This patient has a high degree of myopia (well over -10 diopters) and an axial length of more than 30 mm. The patient is also a physician and she wants the wide range of vision (without glasses) that a trifocal IOL can provide. Fortunately, her retina status, including the macula and periphery, is excellent and we even had her examined by a retinal specialist before cataract surgery.
The lowest power Alcon PanOptix IOL is +6.0 diopters, which is exactly what this patient needs. We did bilateral cataract surgery with the eyes done one week apart. Both eyes received the same +6.0 diopter PanOptix TFNT00 IOL and she achieved an outstanding visual result with 20/20 vision for far, intermediate, and near.
The entire case is shown, including the astigmatic treatment and the techniques used to achieve precise centration of the diffractive rings with the visual axis. You will also note that we minimize any barotrauma from changes in pressure — this is more gentle to the vitreous base.
Click below to learn from this complete cataract surgery case: