Refractive and Visual Outcomes of Different Intraocular Lenses with Femtosecond Laser Cataract Surgery: The Expectation of Independence from Spectacles

Joao Crispim*, Ricardo Nose, Milton Yogi , Walton Nose
Department of Ophthalmology and Visual Sciences, Federal University of Sao Paulo-UNIFESP-Sao Paulo (SP), Brazil

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© Crispim et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Ophthalmology and Visual Sciences, Federal University of Sao Paulo-UNIFESP-Sao Paulo (SP), R. Botucatu 821 Sao Paulo SP 04023-062 Brazil; Tel: + 55 11 5576 4000; Fax: + 55 11 5576 4981; E-mail:



To evaluate the visual performance of different types of intraocular lens (IOL) in eyes submitted to femtosecond laser (FSL) cataract surgery and to analyze whether this technology could result in spectacles independence.


Retrospective comparative case series.


Consecutive eyes that were scheduled for FSL cataract surgery were included in this study. After one month postoperative, patients were divided into two groups: cases that required prescription for eyeglasses and cases that did not require prescription. In addition, the patients were analyzed according to the type of IOL that was implanted (monofocal, monofocal toric, multifocal and multifocal toric).


Thirty-five cataract surgeries were analyzed. Twenty-three eyes had a monofocal IOL implanted, and 12 had a multifocal IOL implanted. After 1 month, 12 cases required prescription (Group 1), and 23 did not require prescription (Group 2). The proportion of eyes that did not require corrective lenses was significantly greater (P = 0.02) in eyes that received multifocal IOL (91.67%) compared with those that received monofocal IOL (47.83%). Additionally, 100% of eyes that received multifocal toric IOL did not require eyeglasses at one month postoperatively.


The FSL surgical precision associated with modern IOL technology may be an important factor related to vision satisfaction after cataract surgery.

Keywords: Cataract surgery, femtosecond laser, intraocular lens, refractive surgery, spectacles independence.