Outcomes of a Refractive Segmented Bifocal Intraocular Lens with a Lower Near Addition

Purpose: To evaluate clinical and subjective outcomes of a segmented bifocal IOL with a 2.0 D near addition. Patients and Methods: Retrospective analyses of patients who had undergone refractive lens exchange with bilateral implantation of the SBL-2 IOL (Lenstec, Inc., Christ Church, Barbados) were performed. The number of patients included in the study was 389 (778 eyes). Refractive, visual and patient-reported outcomes were presented for the last available visit (mean follow-up 2.05 [+ or -] 1.33 months). Results: The percentage of eyes within [+ or -]0.50D and [+ or -]1.00D of emmetropia was 82.5% (642/778) and 97.8% (761/778), respectively. The mean uncorrected intermediate visual acuity (66 cm) of the last available visit was 0.08 [+ or -] 0.15 logMAR monocularly and 0.04 [+ or -] 0.14 logMAR binocularly. The mean monocular and binocular uncorrected near visual acuity (40 cm) were 0.30 [+ or -] 0.15 logMAR and 0.24 [+ or -] 0.14 logMAR, respectively. Of all patients, 97.2% (378/389) claimed never to use any correction for distance vision, while 93.1% (362/389) of patients did not require any correction for near vision. The mean scores for visual phenomena (on the scale from 1 - no difficulty to 7 - severe difficulty) were 1.8 [+ or -] 1.3, 1.7 [+ or -] 1.2, 1.7 [+ or -] 1.2 and 1.6 [+ or -] 1.2 for glare, halo, starburst, and ghosting/double vision, respectively. Conclusion: Despite the lower near addition of SBL-2 segmented bifocal IOL, patients achieved reasonable rates of spectacle independence and a low incidence of visual phenomena. Keywords: segmented bifocal intraocular lenses, low near addition intraocular lenses, presbyopia, refractive lens exchange