Decentration and tilt: silicone multifocal versus acrylic soft intraocular lenses

Purpose: To compare differences in decentration and tilt between a silicone multifocal and an acrylic intraocular lens (IOL) by evaluating postoperative changes. Setting: Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea. Methods: Forty eyes of 20 patients with IOL implantation were randomized into 2 groups according to IOL type: 3‐piece silicone multifocal IOL or 3‐piece acrylic IOL. All lenses were implanted in the capsular bag through a clear corneal incision after continuous curvilinear capsulorhexis and phacoemulsification. The amount of the decentration and the degree of the tilt of each IOL were measured using the EAS‐1000 anterior eye segment analysis system 1 day and 1 and 2 months after surgery. Results: No significant difference in decentration and tilt was found among the 3 follow‐ups or between lens types. Conclusion: Neither IOL decentration nor tilt showed significant progression up to 2 months in eyes with a silicone multifocal or acrylic IOL when the IOLs were placed properly in the capsular bag. The amount of decentration and tilt was similar between lens types.