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Visual and functional results and patient satisfaction with a new hydrophobic segmental varifocal multifocal IOL

Poster Details

First Author: M.Rau GERMANY

Co Author(s):                        

Abstract Details

Purpose:

To evaluate refractive predictability and visual acuity for distance, intermediate and near vision as well as patient satisfaction regarding dysphotopic phenomena after monolateral comparing bilateral implantation of a new glistening-free hydrophobic asymmetric-refractive MFIOL with varifocal optic design.

Setting:

Augenklinik Cham, Germany

Methods:

This prospective comparing analysis comprises 3 month post-op results after monocular (Group A) and binocular (Group B) implantation of the new hydrophobic segmental MIOL Acunex VarioMax with gradual addition of 3.0 D (Teleon Surgical B.V., The The Netherlands) in 14 patients. Group A consist of 12 eyes of 6 bilateral treated patients, group B comprised 8 eyes from 8 monofocal treated patients. Results for subjective refraction, uncorrected and corrected visual acuity for distance, intermediate (80cm) and near (40cm) were measured. Dysphotopic phenomena and visual satisfaction of the patients under mesopic and photopic light conditions were documented via symptomology questionnaire.

Results:

Post-operative distance, intermediate and near visual acuity uncorrected and distance-corrected at 3 months were binocular 0.1 logMAR or better for group A and monocular 0.2 logMAR or better for group B respectively, for all patients. The cumulative spherical equivalent of subjective refraction was within +/-0.5 D for 85% and within +/-1.0 D for 100% of all included eyes and both groups. The individual assessments of quality of vision (glare, halos, starbursts, blurring, ghostings) evaluated by patient questionnaire shows comparable low values < 20 from maximal score of 100 for all patients, asking under mesopic and photopic light conditions, with slightly lower photic phenomena for group A.

Conclusions:

The new Acunex VarioMax provide excellent continuously high visual results over all distances with a high refractive predictability. The new gradual varifocal optic design with minimized transition areas seems to be a promising platform to widely avoid dysphotopic phenomena by consisting good visual performance from distance to near, especially after bilateral treatment.

Financial Disclosure:

None

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