{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:34:46Z","timestamp":1745469286902,"version":"3.40.4"},"reference-count":7,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2013,6,28]],"date-time":"2013-06-28T00:00:00Z","timestamp":1372377600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"},{"start":{"date-parts":[[2013,6,28]],"date-time":"2013-06-28T00:00:00Z","timestamp":1372377600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Ophthalmol"],"abstract":"<jats:p>Background: We report the case of a 40-year-old female patient treated with implantation of the Acrysof\u00ae IQ ReSTOR\u00ae lens (Alcon, Fort Worth, Tex., USA) with overlaying Acrysof EXpand\u00ae minus piggyback lens (Alcon). Methods: The patient had high myopia and was diagnosed with presbyopia and bilateral posterior subcapsular cataract. She desired to be spectacle-free and opted to undergo bilateral placement of the ReSTOR multifocal lens. The necessary intraocular lens (IOL) power was +3.5 in the right eye and +4.0 in the left eye, though the range of commercially available ReSTOR lenses is +6.0 to +34.0 D. In order to achieve emmetropia in this case of high myopia, it was determined that an EXpand minus piggyback lens would be necessary. Results: Implantation of the ReSTOR lens with overlaying EXpand minus piggyback lens was performed successfully and without complication. At 5 months postoperatively, the patient had 20\/20 uncorrected visual acuity in both eyes. She reported a high level of satisfaction and was able to return to her daily activities including reading and driving without spectacles. Conclusion: We report successful primary implantation of AcrySof EXpand minus piggyback lenses overlying the AcrySof IQ ReSTOR lens in a patient with high myopia. Long-term follow-up and further evaluation is necessary to establish piggyback IOL implantation with multifocal IOL as an accepted treatment for high myopia with presbyopia.<\/jats:p>","DOI":"10.1159\/000353497","type":"journal-article","created":{"date-parts":[[2013,6,28]],"date-time":"2013-06-28T07:04:52Z","timestamp":1372403092000},"page":"57-60","source":"Crossref","is-referenced-by-count":0,"title":["Minus Piggyback Lens Overlaying ReSTOR\u00ae Multifocal Lens in High Myopia"],"prefix":"10.1159","volume":"4","author":[{"given":"Isha","family":"Gupta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zack","family":"Oakey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian C.","family":"Stagg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Balamurali K.","family":"Ambati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2013,6,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S9403"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2003.11.056"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2005.05.023"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(98)80303-9"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2003.08.008"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.01.016"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.07.032"}],"container-title":["Case Reports in Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/353497","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/353497","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:36:42Z","timestamp":1745433402000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000353497"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,28]]},"references-count":7,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2013,8,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000353497","archive":["Portico"],"relation":{},"ISSN":["1663-2699"],"issn-type":[{"type":"electronic","value":"1663-2699"}],"subject":[],"published":{"date-parts":[[2013,6,28]]}}}