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

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.