To demonstrate the results of ray tracing higher- and lower-order aberrations in pseudophakic eyes with rotationally asymmetrical segment multifocal lenses, total high- and low-order
aberrations, measured by root mean square value (RMS), refraction, uncorrected distance and uncorrected near visual acuity (UCDVA and UCNVA), and tear break-up time, were measured at scotopic
size in 42 eyes of patients implanted with bifocal refractive Mplus15/Mplus30 IOL with +1.5 dpt near
addition (42 eyes of patients implanted with Mplus15)/+3.0 dpt near addition (91 eyes of patients
implanted with Mplus30), and 107 eyes of control group. No significant differences were noticed
between the examined groups concerning UCDVA, UCNVA, and tear break-up time (p < 0.001). Coma
and total high-order aberrations were significantly higher for the Mplus30 lens in comparison to the
Mplus15 lens and the control group (Coma, Trefoil p < 0.001, Secondary Astigmatism p = 0.002). The
spherical aberrations were significantly higher in the lower-addition lens (p = 0.016) in comparison to
the control group and to the higher-addition lens group (p < 0.001). Both intraocular lens models were
successful at reaching refractive aim, good distance, and near function with the lower higher-order
aberrations for the low-addition lens
