Br J Ophthalmol. 2015; 99(12): 16551659. doi: 10.1136/bjophthalmol-2015-306811
12. Maurino V, Allan BD, Rubin GS, Bunce C, Xing W, Findl O. Quality of vision after bilateral multifocal intraocular lens implantation: a randomized trialeAT LISA 809M versus AcrySofReSTOR SN6AD1. Ophthalmology. 2015; 122(4): 700-710. doi: 10.1016/j.ophtha.2014.10.002
13. Pershin KB, Pashinova NF, Tsygankov AYu, Miyovich OP, Likh IA, Gurmizov EP. Binocular implantation of new diffractive trifocal intraocular lens for presbyopia correction. Medical Journal of the Russian Federation. 2018; 24(5): 228-232. doi: 10.18821/08692106-2018-24-5-228-232. (In Russ.)
14. Cochener B. Prospective clinical comparison of patient outcomes following implantation of trifocal or bifocal intraocular lenses. J Refract Surg. 2016; 32(3): 146–151. doi: 10.3928/1081597X20160114-01
15. Carson D, Xu Z, Alexander E, Choi M, Zhao Z, Hong X. Optical bench performance of 3 trifocal intraocular lenses. J Cataract Refract Surg. 2016; 42(9): 1361–1367. doi: 10.1016/j.jcrs.2016.06.036
16. Pershin KB, Pashinova NF, Konovalova MM, Tsygankov AYu, Konovalov ME, Temirov NE. Short term analysis of new single-piece aspheric diffractive trifocal intraocular lens implantation. Ophthalmology in Russia. 2019; 16(1): 19-25. doi: 10.18008/1816-5095-2019-1-19-25. (In Russ.)
17. Toygar B,Yabas Kiziloglu O, Toygar O, Hacimustafaoglu AM. Clinical outcomes of a new diffractive multifocal intraocular lens. Int JOphthalmol 2017; 10(12): 1844-1850. doi: 10.18240/ijo.2017.12.09
18. Alió JL, Vega-Estrada A, Plaza-Puche AB. Clinical outcomes with a new microincisional diffractive multifocal IOL. Eye Vis (Lond). 2015; 2: 2. doi: 10.1186/s40662-015-0012-8
19. Gatinel D, Loicq J. Clinically relevant optical properties of bifocal, trifocal, and extended depth of focus intraocular lenses. J Refract Surg. 2016; 32(4): 273–280. doi: 10.3928/1081597X-20160121-07
20. Temirov NN, Temirov NE. Visual acuity and clinical refraction following implantation of various multifocal intraocular lenses. Ophthalmology in Russia. 2015; 12(2): 37-42. doi: 10.18008/18165095-2015-2-37-42. (In Russ.)
21. Muñoz G, Albarrán-Diego C, Cerviño A, Ferrer-Blasco T, García-Lázaro S. Visual and optical performance with the ReZoom multifocal intraocular lens. Eur JOphthalmol. 2012; 22(3): 356-362. doi: 10.5301/ejo.5000030
22. Cezón Prieto J, Bautista MJ. Visual outcomes after implantation of a refractive multifocal intraocular lens with a +3.00 D addition. J Cataract Refract Surg. 2010; 36(9): 1508-1516. doi: 10.1016/j.jcrs.2010.03.048
23. De Wit DW, Diaz JM, Moore TC, Moore JE. Refractive lens exchange for a multifocal intraocular lens with a surfaceembedded near section in mild to moderate anisometropic amblyopic patients. J Cataract Refract Surg. 2012; 38(10): 1796-1801. doi: 10.1016/j.jcrs.2012.06.046
24. Pedrotti E, Mastropasqua R, Passilongo M, Parisi G, Marchesoni I, Marchini G. Comparison of two multifocal intraocular lens designs that differ only in near add. J Refract Surg. 2014; 30(11): 754-760. doi: 10.3928/1081597X-20141021-07
25. Petermeier K, Gekeler F, Spitzer MS, Szurman P. Implantation of the multifocal ReSTOR apodised diffractive intraocular lens in adult anisometropic patients with mild to moderate amblyopia. Br JOphthalmol. 2009; 93: 1296-1301. doi: 10.1136/bjo.2007.131839
26. Rychwalski PJ. Multifocal IOL implantation in children: is the future clear? J Cataract Refract Surg. 2010; 36(12): 2019-2021. doi: 10.1016/j.jcrs.2010.10.009
27. Mesci C, Erbil HH, Olgun A, Aydin N, Candemir B, Akcakaya AA. Differences in contrast sensitivity between monofocal, multifocal and accommodating intraocular lenses: long-term results. Clin Exp Ophthalmol. 2010; 38(8): 768-777. doi: 10.1111/j.1442-9071.2010.02357.x
28. Pershin KB, Pashinova NF, Tsygankov AYu, Solovyeva GM, Miyovich OP. Clinical and functional results of bifocal IOLs implanted during combined cataract and glaucoma surgery. The Russian Annals of Ophthalmology. 2018; 134 (6): 46-52. doi: 10.17116/oftalma201813406146. (In Russ.)
29. Kamath GG, Prasad S, Danson A, Phillips RP. Visual outcome with the array multifocal intraocular lens in patients with concurrent eye disease. J Cataract Refract Surg. 2000; 26(4): 576581. doi: 10.1016/s0886-3350(99)00457-5
30. Gayton JL, Mackool RJ, Ernest PH, Seabolt RA, Dumont S. Implantation of multifocal intraocular lenses using a magnification strategy in cataractous eyes with age-related macular degeneration. J Cataract Refract Surg. 2012; 38(3): 415-418. https://doi. org/10.1016/j.jcrs.2011.12.022
31. Creuzot C, Passemard M, Viau S, Joffre C, Pouliquen P, Elena PP, et al. Improvement of dry eye symptoms with polyunsaturated fatty acids. J Fr Ophtalmol. 2006; 29(8): 868-873. DOI: 10.1016/S0181-5512(06)70106-1
32. Oshika T, Sugita G, Miyata K, Tokunaga T, Samejima T, Okamoto C, et al. Influence of tilt and decentration of scleral-sutured intraocular lens on ocular higher-order wavefront aberration. Br J Ophthalmol. 2007;91:185-188. doi: 10.1136/bjo.2006.099945
33. Mutlu FM, Erdurman C, Sobaci G, Bayraktar MZ. Comparison of tilt and decentration of 1-piece and 3-piece hydrophobic acrylic intraocular lenses. J Cataract Refract Surg. 2005; 31(2): 343347. doi: 10.1016/j.jcrs.2004.06.022
34. Cristobal JA, Remon L, del Buey MA, Montes-Mico R. Multifocal intraocular lenses for unilateral cataract in children. JCataract Refract Surg. 2010; 36(12): 2035-2040. doi: 10.1016/j.jcrs.2010.08.015
35. Cionni RJ, Osher RH, Snyder ME, Nordlund ML. Visual outcome comparison of unilateral versus bilateral implantation of apodized diffractive multifocal intraocular lenses after cataract extraction: prospective 6-month study. J Cataract Refract Surg. 2009; 35(6): 1033-1039. doi: 10.1016/j.jcrs.2009.02.018
36. Mesci C, Erbil H, Ozdoker L, Karakurt Y, Bilge AD. Visual acuity and contrast sensitivity function after accommodative and multifocal intraocular lens implantation. Eur J Ophthalmol. 2010; 20(1): 90-100. doi: 10.1177/112067211002000112
37. Javitt JC, Steinert RF. Cataract extraction with multifocal intraocular lens implantation: a multinational clinical trial evaluating clinical, functional, and quality-of-life outcomes. Ophthalmology. 2000; 107(11): 2040-2048. doi: 10.1016/S0161-6420(00)00368-7
38. Blake R, Tadin D, Sobel KV, Raissian TA, Chong SC. Strength of early visual adaptation depends on visual awareness. Proc Natl AcadSci USA. 2006; 103 (12): 4783-4788. doi: 10.1073/pnas.0509634103
39. Kaymak H, Fahle M, Ott G, Mester U. Intraindividual comparison of the effect of training on visual performance with ReSTOR and Tecnis diffractive multifocal IOLs. J Refract Surg. 2008; 24(3): 287-293. doi: 10.3928/1081597X-20080301-11
40. De Vries NE, Webers CA, Touwslager WR, Bauer NJ, de Brabander J, Berendschot TT, et al. Dissatisfaction after implantation of multifocal intraocular lenses. JCataract Refract Surg. 2011; 37(5): 859-865. doi: 10.1016/j.jcrs.2010.11.032
41. Woodward MA, Randleman JB, Stulting RD. Dissatisfaction after multifocal intraocular lens implantation. J Cataract Refract Surg. 2009; 35(6): 992-997. doi: 10.1016/j.jcrs.2009.01.031
42. Cillino G, Casuccio A, Pasti M, Bono V, Mencucci R, Cillino S. Working-age cataract patients: visual results, reading performance, and quality of life with three diff active multifocal intraocular lenses. Ophthalmology. 2014; 121(1): 34-44. doi: 10.1016/j.ophtha.2013.06.034
43. Alio JL, Plaza-Puche AB, Pinero DP, Amparo F, Jiménez R, Rodríguez-Prats JL, et al. Optical analysis, reading performance, and quality-of-life evaluation after implantation of a diffractive multifocal intraocular lens. J Cataract Refract Surg. 2011; 37(1): 27-37. doi: 10.1016/j.jcrs.2010.07.035
44. Mester U, Vaterrodt T, Goes F, Huetz W, Neuhann I, Schmickler S, et al. Impact of personality characteristics on patient satisfaction after multifocal intraocular lens implantation: results from the “happy patient study”. J Refract Surg. 2014; 30(10): 674678. doi: 10.3928/1081597X-20140903-05
45. Leyland MD, Langan L, Goolfee F, Lee N, Bloom PA. Prospective randomised double-masked trial of bilateral multifocal, bifocal or monofocal intraocular lenses. Eye (Lond). 2002; 16: 481490. doi: 10.1038/sj.eye.6700077
46. Venter JA, Pelouskova M, Collins BM, Schallhorn SC, Hannan SJ. Visual outcomes and patient satisfaction in 9366 eyes using a refractive segmented multifocal intraocular lens. J Cataract Refract Surg. 2013; 39(10): 1477-1484. doi: 10.1016/j. jcrs.2013.03.035
47. Kim JS, Jung JW, Lee JM, Seo KY, Kim EK, Kim TI. Clinical outcomes following implantation of diffractive multifocal intraocular lenses with varying add powers. Am J Ophthalmol. 2015; 160(4): 702-709. doi: 10.1016/j.ajo.2015.07.021
48. Munoz G, Albarran-Diego C, Cervino A, Ferrer-Blasco T, Garcia-Lazaro S. Visual and optical performance with the ReZoom multifocal intraocular lens. Eur JOphthalmol. 2012; 22(3): 356-362. doi: 10.5301/ejo.5000030
49. Soda M, Yaguchi S. Effect of decentration on the optical performance in multifocal intraocular lenses. Ophthalmologica. 2012; 227: 197-204. doi: 10.1159/000333820
50. Hayashi K, Hayashi H, Nakao F, Hayashi F. Correlation between pupillary size and intraocular lens decentration and visual acuity of a zonal-progressive multifocal lens and a monofocal lens. Ophthalmology. 2001; 108(11): 2011-2017. doi: 10.1016/s0161-6420(01)00756-4
51. Eppig T, Scholz K, Loffler A, Messner A, Langenbucher A. Effect of decentration and tilt on the image quality of aspheric intraocular lens designs in a model eye. J Cataract Refract Surg. 2009; 35(6): 1091-1100. doi: 10.1016/j.jcrs.2009.01.034
52. Schmickler S, Bautista CP, Goes F, Shah S, Wolffsohn JS. Clinical evaluation of a multifocal aspheric diffractive intraocular lens. Br J Ophthalmol. 2013; 97: 1560-1564. doi: 10.1136/bjophthalmol-2013-304010
53. Crnej A, Hirnschall N, Nishi Y, Gangwani V, Tabernero J, Artal P, et al. Impact of intraocular lens haptic design and orientation on decentration and tilt. J Cataract Refract Surg. 2011; 37(10): 1768-1774. doi: 10.1016/j.jcrs.2011.04.028
54. Alio JL, Plaza-Puche AB, Javaloy J, Ayala MJ, Vega-Estrada A. Clinical and optical intraocular performance of rotationally asymmetric multifocal IOL plate-haptic design versus C-loop haptic design. J Refract Surg. 2013; 29(4): 252-259. doi: 10.3928/1081597X20130318-04
55. Van der Linden JW, van der Meulen IJ, Mourits MP, Lapid-Gortzak R. In-the-bag decentration of a hydrophilic radially asymmetric multifocal intraocular lens secondary to capsule contraction. JCataract Refract Surg. 2013; 39(4): 642-644. doi: 10.1016/j.jcrs.2013.01.027
56. Alio JL, Plaza-Puche AB, Pinero DP. Rotationally asymmetric multifocal IOL implantation with and without capsular tension ring: refractive and visual outcomes and intraocular optical performance. J Refract Surg. 2012; 28(4): 253-258. doi: 10.3928/1081597X-20120314-01
57. Montes-Mico R, Espana E, Bueno I, CharmanWN, Menezo JL. Visual performance with multifocal intraocular lenses: mesopic contrast sensitivity under distance and near conditions. Ophthalmology. 2004; 111(1): 85-96. 10.1016/S0161-6420(03)00862-5
58. Choi J, Schwiegerling J. Optical performance measurement and night driving simulation of ReSTOR, ReZoom, and Tecnis multifocal intraocular lenses in a model eye. J Refract Surg. 2008; 24(3): 218-222. doi: 10.3928/1081597X-20080301-02
59. Behndig A, Montan P, Stenevi U, Kugelberg M, Zetterstrom C, Lundstrom M. Aiming for emmetropia after cataract surgery: Swedish National Cataract Register study. J Cataract Refract Surg. 2012; 38(7): 1181-1186. doi: 10.1016/j.jcrs.2012.02.035
60. Pershin KB, Pashinova NF, Tsygankov AYu, Legkikh SL. Phacoemulsification with IOL implantation in extremely high myopia. Cataractal and Refractive Surgery. 2015; 15(3): 14-21. (In Russ.)
61. Pershin KB, Pashinova NF, Tsygankov AYu, Legkikh SL, Likh IA. Biometry in IOL power calculations as a factor of successive cataract surgery.Kataraktalnaya i refraktsionnaya khirurgiya. 2016; 16(2): 15-22. (In Russ.)
62. Fernandez-Buenaga R, Alio JL, Perez Ardoy AL, Quesada AL, Pinilla-Cortes L, Barraquer RI. Resolving refractive error after cataract surgery: IOL exchange, piggyback lens, or LASIK. J Refract Surg. 2013; 29(10): 676-683. doi: 10.3928/1081597X-20130826-01
63. Alfonso JF, Fernandez-Vega L, Montes-Mico R, Valcarcel B. Femtosecondlaserforresidualrefractiveerrorcorrectionafterrefractive lens exchange with multifocal intraocular lens implantation. Am JOphthalmol. 2008; 146(2): 244-250. doi: 10.1016/j.ajo.2008.03.022
64. Pinero DP, Espinosa MJ, Alio JL. LASIK outcomes following multifocal and monofocal intraocular lens implantation. J Refract Surg. 2010; 26(8): 569-577. doi: 10.3928/1081597X-20091030-02
65. Awasthi N, Guo S, Wagner BJ. Posterior capsular opacification: a problem reduced but not yet eradicated. Arch Ophthalmol. 2009; 127(4): 555-562. doi: 10.1001/archophthalmol.2009.3
66. Findl O, Buehl W, Bauer P, Sycha T. Interventions for preventing posterior capsule opacification. Cochrane Database Syst Rev 2010; (2): CD003738. doi: 10.1002/14651858.CD003738.pub3
67. Shah VC, Russo C, Cannon R, Davidson R, Taravella MJ. Incidence of Nd:YAG capsulotomy after implantation of AcrySof multifocal and monofocal intraocular lenses: A case controlled study. J Refract Surg. 2010; 26(8): 565-568. doi: 10.3928/1081597X-20100303-01
68. Gil MA, Varon C, Rosello N, Cardona G, Buil JA. Visual acuity, contrast sensitivity, subjective quality of vision, and quality of life with 4 different multifocal IOLs. Eur J Ophthalmol. 2012; 22(2): 175-187. doi: 10.5301/EJO.2011.8371
69. Penzeva KV, Takhtaev YuV. Clinical and functional outcomes of primary posterior capsulorhexis. Practical Medicine. 2012; 4-1(59): 288-290. (In Russ.).
70. Pershin KB, Pashinova NF, Konovalova MM, Tsygankov AYu, Konovalov ME. Experience of primary posterior capsulorhexis in bifocal IOLs implantation.Practical Medicine. 2018; 16(4): 122-124. doi: 1032000/2072-1757-2018-16-4-122-124. (In Russ.)
71. Alfonso JF, Puchades C, Fernandez-Vega L, Merayo C, Montes-Mico R. Contrast sensitivity comparison between AcrySofReSTOR and Acri.LISA aspheric intraocular lenses. J Refract Surg. 2010; 26(7): 471-477. doi: 10.3928/1081597X-20090728-04
72. Donnenfeld ED, Solomon R, Roberts CW, Wittpenn JR, McDonald MB, Perry HD. Cyclosporine 0.05% to improve visual outcomes after multifocal intraocular lens implantation. JCataract Refract Surg. 2010; 36(7): 1095-1100. doi: 10.1016/j.jcrs.2009.12.049
73. Li XM, Hu L, Hu J, Wang W. Investigation of dry eye disease and analysis of the pathogenic factors in patients after cataract surgery. Cornea. 2007; 26: 16-20. doi: 10.1097/ICO.0b013e31812f67ca
74. Ram J, Gupta A, Brar G, Kaushik S, Gupta A. Outcomes of phacoemulsification in patients with dry eye. J Cataract Refract Surg. 2002; 28(8): 1386-1389. https://doi.org/10.1016/s08863350(02)01387-1
75. Alio JL, Arnalich-Montiel F, Rodriguez AE. The role of “eye platelet rich plasma” (E-PRP) for wound healing in ophthalmology. Curr Pharm Biotechnol. 2012; 13(7): 1257-1265. doi: 10.2174/138920112800624355
76. Pershin KB, Pashinova NF, Tsygankov AYu, Gurmizov EP, Batalina LV. Management of residual refractive error after cataract phacoemulsification. Part 2. Intraocular approaches. Ophthalmology in Russia. 2017; 14(2): 106-112. doi: 10.18008/1816-5095-20172-106-112. (In Russ.)
77. Fernandez-Buenaga R, Alio JL, Munoz-Negrete FJ, Barraquer-Compte RI, Alio-Del Barrio JL. Causes of IOL explantation in Spain. Eur J Ophthalmol. 2012; 22(5): 762-768. doi: 10.5301/ejo.5000168
78. Fernandez-Buenaga R, Alio JL, Pinilla-Cortes L, Barraquer RI. Perioperative complications and clinical outcomes of intraocular lens exchange in patients with opacifi lenses. Graefe’s Arch Clin Exp Ophthalmol. 2013; 251(9): 2141-2146. doi: 10.1007/s00417-013-2411-7
79. Galor A, Gonzalez M, Goldman D, O’Brien TP. Intraocular lens exchange surgery in dissatisfied patients with refractive intraocular lenses. J Cataract Refract Surg. 2009; 35(10): 1706-1710. doi: 10.1016/j.jcrs.2009.05.022
80. Kamiya K, Hayashi K, Shimizu K, Negishi K, Sato M, Bissen-Miyajima H. Multifocal intraocular lens explantation: a case series of 50 eyes. Am J Ophthalmol. 2014; 158(2): 215-220. doi: 10.1016/j.ajo.2014.04.010
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For citations:
Pershin K.B., Pashinova N.F., Konovalova M.M., Tsygankov A.Yu., Konovalov M.E. Multifocal Intraocular Lenses Implantation in Presbyopia Correction. Literature Review. Acta Biomedica Scientifica. 2019;4(4):41-55. (In Russ.) https://doi.org/10.29413/ABS.2019-4.4.6
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