LAUSR

PURPOSE Performing laser retinopexy through multifocal intraocular lenses (IOLs) may be challenging due to aberrations of the peripheral retinal view. This study investigated the influence of multifocal versus monofocal IOLs on outcomes of laser retinopexy for retinal tears. METHODS Pseudophakic eyes (multifocal and monofocal IOLs) that underwent in-office laser retinopexy for retinal tears, with a minimum follow-up of three months, were retrospectively analyzed. Eyes with multifocal IOLs were matched to controls with monofocal IOLs in a 1:2 ratio for age, gender, number, and location of retinal tears. The main outcome measure was the rate of complications. RESULTS We included 168 eyes in the study. Fifty-six eyes (51 patients) with multifocal IOLs were matched with 112 eyes (112 patients) with monofocal IOLs. The mean follow-up was 26 months. Baseline characteristics were similar between two groups. No significant differences were noted in the rate of successful laser retinopexy without additional procedures (91% vs. 86% at 3 months and 79% vs. 74% during follow-up, in the multifocal IOL and monofocal IOL group, respectively). No significant differences were observed in the rate of subsequent RRD (multifocal, 4% vs. monofocal, 6%, P = 0.716) or need for additional laser retinopexy for new tears (14% vs. 15%; P = 0.939). The surgery rates for vitreous hemorrhage (0% vs. 3%; P = 0.537), ERM (2% vs. 2%; P = 0.553) and vitreous floaters (5% vs. 2%, P = 0.422) were not significantly different. Visual outcomes were also similar. CONCLUSIONS Multifocal IOLs did not appear to negatively impact the outcomes of in-office laser retinopexy for retinal tears.