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Indian J Ophthalmol. 2019 Aug;67(8):1353-1356. doi: 10.4103/ijo.IJO_2069_18.

Post-small incision lenticule extraction phacoemulsification with multifocal IOL implantation: A case report.

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Nethradhama Superspecilaity Eye Hospital, Bangalore, India.


A 54-year-old patient presented with cataract, 5 years after undergoing SMILE for high myopia in both eyes. He was motivated in achieving spectacle free vision and his post SMILE-induced aberrations were minimal, due to which he was found suitable for a trifocal IOL implant. Of the various methods considered, the IOL power predicted by a novel combined telecentric keratometry and swept source OCT-based method was finally selected. One month post-operatively, the patient achieved a binocular UDVA of 20/20p and near vision of N.6, suggesting that newer IOL formulae could be superior in providing satisfactory outcomes in post refractive patients.


Multifocal IOL; post SMILE cataract; total keratometry

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