Posters

Lid debridement, thermal pulsation treatment to improve tear film quality and biometry accuracy for trifocal IOLs adoption

Poster Details

First Author: M.Piovella ITALY

Co Author(s):    B. Kusa                    

Abstract Details

Purpose:

To evaluate two eyelid treatments(Blephex and LipiFlow) one applied immediately after another to manage eyelid debridement and thermal pulsation treatment of Meibomian Gland Dysfunction(MGD) to improve quality of the tear film and cornea surface for better biometry accuracy in precisely determining the power of a trifocal/trifocal toric lens

Setting:

Matteo Piovella* 1, Barbara Kusa1 1CMA - Centro Microchirurgia Ambulatoriale, MONZA, Italy

Methods:

: Cataract surgeons have to improve tear film quality to get a better corneal surface and to improve biometry efficiency to approach multifocal IOLs implantation Not considering the importance of eyelid debridement before apply MG thermal pulsation treatment could penalize postop quality of vision and provide unhappy patients 52 patients (mean age 62.12±13 years) were diagnosed with partial or total Meibomian glands occlusion by LipiView lids transillumination. Patients received a LipiFlow treatment to remove obstructions and restore meibomian gland function after applying a lid debridement with Blephex . After the treatments specific eyedrops therapy was applied for at least three weeks

Results:

Symptoms had decreased at 1 month post treatments. Patients reported no significant discomfort or pain during or after treatment. Postop quality of vision improved due a better corneal tears film and also the biometry measurements were MG appeared mainly not occluded Biometry were more accurate, comparable and repeatable than the tests carried out before the treatments . We found significant differences from the values of biometry: 25 degrees for the astigmatism axis, up to one diopter difference for both astigmatism and spherical equivalent. In assessing these results, consider the importance of falling within the range of 0.50 remaining diopters in the postoperative time.

Conclusions:

Refractive cataract surgery is based on to achieve good refractive outcome within a range of 0.50 diopters after surgery Two lid treatments provide an effective way to detect MG occlusion and to treat succesfully the majority of the patients..This treatment helps to adopt presbyopic implants over 50% of cataract patients

Financial Disclosure:

receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, travel has been funded, fully or partially, by a competing company, travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, receives consulting fees, retainer, or contract payments from a competing company