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de Vries, N.E. and Nuijts, R.M.M.A. (2013) Multifocal Intraocular Lenses in Cataract Surgery: Literature Review of Benefits and Side Effects. Journal of Cataract and Refractive Surgery, 39, 268-278.
https://doi.org/10.1016/j.jcrs.2012.12.002

has been cited by the following article:

• TITLE: Management of Refractive Surprise with Add-On IOL Implantation Following Cataract Surgery

  AUTHORS: Abdelhamid Ghunaim, Mohammed Allawi, Ali Zimmermann

  KEYWORDS: Add-On IOL, Piggyback IOL, Cataract Surgery, Phacoemulsification, Refractive Surprise, Secondary IOL

  JOURNAL NAME: Case Reports in Clinical Medicine, Vol.15 No.10, September 30, 2026

  ABSTRACT: Background: To describe a case of significant refractive surprise following cataract surgery, complicated by significant postoperative anisometropia, successfully managed with a sulcus-fixated add-on intraocular lens (IOL). A 70-year-old male presented with significant postoperative myopia following cataract surgery due to an incorrect intraocular lens (IOL) power implantation. In the right eye, uncorrected visual acuity (UCVA) was 20/200, with a myopic refractive surprise of approximately −2.375 D spherical equivalent. Following implantation of a sulcus-fixated add-on IOL, uncorrected visual acuity (UCVA) improved to 20/20 with a residual spherical equivalent of approximately −0.375 D. Postoperatively, the patient achieved spectacle independence for distance vision without any significant visual symptoms and used reading glasses only for near vision. Conclusion: In this patient, a sulcus-fixated add-on IOL provided effective and reversible correction of a significant postoperative refractive surprise.