LAUSR

An 18-year-old patient presented with bilateral hereditary hyperferritinemia-cataract syndrome (HHCS) with a decrease in visual acuity and glare symptoms (Fig. 1).1 Given the loss of accommodation in cataract surgery, we informed the patient about multifocal intraocular lenses (IOLs) and after careful consideration we decided on a duet procedure.2 A toric-monofocal IOL, RayOne toric +22.5/+1.0 D, (Rayner, Worthing, United Kingdom) was implanted into the capsular bag aiming for emmetropia and sequentially a supplementary IOL, the diffractive Rayner Sulcoflex trifocal without additional basic power, was implanted into the ciliary sulcus. Three months postoperatively the patient achieved good uncorrected distance, intermediate and near visual acuity with a remaining subjective refraction of plano − 0,25 @ 80 (Fig. 2).