My commentary for this video may be a little controversial: I think that a resident should not implant a multi-focal IOL until the experience level is high enough to achieve optimal outcomes. Technically, implanting a single-piece acrylic MFIOL is no different than implanting a single-piece acrylic monofocal IOL, so what’s the big deal? The issue is that IOL centration, refractive accuracy, and astigmatic control matter fare more for a MFIOL. And at this stage of experience (less than 50 cataract cases completed) that is not likely to be achieved. Multi-focal IOLs perform much better if the refractive outcome (both sphere and cylinder) is close to zero. Stick with monofocal IOLs until the skills have improved, until you know your refractive accuracy, and until you can factor in your surgically induced astigmatism to give the best results. What is your take on this somewhat controversial topic? Comment below.
